198020871-12-6-2021-33-CC-CRES-C9FU8J-20211206142136

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020871
Report Date: 12/06/2021
Date Signed: 12/06/2021 02:21:46 PM

Document Has Been Signed on 12/06/2021 02:21 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:	BLESSINGS PRESCHOOL		FACILITY NUMBER:	198020871
ADMINISTRATOR:	BROWN, CORISSA		FACILITY TYPE:	850
ADDRESS:	15653 NEWTON ST.		TELEPHONE:	(323) 691-8202
CITY:	HACIENDA HEIGHTS	STATE: CA	ZIP CODE:	91745
CAPACITY: 45	TOTAL ENROLLED CHILDREN: 45	CENSUS: 0	DATE:	12/06/2021
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	12:01 PM
MET WITH:	Corissa Brown		TIME COMPLETED:	02:45 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 Analysts (LPAs) Cynthia Reyes and Lilli Babcock, conducted an announced pre-licensing site Inspection to inspect and measure the requested preschool component for capacity determination. LPAs met with Corissa Brown, Director and a short while after the Applicant, Tina Rike arrived. Due to COVID-19 precautionary measures were taken during the entire inspection and all individuals present during this inspection wore appropriate personal protective equipment. The applicant is requesting a total capacity of 45 preschool children. Days & hours of the preschool will be Monday-Friday 7 AM-6:30 PM At 12:15 AM, LPAs began the tour of the facility with Tina and Corissa, beginning at the gate located at the back parking lot on the grounds of St. Matthews Church. This gate will be where the preschool parents will enter and exit, during Covid or not. Parents will sign the child in/out (Electronically/Hard copy) at a table located outside the classroom, where temperature and health checks will be conducted. Use of hand sanitizer will also be available. Parents will only stop at the classrooms front door at this time, unless they request to enter the entire classroom, which at that time all precautionary measures will be taken for that individual entering. Facility staff will walk the child inside the classroom and bring the child out at pick-up time. LPA observed a parent board placed outside by the sign in/out area with all licensing forms and Covid-19 posters. Facility was observed to be adhering to local public health guidelines. (According to CDC guidelines, children under the age of (2) are not required to wear masks.) The ill/isolation area is located in the office and the ill child will use the staff rest room located right across the office in the church. The ill/isolation area has a mat for a child to rest if needed. A staff lounge/lunch area is located in the church area. Continued on page 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2021

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: BLESSINGS PRESCHOOL	FACILITY NUMBER: 198020871
	VISIT DATE: 12/06/2021

NARRATIVE

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12:30 AM Licensing staff was then guided through the preschool classrooms (Green & Blue). LPAs observed in both classrooms, toys were observed to be age appropriate clean and safe. Furniture and equipment was inspected for age appropriateness and good repair. Napping equipment (28 cots) were inspected and observed to be in good condition. Appropriate storage and cleanliness was observed in both rooms. The preschool will be provided filtered water and cups. AM/PM snack will be provided by the facility and preschool children will bring their own lunch. Menus were observed on the parent board. Containers used to discard food have tight fitting lids. There is a fully equipped first aid kit available in each room. Individual storage space was observed to be available for each child. Children are provided a blanket by the facility and parents will take home at the end of each week to wash. Facility has extra linen and food available if needed.

Preschool children have 2 bathrooms located in between the 2 classrooms, which contain 2 toilets (30 preschool), 1 urinal (15 preschool) & 3 sinks (45 preschool) and they are in good condition, water temperature, paper towels, toilet paper, and all were inspected for safety and sanitation.

Food preparation areas were toured for safety and cleanliness and are located in each class room. Heating, lighting and ventilation were evaluated. Building/Rooms are centrally heated and air conditioned. Overhead lights as well as natural light are used.

