Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198007930
Report Date: 08/10/2018
Date Signed: 08/10/2018 04:57:57 PM

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:BETHEL DAY CARE AND PRESCHOOLFACILITY NUMBER:
198007930
ADMINISTRATOR:CLAIRE KUFACILITY TYPE:
850
ADDRESS:7732 E. EMERSON PLACETELEPHONE:
(626) 288-8322
CITY:ROSEMEADSTATE: CAZIP CODE:
91770
CAPACITY:44CENSUS: 33DATE:
08/10/2018
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Biwei ChenTIME COMPLETED:
05:05 PM
NARRATIVE
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Licensing Program Analyst (LPA) Crystal Green conducted an unannounced 3 year required inspection. Upon arrival the Director, Lanhua Ku was not avaible. LPA waited until designated facility Head Teacher, Biwei Chen, arrived and provided LPA a tour of the facility. This is a preschool program licensed for 44 preschoolers which operates Monday – Friday from 7:00 AM until 6:00 PM.

This preschool has 3 classrooms. LPA observed 11 napping children in classroom 2 (2-year old’s) with staff #1. In classroom 3 (3 year and 4-year old’s), LPA observed 22 napping children with staff #2 and staff #3. Teacher child ratios was observed, and staff names was recorded. All children was observed by licensing staff to be under visual supervision of a teacher at all times. Sign in and out sheets was reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day.

Furniture and equipment was inspected to ensure that they are in good condition. All indoor classrooms shall be clean and safe. During tour of facility licensing staff observed an area rug in located in classroom 1 to be soiled and in classroom 3 to also contain a soiled area rug. Napping equipment and bedding was inspected for good condition, appropriate storage and cleanliness. Children have separate cubbies. All toilets and sinks shall be in safe and sanitary operating conditions. LPA observed in restroom used by the 3-year-old and 4-year-olds to have 1 out of 3 toilets inoperable at this time. LPA observed 1 out of 3 hand washing faucets to be inoperable. Based on the number of children in care at this time no citation was given. Per Director, they are in process of getting toilet and sink repaired. There is uncontaminated drinking water available in all indoor classrooms via water container and children bring drinking cups from home. At this time, the office is used as an isolation area for ill children. There is a cot available for ill children to use. Parents are contacted immediately when children are determined to be ill.

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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2018
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BETHEL DAY CARE AND PRESCHOOL
FACILITY NUMBER: 198007930
VISIT DATE: 08/10/2018
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Snack menus was reviewed. Per Director, the facility provides AM snack, lunch and PM snack. Kitchen area, food preparation, and storage areas are clean and free of litter. All food and beverages are stored in covered containers. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children shall be made inaccessible. LPA observed under the kitchen sink to contain cleaning supplies. At the time there was no barrier up to prevent children from accessing the kitchen area.

Outdoor playground equipment was observed to be in a safe condition. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment and slides are cushioned with sand that will absorb a fall. There is adequate shade in the play yard. Licensing staff observed operational water fountain available outside for the children to drink freely.

This facility offers Incidental Medical Services (IMS). A form must be completed by parent and the same form is completed by staff once medication administered. Medications are kept in a safe place inaccessible to children. Per Director, there are no children currently enrolled that requires IMS.

Staff Records was reviewed to ensure that each file contains a Personnel Record, Qualifications and verification of CPR/First Aid and health preventative practices documentation. Children’s Records was reviewed to ensure that each child has an Emergency and Identification form on file.

AB1207 Mandated Child Abuse Reporting- Website provided: http://mandatedreporterca.com. At this time facility is not required to complete Mandated Reporter Training due to only being offered in English.

LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. Tools Resources-Quarterly Updates- Child Care Program



The deficiencies listed on the following pages was observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809D for deficiencies that are being cited and need to be cleared to protect the children’s health & safety.

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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2018
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BETHEL DAY CARE AND PRESCHOOL
FACILITY NUMBER: 198007930
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/10/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/10/2018
Section Cited
CCR
101238(g)
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101238(g) Buildings and Grounds. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children shall be inaccessible to children.

This requirement was not met. LPA observed under the kitchen sink to contain cleaning supplies.
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Head Teacher removed cleaning soultions to an outside storage area during visit. Teacher informed that a food cart is used to prevent children from access the kitchen area, she will make sure that there is a barrer up at all times.
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At the time of observation there was no barrier up to prevent children from accessing the kitchen area.

This poses an immediate Health and Safety risk to children in care
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Type B
08/31/2018
Section Cited
CCR
101238(a)
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101238(a) Buildings and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times.

This requirement was not met. During tour of facility licensing staff observed an area rug in located in classroom 1 to be soiled and in classroom 3 to also contain a soiled area rug.
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Per Director, Area rugs will be deep cleaned by 08/31/18
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This poses an potential Health and Safety risk to children in care
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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: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2018
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BETHEL DAY CARE AND PRESCHOOL
FACILITY NUMBER: 198007930
VISIT DATE: 08/10/2018
NARRATIVE
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TYPE ‘A’ ONLY Upon receipt of this report, the licensee shall post ANY licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. Failure to maintain posting as required will result in a civil penalty of $100.00. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year.

A copy of the Parent Notification Requirements was provided to the licensee, along with a copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports.


Exit interview was conducted with Head Teacher, Biwei Chen, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role. The Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2018
LIC809 (FAS) - (06/04)
Page: 4 of 4