198021188-4-17-2023-33-CC-CGRN-CQYQ9B-20230417115803

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198021188
Report Date: 04/17/2023
Date Signed: 04/17/2023 11:58:09 AM

Document Has Been Signed on 04/17/2023 11:58 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	RAYUELA SCHOOL (R2)		FACILITY NUMBER:	198021188
ADMINISTRATOR:	OLGA LILLIANA MARTINEZ		FACILITY TYPE:	850
ADDRESS:	2121 GARFIELD AVE		TELEPHONE:	(626) 318-3482
CITY:	ALTADENA	STATE: CA	ZIP CODE:	91001
CAPACITY: 26	TOTAL ENROLLED CHILDREN: 14	CENSUS: 14	DATE:	04/17/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:22 AM
MET WITH:	Lilliana Martinez		TIME COMPLETED:	12:15 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	An announced pre-licensing site inspection was conducted today by Licensing Program Analyst (LPA) Crystal Green to inspect and measure facility for capacity determination. Licensing staff met with Applicant, Lilliana Martinez. The proposed hours of operation will be Monday to Friday from 8 AM to 6 PM. This facility is currently operating as Martinez Family Childcare (198019918). The applicant has requested to operate a Preschool Program. The applicant obtained the necessary permits with the city of Altadena to convert the family home into a childcare center. At approximately 10:35am, LPA was provided a tour of the facility. During this inspection, LPA observed 14 children and 3 staff present. This facility will have a total of (4) classrooms, the main activity room, Pretend Play, Relaxing room, and the Art room. Furniture and equipment were inspected for age appropriateness and good repair. Individual storage space was observed available near the outdoor play area. Drinking water will be available to children via a water pitcher and disposable cups or personal sippy cups. LPA observed the facility to have 2 toilets and 2 sinks available for children in care. All toilets and sinks are in safe and sanitary operating conditions. Cots are available for children in care. There are smoke detectors and fire extinguishers located throughout the premises. The isolation area for an ill child will be located in the office. There is also a fully equipped first aid kit and a locking medication cabinet located in the main activity room. Licensing staff was guided through the proposed outdoor activity space. The designated outdoor play area was observed to be enclosed by a fence. LPA observed the outdoor area to contain picnic tables, art equipment, age-appropriate play equipment, and multiple themes play sections. There is adequate shade available in the yard via shade tent and trees. The areas located around and under high climbing equipment was observed to has sufficient cushioning material to absorb a fall. Report Continues Page 1 of 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023

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 2

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: RAYUELA SCHOOL (R2)	FACILITY NUMBER: 198021188
	VISIT DATE: 04/17/2023

NARRATIVE

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Facility will provide snacks and lunch will be provided by the parents. LPA observed a kitchen on site. Per Applicant, it is available for prepping the children’s snacks only. No transportation will be conducted by the facility.

Facility representative 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.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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

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.

At this time, the facility was observed to be operating in compliance with California Title 22 Regulations. The Department has received an approved Fire Clearance. Based on measurements obtained, the capacity forthe preschool will be twenty-six (26) children. Upon return to the Monterey Park Regional Office, LPA will proceed with licensing facility as Childcare Center.

At approximately 12 PM, an exit interview was conducted with Applicant and a signed copy of this report was provided. Report Ends Page 2 of 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2