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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400035
Report Date: 09/16/2024
Date Signed: 09/16/2024 01:03:26 PM

Document Has Been Signed on 09/16/2024 01:03 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:OUR LADY OF THE ROSARY PRESCHOOLFACILITY NUMBER:
198400035
ADMINISTRATOR/
DIRECTOR:		VANESSA RIVASFACILITY TYPE:
850
ADDRESS:14813 PARAMOUNT BLVD.TELEPHONE:
(562) 383-5660
CITY:PARAMOUNTSTATE: CAZIP CODE:
90723
CAPACITY: 20TOTAL ENROLLED CHILDREN: 6CENSUS: 4DATE:
09/16/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Daisy Lozano, Lead TeacherTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced random annual inspection on 09/16/2024. LPA was guided to Preschool classroom by office personnel. LP met with Daisy Lozano, Teacher (S1). LPA explained the purpose of the inspection and provided a copy of the CCC Entrance Checklist (LIC 125). S1 guided LPA on a tour of the facility. Also present was Erica Maria Ramirez (S2). LPA observed four (4) children present during this inspection.

This facility is located in one classroom on the campus of church and private school. The facility operates Monday through Friday from 7:30AM to 4:00PM. This program has been granted a waiver as the private school kindergarten program and the preschool program share the same outdoor play space. LPA observed wavier posted next to the state issued license.

All areas identified on the Facility Sketch were inspected. The following was observed during the tour of the facility

LPA observed the required documents posted by entrance to the classroom including License, Notification of Parents Rights, Personal Rights. The menu for 09/2024 is posted inside the classroom.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Children's cots and bedding for napping were observed in classroom.

Age appropriate sinks and toilets were observed in the classroom and were inspected for cleanliness and good repair. General sanitation was observed. Availability of indoor bottled drinking water was observed in the classroom.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Smoke and carbon monoxide detectors were observed and are operable. Page 1---Report continues

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 09/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/16/2024
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: OUR LADY OF THE ROSARY PRESCHOOL
FACILITY NUMBER: 198400035
VISIT DATE: 09/16/2024
NARRATIVE
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There is a kitchen area in the classroom that has snacks. Children bring lunch and snacks from home. The facility also provides snacks delivered by vendor daily. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair.

Outdoor playground are is located in an enclosed area in the back of the premises. The age appropriate equipment was observed to be in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space a combination of grass/dirt and wood chips under the play structure and is maintained in a safe condition. LPA observed wooden benches with chipping paint and splintering wood posing a potential hazard to children in care. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with wood chips that absorbs a fall. There is adequate shade in the play yard. Per S1, the children bring their individual water bottles to the play area during outdoor playtime. LPA reminded teachers that no children shall be left without the supervision of a qualified teacher at any time.

All floors were observed to be clean and safe. All materials accessible to children were observed to be toxic-free. There are no firearms stored on the premises. There are no pools or bodies of water at the facility.

Children’s Records were reviewed for completeness; Inspection of required forms was made and documented on the LIC 857. 1 of 4 student records reviewed have missing immunization records. posing a potential risk to the health and safety of children in care.

The Director of this facility was not present during this inspection. Staff files were not available for review. Posing a potential risk to the health and safety of children in care.

S2 provided proof of CPR and Pediatric First Aid present during this inspection and expires on 7/2026. Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in. Disaster drill log was available, last drill was conducted on 09/2024. First Aid supplies is located in the classroom. Medication is only administered to a child when accompanied with a doctor's note and is stored in the child’s classroom. The facility was observed to be equipped with an isolation area for any child who becomes ill and is located in the faculty room.

Page 2 -----Report Continues

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2024
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: OUR LADY OF THE ROSARY PRESCHOOL
FACILITY NUMBER: 198400035
VISIT DATE: 09/16/2024
NARRATIVE
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Facility Representative was reminded that all adults 18 and over, 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test...pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).


During this inspection, the center director was not present, LPA was unable to confirm if the Lead Test has been completed. A follow up visit will be conducted to address Lead Directive.

LPA advised facility representative to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. LPA informed of the following PINS: Required Lead Testing: PIN 20-01 CCP Effects of Lead Exposure, and Guardian User Account Access - PIN 20-20-CCLD.

LPA discussed Incidental Medical Serviced (IMS). LPA discussed fees due, the failure of a licensee to pay all applicable and accrued fees shall constitute grounds forfeiture of a license.



To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

There were 4 "B" deficiencies cited during today’s inspection

A notice of site visit was given and must remain posted for 30 days.

Appeal rights were given and explained. Exit interview conducted and report was reviewed with the Teacher

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2024
LIC809 (FAS) - (06/04)
Page: 2 of 5
Document Has Been Signed on 09/16/2024 01:03 PM - It Cannot Be Edited


Created By: Alicia Mooberry On 09/16/2024 at 12:07 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: OUR LADY OF THE ROSARY PRESCHOOL
FACILITY NUMBER: 198400035

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/16/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.2(d)(2)
Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that there are twi benches in childrens play area that have chipping paint and wood lis splitering which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/23/2024
Plan of Correction
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The staff will inform Director and a plan of correction will be provided to LPA by POC due date.
Type B
Section Cited
CCR
101215.1(f)
Child Care Center Director Qualifications and Duties
(f) When the child care center director is absent from the center, arrangements shall be made for a fully qualified teacher as specified in Section 101216.1(c) to act as substitute. This substitute child care center director shall be aware of center operations, including total enrollment; shall be trained in program operation; and shall be designated as an authorized person to correct operational deficiencies that constitute immediate threats to children's health and safety.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, record review, the licensee did not comply with the section cited above due to Director was not present at the faciltiy during this inspection, the staff files were navailable for review, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/23/2024
Plan of Correction
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The staff will inform Director and a plan of correction will be provided to LPA by POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 09/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/16/2024


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 09/16/2024 01:03 PM - It Cannot Be Edited


Created By: Alicia Mooberry On 09/16/2024 at 12:07 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: OUR LADY OF THE ROSARY PRESCHOOL
FACILITY NUMBER: 198400035

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/16/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101217(d)
Personnel Records
(d) All personnel records shall be maintained at the child care center and shall be available to the licensing agency for review.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
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4
Based on interview, the licensee did not comply with the section cited above in that the personnel files were not available for review due to director was not present which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/23/2024
Plan of Correction
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The staff will inform Director and a plan of correction will be provided to LPA by POC due date.
Type B
Section Cited
CCR
101220.1
101220.1 Immunizations
(a) Prior to admission to a child care center, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, commencing with Section 6000.


This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 1 out of 4 childrens files reviewed did not have immunization record on file which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/23/2024
Plan of Correction
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Per Staff 1, the immunization record will be sent to LPA via email by POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 09/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/16/2024


LIC809 (FAS) - (06/04)
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