<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020505
Report Date: 12/05/2022
Date Signed: 12/05/2022 03:09:56 PM

Document Has Been Signed on 12/05/2022 03:09 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:KIDDIE ACADEMY OF PASADENAFACILITY NUMBER:
198020505
ADMINISTRATOR:CHRISTINE JENNINGSFACILITY TYPE:
830
ADDRESS:169 HALSTEAD STTELEPHONE:
(626) 606-2800
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 28DATE:
12/05/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Christine JenningsTIME COMPLETED:
03:25 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Crystal Green conducted an unannounced Case Management- Licensee Initiated inspection to evaluate the facility's request to reduce the Infant program capacity and add a new toddler option program. Licensing staff met with Director Christine Jennings. This facility also has a preschool program (198020513) located on the same premises that is physically separate from both indoors and outdoors. Hours of operation is Monday to Friday from 7am to 6:30pm.

Licensing staff was guided through a tour of the proposed toddler option classroom and outdoor area. This Infant Program consists of 3 classrooms. Room 1 (The Ocean), Room 2 (The Farm), and Room 4 (The Forest). The Licensee is requesting to remove Room 4 (The Forest) from infant use and designate for toddler use. No alterations have been made to the exterior or interior of the facility.

During this inspection, LPA observed 5 children with 2 staff in Room 1. In Room 2, there were 12 children with 3 staff and Room 4 had 11 children with 3 staff. LPA observed the proposed toddler classroom to have a physically separate classroom with its own entrance within the facility. The facility was observed to be operating within its licensed capacity. There are age-appropriate toys available for children in care. Furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. LPA observed drinking water available via water cooler with disposable cups. LPA observed a restroom to be located inside of Room 4 along with a changing table. There are age-approriate toilets available. All toilets and handwashing facilities are in safe and sanitary operating conditions.

Licensing staff was guided through outdoor space. The outdoor space was observed to have a designated space for Toddlers. LPA observed the area to be physically separate from the designate Infant area. The outdoor play equipment was observed to be in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface is maintained in a safe condition as is free of hazards. There is adequate shade in the outdoor play area.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2022
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KIDDIE ACADEMY OF PASADENA
FACILITY NUMBER: 198020505
VISIT DATE: 12/05/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA did not obtain measurements during this inspection. At this time, the licensee is in compliance with California Title 22 Regulations. The department has received an approved Fire Clearance from Pasadena Fire Department. The Infant Program capacity will remain at forty-four (44) children however the Infant capacity will be reduced to 25 and the toddler program will have a capacity of 19.

Exit interview conducted and report was reviewed with Director, Christine Jennings.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2