<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020715
Report Date: 07/16/2021
Date Signed: 07/16/2021 12:55:25 PM

Document Has Been Signed on 07/16/2021 12:55 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:HAPPY CAMPERS CHILDREN CENTERFACILITY NUMBER:
198020715
ADMINISTRATOR:YU-SHU (CINDY) CHENGFACILITY TYPE:
830
ADDRESS:14035 FRANCISQUITO AVETELEPHONE:
(562) 699-4991
CITY:BALDWIN PARKSTATE: CAZIP CODE:
91706
CAPACITY: 30TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
07/16/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Susan Chang - ApplicantTIME COMPLETED:
01:00 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) Nolan Tcheng and Licensing Program Manager (LPM) Claudia Guangorena conducted an announced prelicensing inspection for a change of ownership. Upon arrival at 8:30am, LPA met with Susan Chang, Applicant, and Cindy Cheng, Director, who provided a tour of the facility. Also present during the inspection was Lead Teacher Jenny Cheng. Due to COVID- 19, precautionary measures were taken, individuals present during inspection wore appropriate personal protective equipment. Facility was observed to be adhering to local public health guidelines.

Applicant is applying for an Infant with a Toddler option License. Applicant is requesting a total capacity of 18 infants and 12 Toddlers. The proposed Infant with a Toddler option program will operate on the same site as the Preschool program (#198020716).

All areas identified on the facility sketch were toured indoors and outdoors and measurements were taken. The proposed Infant with a Toddler option program will operate 7am - 6pm, Monday - Friday. Parents will enter through the main gate to enter the building and walk through the outdoor area to enter the Infant and Toddler areas.

Sign in/out procedures will be implemented at the entrance of this facility in the hallway. Sign in/out books are located on the table in the hallway.

At 8:45am, Licensing staff was toured through the outdoor play areas. Staff will bring a water pitcher and disposable cups outdoors. The shaded areas will need to replace the ceiling panels to provide adequate shade for children in care. All areas around play equipment and slides were not observed to be cushioned with material to absorb a fall. Licensing staff advised facility to replace the material underneath the play equipment and to purchase more age appropriate equipment. LPA observed the Toddler outdoor play area and infant outdoor play area to be physically separated.

REPORT CONTINUES PAGE 1 of 4

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/16/2021
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 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: HAPPY CAMPERS CHILDREN CENTER
FACILITY NUMBER: 198020715
VISIT DATE: 07/16/2021
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
At 9:15am, Licensing staff toured through the proposed infant and toddler classrooms. This facility will have one Infant classroom and one Toddler classroom. Licensing staff observed the Toddler classroom to be physically separated from the Infant classroom. Licensing staff observed that entrances to each room were separate to prevent crossing over between classrooms. Individual storage space was observed in the classrooms. At 9:30am, LPA observed a refrigerator available in the kitchen for storing infant formula, bottles, infant food. Per applicant, the refrigerator was instructed to be removed from Infant classroom as a safety precaution during their fire clearance inspection. Licensing staff advised applicant to contact the fire inspector to ask if the refrigerator can be placed in the Infant room as long as it is secured to the wall and/or counter. The classrooms will have water pitchers available and the use of disposable cups for children to drink freely. The room has central heating and air-conditioning.

Parents will provide lunch, baby food, milk, and snacks for infants and toddlers enrolled in this program. Facility also provides am snack, lunch, and pm snack. Medications will be stored in a medication box in the office. First aid supplies are available in the each classroom. The office will be used as an ill/isolation area. There is a mat available for ill children to rest if needed. Applicant states that ill infants will be changed in the staff restroom if needed.



Infant changing tables have a padded surface no less than one inch thick and are covered with a disposable paper cover and have raised sides at least three inches high. There is a sink within arms reach of the infant changing table with hot and cold running water.

Indoor activity space for this infant program is physically separate from the other components at this facility, and meets the requirements of 101438.3 (a) - (e).

The Crib/napping area is separated and has its own area of the classroom. This area was not part of the measurements. Cribs meet the new crib law: rail is fixed and cannot be lowered, mattress is at its lowest position, and mattress is moisture resistant. Staff can visually supervise a sleeping infant. At this time there are 4 cribs and cots available, which are arranged so as to provide a walkway and work space between the cribs to permit staff to reach each infant without having to step over or reach over any other infant. Evacuation/Emergency crib is also available. Licensing staff advised applicant to purchase more cribs for the requested capacity.
REPORT CONTINUES PAGE 2 of 4
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021
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: HAPPY CAMPERS CHILDREN CENTER
FACILITY NUMBER: 198020715
VISIT DATE: 07/16/2021
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
Play equipment and materials for infants were inspected for cleanliness and safety. Toys were observed to be clean and safe. Electrical outlets are covered. There is a fully equipped first aid kit available in the classroom. Per applicant, sheets and blankets will be washed weekly. Licensing staff observed a washer and dryer located adjacent to the facility kitchen. There is smoke detectors and a carbon monoxide detector on site that meets statutory requirements.

During inspection Licensing staff observed 5 toilets and 5 sinks adjacent to the Toddler room. A potty seat cover was available for children potty training. Per applicant, they will be requesting parents to provide potty training seats for sanitary reasons.

INCIDENTAL MEDICAL SERVICES:


Incidental Medical Services (IMS) were discussed. For IMS information, see Evaluator Manual- Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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

PIN 20-24 Safe Sleep Regulations were discussed with the applicant.

During this inspection, Licensing staff obtained measurements for the Infant and Toddler Classrooms and Outdoor play area to calculate capacity. Based on measurements obtained during this inspection, capacity for the proposed Infant program will be eighteen (18) children. The capacity for the proposed Toddler component will be twelve (12) children.

Based on today's observations, the following items must be corrected by 08/16/2021 before the final application review can be completed:


- Applicant will replace shade cover panels over Toddler outdoor area
- Applicant will place absorbent material underneath outdoor play areas for Infants and Toddlers
- Applicant will Remove Green turf from all outdoor play areas
- Applicant will fix the large cement crack around border of play yard and two circle holes in the Toddler outdoor play area
REPORT CONTINUES PAGE 3 of 4
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021
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: HAPPY CAMPERS CHILDREN CENTER
FACILITY NUMBER: 198020715
VISIT DATE: 07/16/2021
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
- Applicant will ensure the ground underneath the Infant outdoor play area is not uneven
- Applicant will purchase more age appropriate outdoor equipment for Toddler area
- Applicant will remove Helicopter play structure from the Toddler Area.

An exit interview was conducted with Applicant Susan Chang at 12:40pm. A copy of the report was provided.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4