198020513-6-22-2023-33-CC-CGRN-CT2VAZ-20230622161646

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020513
Report Date: 06/22/2023
Date Signed: 06/22/2023 04:16:52 PM

Document Has Been Signed on 06/22/2023 04:16 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	KIDDIE ACADEMY OF PASADENA		FACILITY NUMBER:	198020513
ADMINISTRATOR:	CHRISTINE JENNINGS		FACILITY TYPE:	850
ADDRESS:	169 N. HALSTEAD ST		TELEPHONE:	6266062800
CITY:	PASADENA	STATE: CA	ZIP CODE:	91107
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 48	CENSUS: 43	DATE:	06/22/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Jennifer Moore		TIME COMPLETED:	02:30 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) Crystal Green conducted an announced case management licensee-initiated inspection. Licensing staff met with Licensee, Jennifer Moore. Also present during this inspection was the Site Director, Christina Jennings. The facility hours of operation are Monday through Friday from 7am to 6:30pm. This facility also has an infant license #198020505 located on the same premises. This is a preschool program that is currently licensed to operate from 2 classrooms (2’s and 3/4’s classroom). Licensee is requesting to decrease their licensed capacity by removing the 3/4’s classroom and changing it to become the new 2’s classroom. The 2’s classroom will be redesignated as the Toddler Option classroom under the Infant license. LPA was provided a tour of the facility’s existing licensed areas. During this inspection, LPA observed 20 preschoolers with two staff in the 3/4's classroom. In the 2’s classroom, LPA observed 23 preschoolers eating lunch with two staff. The facility was observed to be operating within its licensed capacity. LPA observed each classroom to contain 2 toilets and 2 sinks. There is a changing table within arm’s reach of a sink located within the 3/4’s classroom. Per the Licensee, the changing table was installed to accommodate the request to change the classroom into the 2’s classroom. Licensing staff was guided through the outdoor activity areas. The outdoor play equipment was observed to be in good condition, free of sharp, loose, or pointed parts. Outdoor equipment was observed to be age-appropriate. The outdoor activity space surface was observed to be maintained in a safe condition and free of hazards. There is adequate shade available outdoors via canopies. LPA observed cushioning material available around and/or under climbing equipment to absorb a fall. LPA did not observe any violations or hazards outdoors. Page 1 of 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023

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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: KIDDIE ACADEMY OF PASADENA	FACILITY NUMBER: 198020513
	VISIT DATE: 06/22/2023

NARRATIVE

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LPA did not obtain measurements during this inspection. At this time, the licensee is in compliance with California Title 22 Regulations. The Department has received an approved Fire Clearance. The preschool capacity will be reduced to (24) preschoolers.

Facility Representative was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Exit interview conducted and report was reviewed with the facility representative, Christine Jennings.

A notice of site visit was given to facility representative and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Page 2 of 2.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2