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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018562
Report Date: 05/24/2023
Date Signed: 05/24/2023 02:38:31 PM

Document Has Been Signed on 05/24/2023 02:38 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:COVINA DEVELOPMENT CENTERFACILITY NUMBER:
198018562
ADMINISTRATOR:SHEENA MINAYAFACILITY TYPE:
830
ADDRESS:437 W. SAN BERNARDINO RD. #111TELEPHONE:
(626) 967-7153
CITY:COVINASTATE: CAZIP CODE:
91723
CAPACITY: 33TOTAL ENROLLED CHILDREN: 16CENSUS: 14DATE:
05/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Director, Sheena MinayaTIME COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Mireya García conducted an unannounced Annual Required Inspection. LPA met with Director Sheena Minaya, who guided LPA on a tour of the facility indoors and outdoors. This is a infant program. This program consists of 2 classrooms; Room 102A Little Lambs and Room 102B Busy Bee's. Facility operation hours are Monday through Friday from 7:15 AM to 5:30 PM. This facility has a capacity of 33 children; Infants ages 0 through 24 months. There is a preschool program LIC#198018561 on the premises.

Upon arrival, the following staff were present during this inspection: Room 102A Little Lambs: Staff #1 and #2, with six (6) infants and in the Room 102B Busy Bee's: Staff #3 and #4 with eight (8) infants. Teacher-child ratio is met. All individuals present have obtained a criminal record clearance or criminal record exemption. All children were observed to be under visual supervision of a teacher at all times.

LPA observed the facility to be clean, safe, sanitary and in good repair. Furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. Indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. All toilets and hand washing facilities are in safe and sanitary operating conditions. All materials and surfaces accessible to children are toxic free.



LPA observed and inspected sleeping equipment for infants. LPA observed five (5) cribs available in the crib room that are used for napping. All equipment meets the US Consumer Product Safety Commission safety standards. LPA observed that cribs are free from loose articles and objects. There are no objects hanging above or attached to the side of the cribs. LPA observed that cribs do not hinder the entrance or exit to and from the space they are sleeping in. Mattresses were observed to be firm and covered with a fitted sheet that is appropriate to the mattress size. Each infant has their individual bedding and per Director, are washed weekly. Soiled bedding is replaced when wet or soiled and is placed in an area inaccessible to infants.
REPORT CONTINUES ON NEXT PAGE 1 OF 4.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: COVINA DEVELOPMENT CENTER
FACILITY NUMBER: 198018562
VISIT DATE: 05/24/2023
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Staff and Director was advised that infants shall not be swaddled while in care and all infants up to 12 months should be placed on their back for sleeping. The LIC 9227 (Individual Sleeping Plan) for infants up to 12 months was explained and discuss with Director. PIN 20-24-CCP Recently Approved Safe Sleep Regulations in Effect and Title 22 Regulation Section 102425(j) Infant Safe Sleep was discussed and a copy was issued to the Director, during this inspection including but not limited to documentation that shall be maintained.

LPA Garcia inspected Infant changing tables which were observed to have raised sides at least three inches high, with no less than one-inch thick washable vinyl padded surface and are within arm's reach of a sink.

At this time, the office is used as an isolation area. There are chairs, restroom and a mat can be placed in the office. Parents are contacted immediately when children are determined to be ill and staff are ensuring that children with obvious symptoms of illness are not being accepted.

Food menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. Infants are provided with Breakfast, Lunch and PM Snack. All kitchen, food preparation, and storage areas are clean, free of litter, rubbish, and rodents/vermin. All food is protected from contamination, and LPA inspected that any contaminated food is discarded immediately. Per Director, the facility provides water for children. Water jugs and cups were observed readily available inside classrooms and there is a water fountain in the outdoors. All storage containers for solid waste, including moveable bins, have tight fitting covers on and are in good repair. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are stored in an area inaccessible to children. Director states that there are no poisons stored at the facility.

Facility has one functioning carbon monoxide detector that meets statutory requirements. The dual smoke/carbon monoxide detector is located in the Room 102B, which was tested at 10:07 a.m., and it is in operable condition.

Outdoor play equipment was observed to be in good condition, free of sharp, loose or pointed parts. Outdoor activity space surface is maintained in a safe condition as is free of hazards. The Director states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this visit.


REPORT CONTINUES ON NEXT PAGE 2 OF 4.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC809 (FAS) - (06/04)
Page: 2 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: COVINA DEVELOPMENT CENTER
FACILITY NUMBER: 198018562
VISIT DATE: 05/24/2023
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Sign in and out sheets were reviewed by LPA to ensure that children who are present where sign in. LPA observed only 9 out of the 14 children that were present at the time of LPAs arrival were signed in. LPA discuss Sign in and sign out procedures with Director. LPA informed Director the person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

Staff Records were reviewed to ensure that personnel records are maintained on all staff. Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. LPA issued the Children’s Record Review (LIC 857) and the Review of Staff records (LIC 859) to the Director during this inspection. There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

SB792 (Immunization Requirements for Staff and Employees) was discussed with the facility representative. Immunization records were reviewed and are on file.

AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018 any person who works in a child care facility shall complete the training and renew the training every 2 years. Mandated Reporting Training completion certificates for staff were reviewed and are on file.


Website provided:https://www.mandatedreporterca.com/training/child-care-providers

Incidental Medical Services (IMS) policy was discussed. This facility provides Incidental Medical Services – IMS. Per Director, the facility currently has no children enrolled who requires the administration of any medication. LPA provided technical assistance to Director in the storage of medication and record keeping. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

REPORT CONTINUES ON NEXT PAGE 3 OF 4.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC809 (FAS) - (06/04)
Page: 3 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: COVINA DEVELOPMENT CENTER
FACILITY NUMBER: 198018562
VISIT DATE: 05/24/2023
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The following was discussed:

· Reporting Requirements.
· The facility shall ensure that each child is accorded the following personal rights: to be accorded safe, healthful and comfortable accommodations.
· All personnel shall be in good health and shall be physically and mentally capable of performing assigned tasks; personnel that pose a threat to the health and safety of children shall be relieved of their duties.
· All personnel shall be given on the job training in housekeeping, sanitation principles and universal health precautions.

LPA advised the facility representative to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

The following deficiency is being cited in accordance to Title 22 of the California Code of Regulations. Please refer to LIC809D for documentation of deficiency cited.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Sheena Minaya.

REPORT ENDS HERE PAGE 4 of 4.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC809 (FAS) - (06/04)
Page: 4 of 8
Document Has Been Signed on 05/24/2023 02:38 PM - It Cannot Be Edited


Created By: Mireya Garcia On 05/24/2023 at 01:59 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: COVINA DEVELOPMENT CENTER

FACILITY NUMBER: 198018562

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101229.1(a)(1)
Sign In and Sign Out
(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPAs observation and records review of only 9 out of the 14 children that were present at the time of LPAs arrival were signed in. This poses an potential health and safety risk to children in care.
POC Due Date: 05/24/2023
Plan of Correction
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Per Director, parent's will be notified of reminder to sign in and out child during pick up and drop off times. In addition, Director, will place the sign in and out sheet binders where staff can verify that child was signed in and out.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Brandi VanOosten
LICENSING EVALUATOR NAME:Mireya Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 05/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/24/2023


LIC809 (FAS) - (06/04)
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