198020972-7-1-2024-33-CC-SLEE-D6RMF8-20240701093356

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020972
Report Date: 06/27/2024
Date Signed: 07/01/2024 09:34:02 AM

Document Has Been Signed on 07/01/2024 09:34 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	BLOSSOM GARDEN LEARNING ACADEMY		FACILITY NUMBER:	198020972
ADMINISTRATOR:	MEGHA SAHNI		FACILITY TYPE:	830
ADDRESS:	101 S. ATLANTIC BLVD		TELEPHONE:	(626) 627-2318
CITY:	ALHMABRA	STATE: CA	ZIP CODE:	91801
CAPACITY:	10	CENSUS: 10	DATE:	06/27/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Stephanie Rodrigues		TIME COMPLETED:	02:30 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) Seung Lee conducted an unannounced required inspection. Upon arrival LPA Lee met with Assistant Director Stephanie Rodrigues who provided a tour of the facility. This infant program consists of 1 classroom and is open Monday-Friday 7AM-6PM. LPA Lee inspected the infant classroom and observed age appropriate equipment, toys, and furniture. Telephone service, heating, lighting and ventilation were evaluated. LPA observed a separate napping area with cribs in the infant classroom. Changing table was observed to be within arms length of the sink. During the inspection LPA Lee discussed safe sleeping practices with the Director. LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. The outdoor space for the infant program was inspected for age appropriate equipment, cushioning, and to be hazard free. The infant program's outside play area is located in the rear of the facility and was observed to be separated from the outdoor space used by the preschool program. The kitchen was inspected by LPA Lee. Trash can with tight fitting lid was observed. Two snacks are provided by the facility and served to infants who are old enough to consume the snacks. All preparation areas were observed to be clean and in order. There is sufficient storage and cabinet space for supplies. A facility menu was observed to be posted on the refrigerator, in the classrooms, and in the posting area of the hallway. The facility serves AM snack and PM snack.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2024

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BLOSSOM GARDEN LEARNING ACADEMY	FACILITY NUMBER: 198020972
	VISIT DATE: 06/27/2024

NARRATIVE

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Per Assistant Director, the isolation area is located in the Directors office and a staff restroom is available for ill children. All types of medication is stored in an off limits area of the classrooms. This facility accepts both prescription and over the counter medication as long as proper documents and instructions are provided by the parents of children in care.

Staff and children's records were reviewed. The facility maintains their children's roster. Sign in and out sheets were reviewed. Sign in and out area is located inside near the front entrance hallway.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

No deficiencies were cited during the inspection.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting during business hours will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Assistant Director Stephanie Rodrigues. Appeal rights discussed and explained.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2024

LIC809 (FAS) - (06/04)

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