304371576-5-22-2023-06-CC-ABOI-CS46GS-20230522204823

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371576
Report Date: 05/22/2023
Date Signed: 05/22/2023 08:49:28 PM

Document Has Been Signed on 05/22/2023 08:49 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	BUENA PARK LEARNING CENTER PRESCHOOL		FACILITY NUMBER:	304371576
ADMINISTRATOR:	BECKELHEIMER, MARY		FACILITY TYPE:	850
ADDRESS:	8201 COUNTRY CLUB DRIVE		TELEPHONE:	(714) 994-9381
CITY:	BUENA PARK	STATE: CA	ZIP CODE:	90621
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 0	DATE:	05/22/2023
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Mary Beckelheimer - Director		TIME COMPLETED:	04:00 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 05/22/2023 Licensing Program Analyst (LPA), A. Bootorabi conducted an on site visit for the purpose of a 1 year required inspection. LPA met with the director Mary Beckelheimer at 11: 15 AM. Upon arrival, an Entrance Checklist (LIC 125) was provided to Mary Beckelheimer. Facility hours were confirmed with director. The director confirmed hours are 12 p.m.- 3 p.m., Monday through Friday. The director stated that starting August 14,2023 the school will be a full day program operating from 7:30 am - 5:30 pm.

Census upon entry: Director: 1 Teachers: 0 Aides: 0 Children: 0

A facility tour began at: 11:18 am with the director Mary Beckelheimer

LPA and director toured the facility inside and outside and the floor and yard plan (LIC 999) were verified. At the time of the visit, no unreported changes were verified to the floor plan LIC999.

Documents to be posted in a prominent, publicly accessible area at the facility were verified at 11:30 am. LPA verified that the following were posted at the facility: Facility License, Menus, LIC 613A Personal Rights, PUB 269 Child Passenger restraint system poster, PUB 393 Notification of Parent Rights, and LIC 610 Emergency Disaster Plan. The facility met the requirements for the section above. A consultation was provided to the director in regards to the license being posted on the parent board where it can be visible for parents. The facility met the requirements on todays visit.

The LPA requested to review the following documents during the inspection: Verification of Disaster and Fire Drills, Daily Activity Schedule, Sign-In/Out Sheets, and LIC 9148 Earthquake Preparedness. The daily activity schedule is written on the white board in the classroom and sign in and out is done through Learning Genie. Parents sign in through there phone and if technical issues occur the director stated they have sign in and out sheet printed for each student. The facility met the requirements for this section. The following drills were recorded: 3/28/2023 Earthquake Drill - 4/25/2023 Look-down Drill - 5/31/2023 Fire Drill

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

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 10

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: BUENA PARK LEARNING CENTER PRESCHOOL	FACILITY NUMBER: 304371576
	VISIT DATE: 05/22/2023

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

A census of the classroom was taken at 12:15 pm : Classroom #1(Serving children 2 years-5 years) :

Lead Teacher: 1 Assistant Teacher: 1 Extra Support: 2 Children: 11

1 of 1 classrooms were determined to be operating within its licensed capacity and within compliance with staffing ratios. During the inspection of the indoor activity space, items that could pose a danger to children (detergents, cleaning compounds, and medications) were observed to be stored out of the reach of children in classrooms 1 of 1. Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges in classroom 1 of 1.

The bathroom is located outside of the classrooms and the toileting areas consist of 3 toilets and 2 sink. The toileting and sink area was observed to be functional and reachable to children. The restrooms were observed to be maintained in safe and sanitary operating conditions.

Classrooms 1 of 1 were observed to be free of clutter, have drinking water readily available to children, have adequate storage for children’s belongings, and have adequate space for children in care. Furniture and equipment were observed to be arranged so that no exits is blocked.

Outdoor Activity Space was Observed. The large outdoor equipment consisted of climbing structure, slides and swings. The cushioning material consisting of rubber like flooring around the climbing equipment, swings, and slides. The flooring material appeared to be enough to absorb falls. There are no bodies of water present at the facility. The facility grounds were safe, sanitary, and in good repair. A consultation was provided for soil bags and a cement like rock near the bathrooms. The facility met the requirements during todays inspection. A consultation was provided for two areas that pose a potential hazard. The director stated there was an open work order in place.

The outdoor activity space was inspected. The playground was enclosed by a fence at least four feet in height. The surface of the outdoor activity space was observed to be free of hazards including, but not limited to, holes, broken glass, and other debris upon a consultation while touring. The outdoor equipment and toys were observed in good repair and free of sharp edges. The outdoor activity area was observed to be in a safe condition for the activities planned. The LPA observed drinking water fountain and bottle refill station outside the bathroom area. Director stated that children can refill their bottles and drink from it as needed.

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

LIC809 (FAS) - (06/04)

Page: 2 of 10

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: BUENA PARK LEARNING CENTER PRESCHOOL	FACILITY NUMBER: 304371576
	VISIT DATE: 05/22/2023

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

Identification Location: During the facility tour, the LPA and director verified and identified the location of the following. Medication stored at the facility is in a lock box by the entrance of the classroom and stored out of reach of children. A functioning carbon monoxide detector was observed in the classroom and tested for function, smoke alarms were observed and was tested, and a fire extinguisher was observed to be marked in full. A consultation was provided for the First Aide Kit. The facility met the requirements for this section.

