198020959-7-25-2022-33-CC-CRES-CGNRNX-20220725131104

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020959
Report Date: 07/25/2022
Date Signed: 07/25/2022 01:11:16 PM

Document Has Been Signed on 07/25/2022 01:11 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:	GOOD HABIT PRESCHOOL		FACILITY NUMBER:	198020959
ADMINISTRATOR:	WEI ZHAO		FACILITY TYPE:	850
ADDRESS:	2628 FULLERTON RD		TELEPHONE:	(626) 567-5678
CITY:	ROWLAND HEIGHTS	STATE: CA	ZIP CODE:	91748
CAPACITY: 96	TOTAL ENROLLED CHILDREN: 96	CENSUS: 0	DATE:	07/25/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Wei Zhao, Feng Xue, Anney Wu, & Rong Zhu		TIME COMPLETED:	01:30 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) Cynthia Reyes, conducted an announced pre-licensing site Inspection to ensure the facility is following the state laws and the health and safety regulations, as well as to measure the requested Preschool component for capacity determination. LPA met with Wei Zhao & Feng Xue, Owners, Anney Wu, Director and Friend of the owners Rong Zhu. Due to COVID- 19 precautionary measures were taken during the entire inspection and all individuals wore appropriate personal protective equipment. The applicant is requesting a total capacity of 96 preschool children ages 2-5 years old. The facility days & hours will be Monday-Friday 7 AM-6 PM. At 10:15 AM, LPA began the tour of the facility with all parties listed above, beginning at the front of the day care parking lot. To enter the day care, Parents will sign the child in/out outside the main office during covid and inside the office after covid. Office staff will do a temperature and health check before the child is walked to the class room by the staff and staff will walk the child out at pick up time. A parent board is located outside and inside by the sign in/out area and in each class room, with Licensing and Covid-19 posting which are visible for all to see. Use of hand sanitizer will also be available. Parents will only stop at the sign in/out table at this time, unless they request to enter the class room, which at that time all precautionary measures will be taken for that individual entering. 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.)

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2022

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: GOOD HABIT PRESCHOOL	FACILITY NUMBER: 198020959
	VISIT DATE: 07/25/2022

NARRATIVE

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LPA was then guided through the preschool classrooms that will be labeled with room numbers. (Room 1/Room 2/Room 3, & Room 4) which was inspected and measured for capacity determination. LPA observed in the classrooms, toys to be age appropriate clean and safe. Age appropriate furniture and equipment were also inspected to be in good condition. Napping equipment (cots) were inspected and observed to be in good condition.

Preschool children have a bathroom located in between class room 1 and 2, with 3 toilet 1 urinal and 4 sinks, and in between class room 3 & 4, with 3 toilet, 1 urinal and 4 sinks, for total of 6 toilets, 2 urinals and 8 sinks. Also in class rooms 2,3, & 4 is a sink (3 total). The total capacity for toilets (6=90), urinals (2=30) and sinks (11=165). All toilets and sinks are in good condition, water temperature, paper towels, hand soap, toilet paper were observed and everything was inspected for safety and sanitation.

11 AM Licensing staff was then guided to the preschool outdoor play area. The play yard is self-contained by a gate around it for separation from other areas located in this entire gated facility. Child's own labeled water bottle will be used for children while outdoors. LPA 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 and under 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 72, preschoolers. Applicant will need a waiver for the requested capacity of 96. LPA advised Wei, Feng, Anney & Rong that the children need to be within the direct care and supervision, including visual observation and supervision of the teacher(s) at all times. LPA advised Wei, Feng, Anney & Rong that no standing water is allowed and needs to be empty after each use.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2022

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: GOOD HABIT PRESCHOOL	FACILITY NUMBER: 198020959
	VISIT DATE: 07/25/2022

NARRATIVE

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12 PM The parents will provides the children blanket/Sheet. Parents will wash all linen at the end of each week. Individual storage space was observed to be available, appropriate and clean for each child. Child's own labeled water bottle will be used for children while in the class room.

There is a fully equipped first aid kit available in each class room containing all the required supplies. The facility has central cooling and Heating, lighting and ventilation which were all evaluated by the LPA.

AM and PM snack will be provided by the facility and housed in each class room. Parents will bring the child's own lunch. Menu was observed on all the parent boards. In each class room there is a small refrigerator. No kitchen in the facility. Containers used to discard food have tight fitting lids. Facility has extra linen and food available if needed. Cleaning solutions will be locked.

Carbon monoxide detectors and smoke detectors were observed to be in operable condition and located in each class rooms. Smoke and Carbon Monoxide detectors should be checked regularly, and batteries replaced as needed. LPA observed a fire extinguisher located in each classroom which is a type 2A-10BC and the valve on it indicated that it is fully charged.

Fire Extinguisher tag has a service date of 05/02/2022. Fire extinguishers need to be serviced annually or as often as necessary. Hazardous items including poisonous cleaning compounds were observed to be stored inaccessible to children. Facility does not provide transportation for preschool children.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2022

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: GOOD HABIT PRESCHOOL	FACILITY NUMBER: 198020959
	VISIT DATE: 07/25/2022

NARRATIVE

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The ill/isolation area is located in the staff lounge next to class room 1. The ill child will use the staff rest room located next to the lounge. The isolation area has a cot available for rest.

12:30 PM LPA reviewed with applicants, Wei Zhao & Feng Xue, Owners & Anney Wu Director, the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. LPA also discussed with Wei Zhao & Feng Xue, Owners & Anney Wu Director, Reporting and Notification Requirement

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)/ (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

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2022

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: GOOD HABIT PRESCHOOL	FACILITY NUMBER: 198020959
	VISIT DATE: 07/25/2022

NARRATIVE

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Applicants, Wei Zhao & Feng Xue, Owners & Anney Wu 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, must obtain a 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Based on LPA measurements taken on this date and observations of the facility, the following is needed before a license can be granted.

1) Final File review.
2) Locks on all Refrigerators (Email Photos)
3) Signs outside with facility number (Email Photos)
4) Waiver request for shared Play Yard (Email all Documents)
5) Update Indoor and Outdoor facility Sketches (Email Copies)

The total capacity measurements for toilets (6=90), urinals (2=30) and sinks (11=165), Indoor (106) and outdoor (72). Capacity will be approved for 98 preschool children based on measurements taken on this date and after approved waiver and corrections made. The Department has received an approved fire clearance for a capacity of 96 preschool children.

1:30 PM Exit interview conducted, and report was reviewed with Applicants, Wei Zhao & Feng Xue, Owners & Anney Wu Director.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2022

LIC809 (FAS) - (06/04)

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