191592446-5-25-2023-54-CC-AMOY-CS6S42-20230525133200

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191592446
Report Date: 05/25/2023
Date Signed: 05/25/2023 01:32:08 PM

Document Has Been Signed on 05/25/2023 01:32 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 CHILD CARE CTR-FLORENCE-BELL GARDENS		FACILITY NUMBER:	191592446
ADMINISTRATOR:	ROCIO HERNANDEZ		FACILITY TYPE:	850
ADDRESS:	6431 EAST FLORENCE AVENUE		TELEPHONE:	(562) 806-3731
CITY:	BELL GARDENS	STATE: CA	ZIP CODE:	90201
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 33	CENSUS: 23	DATE:	05/25/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Maricela Doval, Program		TIME COMPLETED:	01:45 PM

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Licensing Program Analysts (LPAs) Alicia Mooberry and Rosaura Valenzuela conducted an Unannounced Required Annual inspection. LPAs met with Maricela Doval, Social Services Associate, explained the purpose of this inspection and provided the Annual Entrance Checklist (LIC 125). Maricela Doval provided tour of the facility. Ramiro Rivera, Program Manager arrived at approximately 10:00am and provided tour of outdoor space. All areas identified on the facility sketch were toured both indoors and outdoors.

At 10:03am LPAs observed that there are holes on the storage sheds and weathered wood pallets in the areas accessible to children in care, this poses a potential risk to the health and safety of children in care. LPA Mooberry reminded Ramiro Rivera to ensure the staff regularly checks the outdoor area for hazards.

This facility consists of three (3) classrooms and serves children ages 2 to 5 years. LPAs observed: six (6) Children and three (3) staff in EHS classroom, nine (9) children and three (3) staff in Teddy Bear class, and eight (8) children and two (2) staff in Penguin classroom. There is an Infant License 198400640 in classroom in the building that operates separate from the preschool.

The preschool program operates Monday - Friday 6:30 a.m., - 5:30 p.m. Sign in/out and health check screenings take place at the main entry of the facility.

LPAs observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. LPA observed individual cubbies where children store their personal belongings. LPA observed the cleaning/hazardous supplies stored in cabinets or on top of shelves inaccessible for children to reach.

LPA observed 5 fire extinguishers. The fire extinguishers are located inside the classrooms, director’s office and kitchen. LPA observed the valve on the required 2A10BC fire extinguishers indicating fully charged and serviced on 9/14/22. First Aid kits were observed in classrooms and playground. LPA observed the first aid kits to be fully stocked with bandages, adhesives, antiseptic, gloves and scissors. Page 1 Report Continues

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

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: MAOF CHILD CARE CTR-FLORENCE-BELL GARDENS	FACILITY NUMBER: 191592446
	VISIT DATE: 05/25/2023

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LPAs observed the restrooms to be in good condition with working toilets, and sinks. hand soap dispenser with soap and the paper towel dispenser with paper towels. LPAs observed a total of 5 toilets and 4 sinks. LPAs observed one restroom located next to the Penguins classroom, the other inside the Teddy Bears classroom and the last one inside the Toddlers classroom. LPAs observed a Koala diapering table to be in a good condition and arm’s length to the sink. For ill/isolation children utilize the staff restroom located inside the director’s office.
LPAs observed the yard to be fenced all around with age appropriate toys, equipment in safe condition, free of sharp, no loose or pointed parts. LPAs observed 4 sheds closed and with a keypad lock. Areas around and under the playground structure equipment have granulated soft cushioned padding that absorbs a fall. For adequate shade, LPAs observed a large sail triangle. Filtered drinking water and cups are available.

LPAs observed AC/central heater and vents located inside the classrooms ceiling walls. LPA observed portable AC wall units inside classroom Teddy Bears and Toddlers.

The kitchen was observed to be clean and sanitary, free of litter flies, vermin, and rodents. Kitchen had trash bins with tight fitting lids. The food is in good quantity, stored in the refrigerators, labeled and dated. There are no toxic materials in are where food is prepared and cleaning supplied were observed under the sink in cabinet.

Napping equipment was observed. The facility launders linens weekly. There is a washer and dryer also located in the office, the laundry detergent was located in a locked cabinet inaccessible to children.

Staff records were reviewed for approved Pediatric First Aid and CPR certification for at least one staff member, LIC-501: Personnel Record, LIC 9052- Employee Rights, Proof of immunization's against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse, Transcripts or Permit and current Mandated Reporter Training Certificate. Record Review shows at least one staff present at all times while children are present, has current EMSA approved Pediatric First Aid/CPR.

Drinking water is available in each classroom via a water dispenser and disposable cups.

Page 2 ------- Report Continues

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

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 CHILD CARE CTR-FLORENCE-BELL GARDENS	FACILITY NUMBER: 191592446
	VISIT DATE: 05/25/2023

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During this visit LPA collected the Lead testing report dated 10/21/22. There were no Action Level Accedence reported for facility.

Per interview and record reviews, there are no children currently taking medications. LPA discussed Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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

Facility Representative 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.

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

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.

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

Exit interview conducted and report was reviewed with Ramiro Rivera, Program Manager.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/25/2023 01:32 PM - It Cannot Be Edited

Created By: Alicia Mooberry On 05/25/2023 at 12:54 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: MAOF CHILD CARE CTR-FLORENCE-BELL GARDENS	FACILITY NUMBER: 191592446
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/25/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238(a)

Buildings and Grounds

(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above in that there are holes on the storage sheds located in the play ground and weathered wood pallets in the areas accessible to children in care which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/25/2023
	Plan of Correction
1 2 3 4	The Program Manager removed the wood pallets and covered the holes with duct tape. Per Program Manager, the sheds will be removed in the near future as part of facility renovations. The deficiency was correctoed during visit.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

LIC809 (FAS) - (06/04)

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