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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191593599
Report Date: 05/25/2023
Date Signed: 05/25/2023 03:11:44 PM

Document Has Been Signed on 05/25/2023 03:11 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:DUARTE UNIFIED SCHOOL DIST.-MAXWELL SITEFACILITY NUMBER:
191593599
ADMINISTRATOR:MICHAEL CHAVEZFACILITY TYPE:
850
ADDRESS:733 EUCLIDTELEPHONE:
(626) 599-5123
CITY:DUARTESTATE: CAZIP CODE:
91010
CAPACITY: 44TOTAL ENROLLED CHILDREN: 40CENSUS: 35DATE:
05/25/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Director, Sofia ValdezTIME COMPLETED:
03:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Mireya García conducted an unannounced Annual Required Inspection. LPA met with Sofia Valdez, Director who guided LPA on a tour of the facility indoors and outdoors. This is a Preschool program. This program consists of two (2) classrooms; Rooms #3 and #4. This preschool program is located inside of Maxwell Academy School; serves children TK-8th Grade. Facility operation hours are Monday through Friday from 8:15 AM to 11:15 AM. Per Director, currently there is only an AM session operating and the PM session at this time is not in operation due to low enrollment. This facility has a capacity of 44 children; serving ages 3 until entry into kindergarten. Program operates in Rooms 3 and 4. Waiver allows preschool to Share Kindergarten Play Yard using a staggered schedule.

Upon arrival, the following staff were present during this inspection: Room #3: Staff #1, #2 and #3 with nineteen (19) preschoolers and Room #4: Staff #4, #5 and #6 with sixteen (16) preschoolers. Teacher-child ratio is met. All individuals present have obtained a criminal record clearance or criminal record exemption. All staff have received an active criminal record clearance as a condition of their employment with the Duarte Unified School District. All children were observed to be under visual supervision of a teacher at all times.

LPA observed the facility to be clean, safe, sanitary and in good repair. Furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. Indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. The toilet in the Room #3 was observed out of order. The other toilets and hand washing facilities are in safe and sanitary operating conditions. All materials and surfaces accessible to children are toxic free. REPORT CONTINUES ON NEXT PAGE 1 OF 4.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
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)
Page: 1 of 9
Document Has Been Signed on 05/25/2023 03:11 PM - It Cannot Be Edited


Created By: Mireya Garcia On 05/25/2023 at 02:16 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: DUARTE UNIFIED SCHOOL DIST.-MAXWELL SITE
FACILITY NUMBER: 191593599

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
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Based on LPAs observation and Director's disclosure the children's restroom inside Room #3 is currently out of order (not flushing). This poses a potential health and safety risk to children in care.
POC Due Date: 05/30/2023
Plan of Correction
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Per Director, a service order was placed on 05/25/2023, LPA Garca received a copy of the service order during today's inspection. Director will submit to LPA Garcia via email proof of work order completion by POC due date 05/30/23.
Type B
Section Cited
CCR
101221(b)(8)(C)
Child's Records
(C) A signed consent form for emergency medical treatment unless the child's authorized
representative has signed the statement specified in Section 101220(f).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on records review of children's file #1-#6, were missing the signed consent form for emergency medical treatment on file. This poses a potential health and safety risk to children in care.
POC Due Date: 05/26/2023
Plan of Correction
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Per Director, signed emergency consent forms will be obtained for children #1-#6 and a copy will be scan to LPA Garcia via email by POC due date 5/26/2023.
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:Brandi VanOosten
LICENSING EVALUATOR NAME:Mireya Garcia
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)
Page: 3 of 9
Document Has Been Signed on 05/25/2023 03:11 PM - It Cannot Be Edited


Created By: Mireya Garcia On 05/25/2023 at 02:16 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: DUARTE UNIFIED SCHOOL DIST.-MAXWELL SITE
FACILITY NUMBER: 191593599