Personnel Records were picked up by director and reviewed at 2:47 pm. LPA requested complete personnel records for staff present during today’s inspection. LPA reviewed files for the following documents Staff Qualifications, Proof of Immunization's of measles, pertussis, and influenza (or document of exemption), current CPR & First Aid (Acknowledgement of report Child Abuse, Mandated Reporter training certificate (renewed every 2 years), and employee rights. The facility was not in compliance and a Plan of Corrections will be drafted to ensure compliance is met. A consultation was provided to support the facility meeting requirements. Teacher and director files were either missing or incomplete during todays visit.

CPR & First Aid Training for director expires 05/24/2024 and mandated reporter training was verified for all staff.

A review of the Facility Personnel Report Summary was conducted during today’s inspection. The Facility Personnel Report Summary indicated all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions. The Director was advised 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, before the initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/person will be assessed if this regulation is violated.

Children’s records were reviewed at 1:03 pm. LPA reviewed files for the following: LIC 613A Personal Rights, Admissions Agreement, LIC700 Identification and Emergency Information, LIC 701 Physician’s Report, LIC 995 Notification of Parents’ Rights, LIC 627 Consent to Emergency Medical Treatment, and Immunization Records. The facility had a separate individual file for each child enrolled. LPA reviewed a random sample of files, and the files met the requirements for this section.

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

LIC809 (FAS) - (06/04)

Page: 3 of 10

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: BUENA PARK LEARNING CENTER PRESCHOOL	FACILITY NUMBER: 304371576
	VISIT DATE: 05/22/2023

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

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. https://www.cdss.ca.gov/inforesources/community-care/policy

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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

The director was reminded that the childcare center shall be clean, safe, sanitary, and in good repair always to ensure the safety and well-being of children, employees, and visitors.

The director was also reminded that measures to keep the center free of flies, other insects, and rodents. The staff shall safely dispose of water and any disinfectants/solutions that have been used for cleaning. All children shall be protected against hazards within the center by means of properly storing medication, cleaning solutions, and other hazardous items out of the reach of children. All outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard shall be kept free of obstruction. Disinfectants, cleaning solutions, poisons, and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. Storage areas for poisons shall be locked. Firearms and other weapons shall not be allowed on or stored on the premises of a childcare center.

The Director was informed that Licensing Quarterly Updates are available at www.ccld.ca.gov Director may request to be added to an email list to receive a Quarterly Update by contacting the Child Care Advocate at childcareadvocatesprogram@dss.ca.gov

Information on the additional nutrition training, immunization requirements for children, and Health Schools Act were provided. https://www.cdpr.ca.gov/index.htm https://www.cdpr.ca.gov/docs/schoolipm/ https://www.cdpr.ca.gov/docs/pestmgt/pubs/hsa_factsheet.pdf

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

LIC809 (FAS) - (06/04)

Page: 4 of 10

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: BUENA PARK LEARNING CENTER PRESCHOOL	FACILITY NUMBER: 304371576
	VISIT DATE: 05/22/2023

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

The Director was informed and given the website about the California Child Care Disaster Pla: cchp.ucsf.edu/content/disaster-preparedness Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org

A copy of the California Department of Social Services Lead Information Brochure was discussed https://www.cdss.ca.gov/Portals/9/Additional-Resources/Forms-and-Brochures/2019/M-P/PUB515.pdf and a PDF link was provided.

In the areas that were evaluated, deficiencies were observed in the California Code of Regulations, Title 22, Division 12 at the time of the visit. Notice of site visit was posted and must remain posted for 30 days. The following deficiencies were cited: CCR 101216(g)(2), CCR 101216(l)(1)(B)

Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

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.

End of Report

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

LIC809 (FAS) - (06/04)

Page: 5 of 10

Document Has Been Signed on 05/22/2023 08:49 PM - It Cannot Be Edited

Created By: Araceli Bootorabi On 05/22/2023 at 03:05 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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: BUENA PARK LEARNING CENTER PRESCHOOL	FACILITY NUMBER: 304371576
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/22/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216(g)(2)

Personnel Requirements

(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on(observation, interview, record review, the licensee did not comply with the section cited for other staff support working in the classroom which posesped a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/09/2023
	Plan of Correction
1 2 3 4	The director will put the files with correct forms together and submit the LPA via email. The director will review Record Keeping Video on the DSS website.

Type B

Section Cited

CCR

101216(l)(1)(B)

Personnel Requirements

(B) A copy of the signed LIC 9052 (11/94) shall be kept in the employee's personnel record. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, and record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/09/2023
	Plan of Correction
1 2 3 4	The director will put the files with correct forms together and submit the LPA via email for all staff.

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:

Patricia Magana

LICENSING EVALUATOR NAME:

Araceli Bootorabi

LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

LIC809 (FAS) - (06/04)

Page: 6 of 10