198021459-10-1-2024-33-CC-CGRN-D9LV94-20240930161343

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198021459
Report Date: 09/30/2024
Date Signed: 10/01/2024 08:47:50 AM

Document Has Been Signed on 10/01/2024 08:47 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:	CALVARY PRESCHOOL		FACILITY NUMBER:	198021459
ADMINISTRATOR/ DIRECTOR:	MOLLY SPRAGG&ELOISE MORIN		FACILITY TYPE:	860
ADDRESS:	1050 FREMONT AVE		TELEPHONE:	(626) 799-0385
CITY:	SOUTH PASADENA	STATE: CA	ZIP CODE:	91030
CAPACITY: 154	TOTAL ENROLLED CHILDREN: 70	CENSUS: 45	DATE:	09/30/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:10 PM
MET WITH:	Molly Spragg and Eloise Morin		TIME VISIT/ INSPECTION COMPLETED:	04:30 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	On 9/30/2024 at 1:20 a.m., Licensing Program Analysts (LPAs) Crystal Green and Shushanik Safaryan conducted an announced Pre-Licensing inspection to add a new School Age Program to an existing preschool license which will be consolidated into a new single license. Upon arrival, LPAs met with Applicant Representatives, Molly Spragg and Eloise Morin. This facility is located on the same premises of Calvary Presbyterian Church of South Pasadena. This location is currently licensed as a Preschool Program (191500117) serving (134) children from ages 2 to 6 years old in the (8) classrooms: Classrooms 1, 2, 3, 5, 6, 7, 9, and 10. Applicant, Calvary Presbyterian Church of South Pasadena, is requesting to add a new school age program with a capacity of 20 children from ages 5 to 12 years in (1) classroom called B10. Facility operation hours are from Monday to Friday from 7:00 a.m. to 6:00 p.m. All indoor and outdoor activity space utilized for the children was inspected today. LPA Green informed Applicant Representative that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, Applicant Representative stated that they will be in a higher cabinet located in the Director Office. A fully equipped first aid kit is located in the Director’s Office. There is an operational carbon monoxide detector on site located in the Kitchen area. All required licensing documents were observed posted in each classroom. Children will be signed in and out using the 1 Core application near the entrance of each classroom. The entrance for the preschool program will be from Oxley St. parents are provided with a gate code for access. LPAs continued to tour the facility and measured the total indoor and outdoor activity space. Total preschool indoor activity space measured 5,162.87 square footage, which is sufficient to accommodate the existing preschool capacity of 134 Children. Total school age indoor activity space measured 713.00 square footage, which is sufficient to accommodate the requested school- age capacity of 20 Children.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024

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: CALVARY PRESCHOOL	FACILITY NUMBER: 198021459
	VISIT DATE: 09/30/2024

NARRATIVE

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LPAs observed an emergency exit door which leads to directly to Oxley St. Per Molly, she plans to utilize that exit door as the pick-up and drop off for the school-age program. LPAs observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping mats, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via filter water dispenser pitcher. LPAs observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property.

Licensing staff observed a total of 9 sinks, 7 toilets, and 4 urinals available for preschool children’s use. The proposed school- age program will have access to a Girls and Boys restrooms located down the hall from classroom B10 which will afford privacy for children. Licensing staff observed a total of 4 sinks, 3 toilets, and 2 urinals available for school-age children. These are sufficient to accommodate the requested capacity of 20 school-age 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 near the Director’s Office.

Facility will provide AM/ PM snacks. Parents will provide their child’s lunch. The kitchen area is located next to the preschool classroom 10 which currently includes refrigerator, sink, microwave, and food prep counter. The kitchen area and food storage areas were observed free of rodents and/or vermin. Food was observed to be properly stored separate from cleaning materials. Hazardous items in kitchen are inaccessible to children via locked cabinet.

The facility currently has four playground areas: Bike Yard, The Thing Yard, Sand Yard, and the Courtyard. Fencing was observed made of wrought iron which is at least four feet high. The Thing Yard, Sand Yard, and the Courtyard which will remain designated as preschool outdoor space measured for a total capacity of 9,825.74, which is sufficient for the existing preschool capacity. The Applicant plans to request a waiver to share usage of the designated preschool Bike yard using a staggered play schedule. Per Applicant Representative, she will be requesting a waiver to share use of the Bike Yard with the proposed school-age program due to the accessibility and age-appropriate play equipment. The total square footage for Bike Yard outdoor activity space is 7,290 square feet, which is sufficient to accommodate the requested capacity. Shade is provided via shape sails.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024

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: CALVARY PRESCHOOL	FACILITY NUMBER: 198021459
	VISIT DATE: 09/30/2024

NARRATIVE

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There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is adequate cushioning in fall zones of climber provided by artificial turf and outdoor space pads. Drinking water is available via filter water pitcher and children personal cups. LPAs observed all hazardous items on the playground to be inaccessible to children. Applicant Representative 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).

This facility will not be providing direct transportation for the proposed school-age program. Per Applicant Representative, the school-age children will be transported by a third-party called the South Pasadena Transportation System. The staff will ensure that the child will be sign in at the time of drop off.

The following correction is needed prior to the issuance of the license:

Applicant must install a door chime to the exit door leading out to Oxley St.
Applicant must obtain an approved Fire Clearance with the South Pasadena Fire Department.
Applicant must request and obtain approved for shared use of the outdoor space using a staggered schedule.

Upon receipt of the above corrections, this facility will be licensed for a total of 154 children: (134) Preschool children from ages 2 to 6 years old in classroom 1, 2, 3, 5, 6, 7, 9, and 10; and (20) school- age children from ages 5 to 12 years old in classroom B10.

Exit interview conducted and report was reviewed with the Applicant Representative, Molly Spragg and Eloise Morin.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024

LIC809 (FAS) - (06/04)

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