The tour continued as the LPAs were guided to the preschool outdoor play areas. The preschool has their own play yard with, grass, padding & cement, and is self contained by a gate around it for separation from the other components to prevent children from co-mingling. Water jugs with disposable cups or labeled bottles will be used for children while outdoors. LPAs observed age appropriate outdoor toys and play equipment to be clean, safe and in good repair, as well as adequate shade is available. All areas around play equipment and slides are cushioned with material to absorb a fall. Measurements were taken of the outdoor play yard and the total outside capacity allows for 119 preschool children at one time. LPAs advised the Director that the preschool children need to be within the direct care and supervision, including visual observation and supervision of the teacher(s) at all times.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2021

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: BLESSINGS PRESCHOOL	FACILITY NUMBER: 198020871
	VISIT DATE: 12/06/2021

NARRATIVE

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Carbon monoxide detectors and smoke detectors are present and are in operable condition in the facility. Smoke and Carbon Monoxide detectors should be checked and batteries replaced as needed. The fire extinguisher type 2A-10BC (Service date 06/29/2021) must be serviced annually or as often as necessary. Hazardous items including poisonous cleaning compounds were observed to be stored inaccessible to children.
1 PM Items discussed during this Inspection:

Licensing does not tolerate the following: Refused Entry to a Facility or Any Part of a Facility is a
violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both.
Breakfast/Lunch/Snack Menus: Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.
Current Children’s Roster LIC 9040: Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This children roster must be updated and available to the licensing agency upon request.
Pediatric First Aid and CPR: At least one person in the facility, along with the Director/Administrator must be trained in Pediatric First Aid and CPR and present in the facility.
Designated Staff: The name of the childcare center director or fully qualified teacher(s) designated to act in the director's absence must be on file.
Qualifications and staff files: Educational background, training, and/or experience and all required documents by the department for each staff present must be available for review.
Children’s Records: All required licensing documents must be available for review; including but not limited to, the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. Director advised to visit www.shotsforschool.org for immunization information.
Immunization Requirements: Commencing September 1, 2016, a person shall not be employed or
volunteer at a day care center if he or she has not been immunized against influenza, pertussis, & measles.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2021

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: BLESSINGS PRESCHOOL	FACILITY NUMBER: 198020871
	VISIT DATE: 12/06/2021

NARRATIVE

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Continued: Items discussed during this Inspection:

Criminal background clearance: LPA advised Director that all adults 18 years of age and older providing Care & Supervision and/or have continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check.
Reporting Requirements Section 101212: Changes at the facility must be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location. The Director was also advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.

1:35 PM Facility has no transportation policy for preschool children. Applicant states that any lifesaving medication will be stored in a locked area inaccessible to children in care in the office or office refrigerator.

Incidental Medical Services (IMS): This facility will provide Incidental Medical Services – IMS. 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.

LPA consulted with applicant regarding COVID-19 health and safety guidelines on this date. Applicant was provided forms to post via email. Licensing staff observed COVID- 19 postings posted in different areas of the day care for parents, as well as for children at eye level in their class rooms and in the bathrooms on this date. During this inspection LPA also discussed PIN 20-06 CCP, Social and Physical Distancing Guidance and Healthy Practices for Child Care Facilities in Response to The Global Corona virus (COVID-19) Pandemic Written in Collaboration with The California Department of Education. LPA handed the applicant the Child Care Covid-19 Self-Assessment guide during this inspection on this date. Corissa stated will fill out and email a copy back to the LPA as soon as possible.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2021

LIC809 (FAS) - (06/04)

Page: 4 of 5

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: BLESSINGS PRESCHOOL	FACILITY NUMBER: 198020871
	VISIT DATE: 12/06/2021

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2 PM LPA advised the applicant how to access forms, regulations providers information notices (PINs), regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

Based on LPA measurements taken on this date and observations of the facility, the following corrections are needed and once completed the facility will be approved for capacity of 45 preschool children.

Corrections needed:
1) Change Urinal to a toilet
2) Yellow marking's on outdoor play yard
3) Latch on Refrigerator
4) Remove staples
5) More cots are needed

The application will be submitted to be licensed after completion of final file review.

Once licensed, the applicant is required to adhere to the terms and limitations stated on the license.

A fire clearance was approved on 09/20/2021 for the capacity of 45.

2:45 PM, Exit interview was conducted in person with Corissa Brown, Director and Tina Rike, Administrator. Consultation regarding the licensing state laws and regulations, were conducted through out this inspection.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2021

LIC809 (FAS) - (06/04)

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