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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020505
Report Date: 06/22/2023
Date Signed: 06/22/2023 04:17:40 PM

Document Has Been Signed on 06/22/2023 04:17 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: 26DATE:
06/22/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Jennifer Moore TIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Crystal Green conducted an announced case management licensee-initiated inspection. Licensing staff met with Licensee, Jennifer Moore. Also present during this inspection was the Site Director, Christina Jennings. The facility hours of operation are Monday through Friday from 7am to 6:30pm. This facility also has an preschool license #198020513 located on the same premises.

This is a infant program that is currently licensed to operate from 3 classrooms ( Infant, Infant/Toddler, and Toddler Option). Licensee is requesting to add an additional classroom to the license which will be designated as the new toddler option classroom. The current classroom designated for toddler option children will be converted into the toddler age classroom. During this inspection, LPA observed a total 26 children with 6 staff. The facility was observed to be operating within its licensed capacity.

Licensing staff was guided through a tour of the proposed toddler option classroom. LPA observed the proposed toddler classroom to have a physically separate classroom with its own entrance within the facility. The infant program will have 4 classrooms; the non-walking infants, young infants, infant/toddler age, and the toddler option classroom.

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. All materials and surfaces accessible to children are toxic-free. There are restrooms accessible to children and there is also changing tables located within arms reach of a sink located within the each classroom. All toilets and handwashing facilities are in safe and sanitary operating conditions.
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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE: DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/22/2023
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KIDDIE ACADEMY OF PASADENA
FACILITY NUMBER: 198020505
VISIT DATE: 06/22/2023
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Licensing staff was guided through outdoor space. The outdoor space was observed to have a designated space for the toddler option program.. 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.

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 overall capacity will be increasing to (67) children which will serve (43) infants and (24) toddlers under the toddler option program.

Facility Representative was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Exit interview conducted and report was reviewed with the facility representative, Christine Jennings.

A notice of site visit was given to facility representative and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.


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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023
LIC809 (FAS) - (06/04)
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