198400640-1-6-2023-54-CC-MAYA-CMTRHP-20230106120241

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400640
Report Date: 01/06/2023
Date Signed: 01/06/2023 12:02:58 PM

Document Has Been Signed on 01/06/2023 12:02 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:	MAOF FLORENCE PRESCHOOL		FACILITY NUMBER:	198400640
ADMINISTRATOR:	NORMA AMEZCUA		FACILITY TYPE:	830
ADDRESS:	6431 E. FLORENCE AVENUE		TELEPHONE:	(323) 562-0490
CITY:	BELL GARDENS	STATE: CA	ZIP CODE:	90201
CAPACITY: 6	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	01/06/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Director, Norma Amezcua		TIME COMPLETED:	01:00 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 January 6, 2023 at 10:00 AM, Licensing Program Analyst (LPA) Monique Ayala conducted an announced inspection at the facility noted above and met with Director, Norma Amezcua. The purpose of the inspection was to conduct the Prelicensing inspection. The applicant is requesting to be licensed for 6 infants, ages 12 to 24 months that do not require a crib. The facility consists of one (1) classroom. There is a licensed preschool program located on site (License Number: 191592446). The operating hours for the facility would be Monday through Friday from 6:30 AM to 5:30 PM. Per Director, the Sign-In and Sign-Out will be conducted outside of the classroom at the front entrance of the facility, and a health check will be conducted prior to infants being signed in on a daily basis. All areas identified on the facility sketch were inspected. LPA was guided on a tour of the facility accompanied by the facility representative. The following was observed during the tour of the facility: Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Infants have their own cubby in the classroom to store their belongings. LPA observed cots stored inside the classroom. Per Director, sheets will be washed at the facility on a daily basis. The facility will provide infants with meals and snacks. First Aid supplies were observed and kept inside the classroom. Per Director, medication is only administered to an infant when accompanied with a doctor's note and medication is store inside the classroom. Per Director, the isolation area is located in the office. In the office, a cot can be placed on the floor for an ill child. Age appropriate sink was inspected for availability and good repair. LPA observed a changing table inside the classroom that meets licensing standards, and is placed within arm's reach of a sink. General sanitation was observed. The facility did not have an age appropriate toilet or potty chairs available for infants being toilet trained. Availability of indoor and outdoor drinking water was observed (water jugs).

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023

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 4

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: MAOF FLORENCE PRESCHOOL	FACILITY NUMBER: 198400640
	VISIT DATE: 01/06/2023

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
26
27
28
29
30
31
32

Smoke detector and carbon monoxide detector was tested and is operable. The facility was granted a fire clearance for the requested capacity on August 11, 2022. The fire extinguisher is fully charged and was last serviced on September 14, 2022. Per Director, transportation will not be provided by the program.

Disinfectants, cleaning solutions, storage for medication and other items that are dangerous to children, were inaccessible to children in all areas. Director stated that there are no poisons stored at the facility. The kitchen/food preparation area and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste have tight-fitting covers that are kept on and in good repair. LPA observed electric outlet covers installed in the child care areas.

The facility has outdoor play equipment that is in a safe condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Areas around or under high climbing equipment, and similar equipment are cushioned with material that could absorb a fall. LPA observed adequate shade in the outdoor play yard. There are no bodies of water on the premises.

All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person present with a valid Pediatric First Aid/CPR certification (EMSA-approved) during this inspection.

Director was reminded that all adults 18 and over, 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 Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: MAOF FLORENCE PRESCHOOL	FACILITY NUMBER: 198400640
	VISIT DATE: 01/06/2023

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
26
27
28
29
30
31
32

LPA discussed the safe sleep regulations with the facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the facility representatives of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Items discussed during this inspection:
1. Licensing does not prohibit the following: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both.
2. Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.
3. Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.
4. At least one person trained in Pediatric First Aid and CPR must be present.
5. The name of the child care center Director or fully qualified teacher(s) designated to act in the Director's absence must be on file.
6. Educational background, training, and/or experience for each staff present must be available for review. Per Director, teacher’s will have a copy of their teacher permit available.
7. Children’s records must be available for review; including but not limited to, the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.
8. Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles.
9. Records to be Maintained at the Facility: Child Care Centers (LIC 311A).

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: MAOF FLORENCE PRESCHOOL	FACILITY NUMBER: 198400640
	VISIT DATE: 01/06/2023

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
26
27
28
29
30
31
32

10. AB1207: As of January 1, 2018, Health & Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. New employees shall have 90 days from date of employment to complete training as required. The training may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules at: http://www.mandatedreporterca.com/.
11. Infants need to be within the direct care and supervision, including visual supervision of qualified staff at all times.

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 communication.

Based on measurements taken during today's inspection, including sink availability, the facility is equipped to provide care for 6 infants. Per Director, two (2) potty chairs will be purchased and proof of purchase will be submitted to LPA via e-mail by Wednesday, January 11th.

A final review of the application will be conducted by the Department. Once licensed, the provider is required to adhere to the terms and limitations stated on the license.

Exit interview was conducted and report was reviewed with Director, Norma Amezcua.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023

LIC809 (FAS) - (06/04)

Page: 4 of 4