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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019834
Report Date: 07/13/2021
Date Signed: 07/13/2021 12:19:45 PM

Document Has Been Signed on 07/13/2021 12:19 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LEAPS AND BOUNDSFACILITY NUMBER:
198019834
ADMINISTRATOR:LORENA VASQUEZFACILITY TYPE:
830
ADDRESS:13921 AMAR ROADTELEPHONE:
(626) 960-3485
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY: 19TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
07/13/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:46 AM
MET WITH:Director, Lorena VasquezTIME COMPLETED:
12:20 PM
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On 07/13/2021 at 10:46 am, Licensing Program Analysts (LPA) Jose Guzman conducted an unannounced required inspection. LPA met with Director Lorena Vasquez, who guided the LPA on a tour of the facility. This is a infant program licensed for 19 children which operates Monday – Friday from 6:00 AM – 6:00 PM. Per the Director, there are 8 children enrolled.

Upon arrival, the following staff was present during this inspection: Infant Room: Staff #1 and #2 with 6 children. Teacher-child ratios were observed to be in accordance with Title 22 Regulations. Staff names were recorded. All children were observed to be under supervision, including visual supervision, of a teacher at all times. The licensed facility is within the conditions, limitations, and capacity specified on the license.

Furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. The indoor classroom was inspected to ensure that the floors have a surface that is safe and clean. Storage for medication was inspected to ensure that medications are in a safe place inaccessible to children. Infant changing tables have a padded surface no less than one inch thick and are covered with washable vinyl or plastic and have raised sides at least three inches high. The changing table is located at arm’s reach of the sink. Toys were observed to be clean and safe. Infant napping equipment meets the requirements of 101439.1 (a) - (f). Indoor activity space for this infant program is physically separate from the other components at this facility.

The facility is in compliance with the staff-infant ratios. Individual Feeding Plans are on file for each infant. Teachers present have proof of the required infant units on file and meet the qualification requirements.
Age appropriate sinks were inspected for availability, good repair, water temperature, area safety and sanitation. First Aid supplies were inventoried.
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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jose Guzman
LICENSING EVALUATOR SIGNATURE: DATE: 07/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/13/2021
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LEAPS AND BOUNDS
FACILITY NUMBER: 198019834
VISIT DATE: 07/13/2021
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Food menus were reviewed. Food is provided by the facility. Food and snacks were reviewed for availability, quantity and appropriateness for children in care. Infants 0-12 months are served baby food; infants who are 12-24 months are served breakfast, lunch, and PM snack.

Food preparation area was toured for safety, cleanliness and proper equipment. All storage containers for solid waste, including moveable bins had tight-fitting covers that are kept on, and in good repair. The facility was observed to be free of flies, other insects and rodents. Disinfectants, cleaning solutions, medications and other items that are dangerous to children, were inaccessible to children

Outdoor play equipment was inspected for safety, free of sharp, loose pointed parts, good repair and age appropriateness. Required shade, drinking water and fencing were inspected. The outdoor yard is fenced and separated from the preschool and school age outdoor yard. Drinking water is made available outdoors for children to drink freely via a water pitcher and disposable cups. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards were observed. All areas around or under high climbing equipment are cushioned with material that absorbs a fall.
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Per Director, the facility uses digital sign in and out. Facility is able to print out sign in and sign out sheets if needed. Children’s Records were reviewed to ensure an admission agreement is on file. Children’s Records were reviewed to ensure an Identification and Emergency Form (LIC 700) is on file.

Staff Records were reviewed to ensure that appropriate documentation of education credits is on file. Criminal Records Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed. Proof of immunization against influenza, pertussis and measles for staff was readily available during today's inspection. Records reviewed of Staff have a current Mandated Reporter Training as required.

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 Section 102417. 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

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jose Guzman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2021
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LEAPS AND BOUNDS
FACILITY NUMBER: 198019834
VISIT DATE: 07/13/2021
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LPA advised the Director how to access forms, regulations and quarterly updates by visiting the Child Care Licensing website at: www.ccld.ca.gov.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing reprehensive. Failure to maintain posting as required will result in a civil penalty of $100.00.



Exit interview was conducted with Director, Lorena Vasquez. The Director 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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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jose Guzman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2021
LIC809 (FAS) - (06/04)
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