198020150-4-6-2023-33-CC-SLEE-CQN3WZ-20230406183732

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020150
Report Date: 04/06/2023
Date Signed: 04/06/2023 06:37:38 PM

Document Has Been Signed on 04/06/2023 06:37 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:	MENTOR PRESCHOOL ON LAKE		FACILITY NUMBER:	198020150
ADMINISTRATOR:	JASMIN MANZANERO		FACILITY TYPE:	850
ADDRESS:	232 N. LAKE AVE #100		TELEPHONE:	(626) 437-5506
CITY:	PASADENA	STATE: CA	ZIP CODE:	91101
CAPACITY: 75	TOTAL ENROLLED CHILDREN: 75	CENSUS: 54	DATE:	04/06/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:01 PM
MET WITH:	Jasmin Manzanero & German Jose Salcedo		TIME COMPLETED:	05:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Seung Lee conducted an unannounced required inspection. Upon arrival LPA Lee met with Director Jasmin Manzanero and Licensee German Jose Salcedo. This facility operates as a preschool program with a toddler component. The Center hours are Monday through Friday, 7:00 am to 6:00pm. The following was observed. The facility is an open layout that has a separate area designated for the preschool program and a separate area designated for the toddler program. There is a kitchen where the food and snacks are prepared and cooked for all the children in care. This area is kept off limits via safety gates. There is another area known as the library where supplies (such as napping cots), staff refrigerator, and washer/dryer units are located. There is a designated ill isolation area in this room that is curtained off. A qualified staff member maintains supervision at all times of any ill child in this isolation area. A staff restroom located across the hallway outside of the suite can be used for any ill child. Facility staff maintains supervision at all times and escorts any ill child that has to use this staff restroom. LPA inspected both the toddler and preschool classrooms. Each area has it's own separate restrooms. The toddler restroom has a changing table as well within arms reach of a sink. There is age-appropriate furniture and equipment observed in the classrooms which appear to be in good condition. The facility has central heating and air-conditioning. Overhead lighting provides the majority of the light in the classroom, but sunlight comes through doors and windows. Cubbies are available for children's belonging. The outdoor area is surrounded by a fence adjacent to the parking lot.The outdoor space was inspected for age appropriate equipment, cushioning, and to be hazard free. Drinking water is available outdoors via personal bottles. Page 1 of 2

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 04/06/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: MENTOR PRESCHOOL ON LAKE	FACILITY NUMBER: 198020150
	VISIT DATE: 04/06/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During the inspection, staff and children's records were reviewed. The facility maintains their children's roster. Sign in and out sheets were reviewed.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

No deficiencies were cited during this required inspection.

The notice of site inspection must remain posted for a period of 30 days. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Licensee German Jose Salcedo. Appeal rights discussed and explained.

Page 2 of 2

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 04/06/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2