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/25/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101212(b)
Reporting Requirements
(b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Baed on records review and Director's disclosure of starting as the Director since January of 2023 and has not notified the department of the change of child care center Director. This poses a potential health and safety risk to children in care.
POC Due Date: 06/15/2023
Plan of Correction
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During Today's inspection LPA Garcia provided technical assistance and provided Director with Checklist for Documentation for New Director's per Director, required documenttion packet will be sent to LPA Garcia via email by POC due date 06/15/23.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Brandi VanOosten
LICENSING EVALUATOR NAME:Mireya Garcia
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: DUARTE UNIFIED SCHOOL DIST.-MAXWELL SITE
FACILITY NUMBER: 191593599
VISIT DATE: 05/25/2023
NARRATIVE
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At this time, the nurse’s office is used as an isolation area. There is space for chairs and there is a cot and restroom available. Parents are contacted immediately when children are determined to be ill and staff are ensuring that children with obvious symptoms of illness are not being accepted.

Preschoolers are provided with Lunch by the Duarte Unified School District. A monthly lunch menu is available and was observed posted outside classrooms bulletin board. All kitchen, food preparation, and storage areas are clean, free of litter, rubbish, and rodents/vermin. All food is protected from contamination, and LPA inspected that any contaminated food is discarded immediately. Per Director, the facility provides water for children. Water bottles were observed readily available inside classrooms and a cart with water bottles was observed in the outdoors. Storage of water bottles was observed in the classroom closet. All storage containers for solid waste, including moveable bins, have tight fitting covers on and are in good repair. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are stored in an area inaccessible to children. Director states that there are no poisons stored at the facility.

Facility has functioning smoke and carbon monoxide detector that meets statutory requirements. The carbon monoxide detector is located in the staff lounge, which was tested at 11:35 a.m., and it is in operable condition.

Outdoor play equipment was observed to be in good condition, free of sharp, loose or pointed parts. Outdoor activity space is shared by the TK & Kindergarten program using a staggered schedule. The outdoor surface is maintained in a safe condition as is free of hazards. The Director states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this visit. Areas around and/or under climbing equipment and slides have soft cushioning to absorb a fall


REPORT CONTINUES ON NEXT PAGE 2 OF 4.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: DUARTE UNIFIED SCHOOL DIST.-MAXWELL SITE
FACILITY NUMBER: 191593599
VISIT DATE: 05/25/2023
NARRATIVE
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Sign in and out sheets were reviewed by LPA to ensure that children who are present where sign in. Staff Records were reviewed to ensure that personnel records are maintained on all staff. Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. LPA issued the Children’s Record Review (LIC 857) and the Review of Staff records (LIC 859) to the Director during this inspection. There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

SB792 (Immunization Requirements for Staff and Employees) was discussed with the facility representative. Immunization records for staff #2 & #6 were unavailable for review, a technical violation was issued on this date.

AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018 any person who works in a child care facility shall complete the training and renew the training every 2 years. Certificates for staff #2, #5, and #6 were unavailable for review, a technical violation was issued on this date.


Website provided:https://www.mandatedreporterca.com/training/child-care-providers

Incidental Medical Services (IMS) policy was discussed. This facility provides Incidental Medical Services – IMS. Per Director, the facility currently has no children enrolled who required the administration of any medication. LPA Garcia provided technical assistance to the Director in the storage of medication and record keeping. 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. 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
REPORT CONTINUES ON NEXT PAGE 3 OF 4.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: DUARTE UNIFIED SCHOOL DIST.-MAXWELL SITE
FACILITY NUMBER: 191593599
VISIT DATE: 05/25/2023
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The following was discussed:
  • Reporting Requirements.
  • The facility shall ensure that each child is accorded the following personal rights: to be accorded safe, healthful and comfortable accommodations.
  • All personnel shall be in good health and shall be physically and mentally capable of performing assigned tasks; personnel that pose a threat to the health and safety of children shall be relieved of their duties.
  • All personnel shall be given on the job training in housekeeping, sanitation principles and universal health precautions.


LPA advised the facility representative to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

The following deficiencies are being cited in accordance to Title 22 of the California Code of Regulations. Please refer to LIC809D for documentation of deficiencies cited.

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

Exit interview conducted and report was reviewed with facility representative, Sofia Valdez.

REPORT ENDS HERE PAGE 4 of 4.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
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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