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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020594
Report Date: 07/02/2024
Date Signed: 07/02/2024 01:25:21 PM

Document Has Been Signed on 07/02/2024 01:25 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:PUENTE AVE PRESCHOOLFACILITY NUMBER:
198020594
ADMINISTRATOR/
DIRECTOR:
KIMBERLY NGUYENFACILITY TYPE:
850
ADDRESS:14045 DILLERDALE STTELEPHONE:
(626) 338-3464
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: DATE:
07/02/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Kimberly NguyenTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 7/2/2024, at 9:15 am, Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced Annual inspection. LPA entered facility through the side gate. The Director’s office is located at the main entrance and there are cameras monitoring throughout the inside and outside of the facility. LPA met with Director, Kimberly Nguyen who guided the LPA on a tour of the facility indoors and outdoors. This is a preschool program licensed for 42 children, which operates Monday through Friday from 6:00 AM to 6:00 PM. The Director stated there are 42 children currently enrolled. The facility is in a residential neighborhood and the preschool center are converted houses. There is an infant program with a toddler component that is currently licensed next door. Per Director the facility is also operating under Title 5. LPA observed a total census of 32 children with 5 staff members. LPA provided consultation for questions regarding the facility.

The following classrooms were inspected: Classroom Preschool 1 ages: 3-and 4-year-olds with 6 children and 1 staff member, Classroom Preschool 2 & 3 Ages: 4-and 5-year-olds with 19 children and 2 staff members, and Classroom Preschool 4 Ages: 2- and 3-year-olds with 7 children and 2 staff members. All staff members are fingerprint cleared. Licensed facility is within the conditions, limitations, and capacity specified on the license. The facility has additional staff members to support and assist with preparing meals and to distribute to classrooms, as well as any other staff and children’s needs. Parents gain access to the facility grounds by using the main street gate or the side gate with a code.

The classroom 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. Telephone service, heating, lighting, and ventilation were evaluated. Storage for children’s belongings and napping equipment was inspected and meet all regulatory requirements. Parents bring the initial blanket from home for napping and child’s name is printed for identification and facility provides fitted sheet. Facility has washing machines to launder once a week on Fridays both the blanket and the napping sheets. Facility has spare sheets and blankets if children should have accidents.
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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/02/2024
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: PUENTE AVE PRESCHOOL
FACILITY NUMBER: 198020594
VISIT DATE: 07/02/2024
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Availability of drinking water was reviewed and per Director facility provides water in pitchers with disposal cups and children have the option of bringing water from home. Facility has a total of 3 child size toilets and 3 child size sinks. Preschool 1 has a changing table for children who are currently potty training. Toys and surfaces are observed to be safe and clean. Staff restroom is available in Preschool classroom 2 & 3 and near the main office.

Smoke and Carbon monoxide detectors are combined and connected to the Fire Department which are tested annually by the Fire Department and were last tested/checked August of 2023. Fire extinguishers are serviced annually and were last serviced October 24, 2023. Storage cabinets in classrooms were inspected and no hazardous items were found, cleaning items are kept inaccessible to children in care, as well as in the kitchen area under the sink. No poisonous cleaning compounds were found in the childcare center. Emergency disaster drill was last conducted and documented on June 3, 2024. There is a First Aid kit available in each classroom; and supplies were inventoried and found to be in good condition.

There are 2 kitchens, one located in the classroom 2 & 3 that is separated by an iron gate. That kitchen is used for staff for their lunch storage. The main kitchen which is located near the Director’s office is where meals are prepared. LPA inspected both kitchens. Food preparation areas were toured for safety, cleanliness, and proper equipment. LPA inspected commercialized refrigerators for cleanliness and temperature check. Breakfast, AM Snack, Lunch and PM snacks are served by the facility. Menu is posted right outside the classrooms and if changes are made to the menu, facility will update on the Bright Wheel app. LPA observed parent board with all required documentation located in the entry way of the facility.

LPA was informed that there are currently no children on medication at this time, however the Director has an IMS plan and LPA reviewed and provided consultation. Director stated that medication would be kept in each classroom in a locked medication box out of reach of children and each classroom has a small fridge to store medication that requires refrigeration. LPA advised that medication should be given back to parents/guardians when child leaves the facility or medication expires.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: PUENTE AVE PRESCHOOL
FACILITY NUMBER: 198020594
VISIT DATE: 07/02/2024
NARRATIVE
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Outdoor playgrounds have equipment which is in safe condition, free of sharp, loose, or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. There are currently 2 playgrounds. One playground is designated for the younger preschool students and the other playground has a play structure that is used for 3 to 5 years of age. The playground located behind Preschool classroom 2 & 3 and near Preschool classroom 4 has toys and bikes along with a bike path. Both playgrounds have awnings for shade and small tables and is surrounded by iron gates at least 6 feet tall, as well as plastic fences at least 5 ½ feet tall for security and privacy. All areas around or under climbing equipment, slides, and similar equipment are cushioned with foam material. There is enough play equipment and toys for the children to use in the play yard.

Sign in/out is done on individual sheets and were found to complete using full signatures near the entrance of the classrooms located in the main area. LPA reminded the Director that full signatures should be used for the safety of the children.

LPA reviewed staff records and found that they were complete. Clearance for adults and verification of CPR/First Aid, educational requirements, immunization records, mandated reporting and health preventative practices documentation was reviewed. Children’s records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. Per Director, she currently has taken the 8-hour Health, Safety, Nutrition and Lead training. Staff person who is responsible for the kitchen duties, currently has a food handler certificate that expires June 2027.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. LPA observed that lead results were posted for parents to view until the next testing.

Director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a
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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: PUENTE AVE PRESCHOOL
FACILITY NUMBER: 198020594
VISIT DATE: 07/02/2024
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criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018, any person who works in a childcare facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers. LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

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

No citations are being issued during today’s inspection visit.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director, Kimberly Nguyen.
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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
LIC809 (FAS) - (06/04)
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