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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020716
Report Date: 07/16/2021
Date Signed: 07/16/2021 12:46:03 PM

Document Has Been Signed on 07/16/2021 12:46 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:
198020716
ADMINISTRATOR:YU-SHU (CINDY) CHENGFACILITY TYPE:
850
ADDRESS:14035 FRANCISQUITO AVETELEPHONE:
(562) 699-4991
CITY:BALDWIN PARKSTATE: CAZIP CODE:
91706
CAPACITY: 84TOTAL ENROLLED CHILDREN: 0CENSUS: 13DATE:
07/16/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Susan Chang - ApplicantTIME COMPLETED:
01:00 PM
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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, Licensing staff 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 a preschool license Applicant is requesting a total capacity of 84 children. The proposed preschool program will operate on the same site as the Infant with a Toddler option program program (#198020715).

All areas identified on the facility sketch were toured indoors and outdoors and measurements were taken. The proposed preschool program will operate 7am - 6pm, Monday - Friday. Parents will enter through the main gate to enter the building for the preschool program.

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 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 observed to be cushioned with material to absorb a fall. Licensing staff advised facility to remove rubber material underneath swing and play structure. In the exploration area Licensing staff is advising applicant to remove the trash cans and place them in an area children will not be playing in. There are two areas leading to gates to other areas not licensed for the preschool programs. Applicant is being instructed to place large cones there to let children know it is not an area to play in.


REPORT CONTINUES PAGE 1 of 3
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 3
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: 198020716
VISIT DATE: 07/16/2021
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Licensing staff observed the outdoor preschool to be physically separated from the proposed infant and Toddler component. At 9:15am, Licensing staff toured through the proposed preschool classrooms. This facility will have two preschool classrooms. Individual storage space was observed in the classrooms. 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. Facility 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. Napping equipment in the form of cots were observed during the inspection. Toys were observed to be clean and safe. Electrical outlets are covered. There is smoke detectors and a carbon monoxide detector on site that meets statutory requirements.

During inspection Licensing staff observed 4 toilets and 4 sinks in the older preschool restroom. Licensing staff observed 3 of the 4 toilets to require maintenance. Licensing staff observed 4 toilets and 4 sinks in the younger preschool restroom. Licensing staff observed 1 sink faucet needs maintenance, 1 toilet requires a toilet seat, and 1 other toilet needs maintenance. Licensing staff observed a changing table at the entry way of the younger preschool classroom's restroom. Applicant was advised to have the table removed.

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

During this inspection, Licensing staff obtained measurements for the Preschool Classrooms and Outdoor play area to calculate capacity. Based on measurements obtained during this inspection, capacity for the proposed preschool program will be seventy-six (76) 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 the shade ceiling panels in the outdoor play area
- Applicant will remove the rubber flooring underneath the swing and play structure
REPORT CONTINUES PAGE 2 of 3
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 3
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: 198020716
VISIT DATE: 07/16/2021
NARRATIVE
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- Applicant will remove trash cans from exploration outdoor area
- Applicant will have the three malfunctioning toilets in the older preschool restroom fixed
- Applicant will have the two toilets and one sink in the younger preschool restroom fixed
- Applicant will remove the changing table at the entry way to the younger preschool restroom

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: 3 of 3