198021315-1-17-2024-33-CC-CGRN-CZKRXX-20240117122528

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198021315
Report Date: 01/17/2024
Date Signed: 01/17/2024 12:25:37 PM

Document Has Been Signed on 01/17/2024 12:25 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	INCARNATION PRESCHOOL		FACILITY NUMBER:	198021315
ADMINISTRATOR:	MUSCARELLA, ROSEMARIE		FACILITY TYPE:	850
ADDRESS:	123 W. GLENOAKS BLVD.		TELEPHONE:	(818) 241-2269
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91202
CAPACITY: 50	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	01/17/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:51 AM
MET WITH:	RoseMarie Muscarella		TIME COMPLETED:	12:35 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	On 1/10/2024 at 10:05 am, Licensing Program Analysts (LPAs), Crystal Green and Stephanie Li conducted an announced Pre-Licensing inspection for a Change of Location. Upon arrival, LPA's met with Applicant Representative RosieMarie Muscarella and Colby Boysen. Applicant, Archdiocese of Los Angeles, has requested to be licensed for 50 preschoolers ages 2 to 5 years old. Hours of operation will be Monday to Friday from 7:30 am to 6pm. This facility is located on the premises of Incarnation Catholic Church. There is a private school serving ages K- 12 (Incarnation Parish School) that will share the same campus. Parents will have access to the facility via the double gate located in the rear parking lot. All indoor and outdoor activity space utilized for the children was inspected today. LPA's informed applicant representatives that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. A fully equipped first aid kit is located in within the Director’s office. There is an operational carbon monoxide detector on site located throughout the facility. All required licensing documents were observed posted outside of classroom B102. Children will be signed in and out at the entrance to the preschool classrooms. LPA's continued to tour the facility and measured all indoor and outdoor activity space. The preschool program will operate from 2 classrooms which will be B102 and B103. Total indoor activity space measured 1684.34 square footage, which can only accommodate 48 children. LPA's observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children. Drinking water will be available in the classrooms via water dispenser. LPA's observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 09/01/2023 by the Glendale Fire Department.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024

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: INCARNATION PRESCHOOL	FACILITY NUMBER: 198021315
	VISIT DATE: 01/17/2024

NARRATIVE

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LPA's observed a total of 4 sinks and 4 toilets available for children’s use. These are sufficient to accommodate the requested capacity of 50 children. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be the staff restroom located in the main building.

Facility will not provide AM/PM snacks or lunch. Parents will provide their child snack and lunch. Per applicant representative, facility will have snacks in case of an emergency.

The facility currently has a designated fully fenced playground area for the preschool children. Fencing is made of wrought iron which was observed to be at least four feet high. LPAs observed that the path to enter their designated outdoor play area will be accessible to older children. Per the applicant representative, Rosemarie Muscarella, staff will escort children at all times to and from their designated outdoor play area. Applicant Representative, Rosemarie Muscarella, understands that children will be escorted and supervised to and from their designated play area at all times. LPA's obtained measurements of the designated area which calculated to be 3,360.23 square footage which can only accommodate 44 children at one time. Shade is provided via canopy. There are sufficient outdoor age-appropriate toys and play equipment available on the main playground area. Drinking water is available via water igloo. LPA's observed all hazardous items on the playground to be inaccessible to children. Applicant Representative, Rosemarie Muscarella, was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.
For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).

Applicant 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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024

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

FACILITY NAME: INCARNATION PRESCHOOL	FACILITY NUMBER: 198021315
	VISIT DATE: 01/17/2024

NARRATIVE

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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) or (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 reviewed with the applicant representative the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Applicant Representative was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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 platforms. 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 communications.

No corrections are needed at this time. A license with a capacity for 44 children will be granted upon a final file review.

Exit interview conducted and report was reviewed with the Applicant Representative, RosieMarie Muscarella.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024

LIC809 (FAS) - (06/04)

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