Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300614074
Report Date: 11/30/2017
Date Signed: 11/30/2017 02:54:36 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CITY OF LA HABRA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
300614074
ADMINISTRATOR:ALVAREZ, MINERVAFACILITY TYPE:
850
ADDRESS:401 S. EUCLIDTELEPHONE:
(562) 383-4263
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:84CENSUS: 68DATE:
11/30/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Araceli Morales and Minerva AlvarezTIME COMPLETED:
03:20 PM
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Licensing Program Analyst (LPA), Jacqueline Moore met with the Director, Araceli Morales and Assistant Director Minerva Alvarez. LPA toured the facility inside and outside with the Assistant Director. Census was taken and there were a total of 68 preschool children in classrooms #1, #2, and #3 with 9 staff present. A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
This is a Title 5 state preschool program that operates Monday - Friday, 7:45 AM - 11:00AM morning session and 11:45AM- 3:00PM afternoon session in rooms #1, #2, and #3. Ages served are Children 2.9 - 5 years of age.
The facility was reviewed to ensure compliance with license conditions and limitations, staffing and ratios, inaccessibility to poisons, medication, and hazardous items that can pose a danger to children. Equipment and furniture was inspected to ensure it's in good condition, free of sharp, loose or pointed parts. Toilets and sinks were inspected to ensure they are safe and in a sanitary operating condition, floors were inspected for safety and cleanliness.
The food preparation area was inspected for cleanliness, free of rodents/vermin, appropriate storage of food, and verification of posted menus. There are no weapons, firearms or bodies of water in the facility. The playground was inspected for safety, good condition of equipment, including appropriate cushioning material around and under high climbing equipment. Staff's files were reviewed for education verification, CPR/First Aid, and immunization requirements for (Measles, Pertussis, and Influenza). A sample of children's files were reviewed for completeness of admission agreement, verification of sign in/out including time the child was signed in/out by authorized representative as well as verification of representatives full legal signature.

Report continued on Page 2/ LIC809C
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Jacqueline MooreTELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2017
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CITY OF LA HABRA CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 300614074
VISIT DATE: 11/30/2017
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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. LPA reviewed IMS services with the Director and Assistant Director.
IMS section was provided to the Director. LPA provided Director with the following documents LIC 701A and LIC701B. LPA spoke with Child Care Program Director, Catherine Villanueva via telephone during today's inspection. LPA received copies of LIC 308.
Mandated reporter training, Quarterly updates and Child Care Advocate Program childcareadvocatesprogram@dss.ca.gov was reviewed and discussed. Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org.
A copy of the 2016 “A Child Care Providers Guild to Safe Sleep” was provided to the facility representative.
English: https//www.cdph.ca.gov/programs/SIDS/Doucments/SIDSchildcaresafesleep.pdf.
After a tour of the facility and review of children's and staff records, no deficiencies were observed. The facility was in compliance with the California Code of Regulations, Title 22, Division 12.

Report was reviewed and discussed with Director. The licensee was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. The Notice of Site Visit was posted. Facility representative was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. LPA informed the licensee of how to access regulations and forms from CCLD websites. This report is to be on file and accessible for public review at the facility for at least 3 years.
Documents/Information to be updated and returned to the Licensing Office;
- Personnel Report (LIC 500)
- Emergency Disaster Plan (LIC 610)
- Administrative Organization (LIC 309)
- Fire Drill Log
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Jacqueline MooreTELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2017
LIC809 (FAS) - (06/04)
Page: 2 of 2