198020508-4-19-2021-33-CC-JMOA-C28TAB-20210419143317

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020508
Report Date: 04/16/2021
Date Signed: 04/19/2021 02:34:06 PM

Document Has Been Signed on 04/19/2021 02:34 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:	SMART TREE PRESCHOOL		FACILITY NUMBER:	198020508
ADMINISTRATOR:	RICKY THAI		FACILITY TYPE:	850
ADDRESS:	4715 N. ROSEMEAD BLVD		TELEPHONE:	(626) 233-2000
CITY:	ROSEMEAD	STATE: CA	ZIP CODE:	91770
CAPACITY: 59	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	04/16/2021
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Ricky Thai		TIME COMPLETED:	04:15 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's (LPA's) Judy Mora and Fabiola Vasquez met with Applicant Ricky Thai and with Uma Chander, current owner of Little People School - Preschool program, LIC # 191503156 for the purpose of conducting a Pre-Licensing Inspection. Applicant is applying for a Preschool License. Applicant is requesting a total capacity of 59 children. The proposed program will operate Monday through Friday from 6:00am to 7:00pm. This is currently and will be a combination center with a school age license LIC #198020510 and Infant Center LIC # 198020509. At approximately 1:00 PM, LPA's toured all indoor and outdoor areas identified on the facility sketch. Per applicant, the program will enter through the front entrance off of Rosemead Blvd. First Aid supplies were inventoried. Carbon monoxide detectors and smoke detectors are present and in operable condition. Fire extinguishers have been serviced in July 2020. The applicant states that the Director's office will be used as the ill isolation area and children will use the staff restroom. The facility will provide hot lunch, a morning and afternoon snack. Sign in/out procedures will be implemented at the entrance to the facility. LPA's observed sufficient storage space for children’s belongings. There is water available indoors. Water jugs will be taken outdoors. LPA's observed trash cans with tight fitting lids. Cleaning compounds and any poisons are stored in an area that is off limits to children. Licensing staff observed a latches on cabinets. * REPORT CONTINUES ON NEXT PAGE

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2021

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 3

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: SMART TREE PRESCHOOL	FACILITY NUMBER: 198020508
	VISIT DATE: 04/16/2021

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

The playground is located behind the main building. The surface of the outdoor activity space is in a safe condition and free of hazards. Licensing staff observed a wooden fence that was popped out. Licensing staff observed doors to the classrooms to have chipped wooden paint and the gate for the ac area does not latch. Licensing staff obtained photos of said hazards. The outdoor area is completely fenced; separate from other programs on the premises. The applicant states that there are no bodies of water on the premises and none were observed during this visit.

This facility does not plan to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

Licensing staff observed seven toilets and six sinks.

Licensing staff measure sufficient indoor space for 35 children and sufficient outdoor space for 52 children.

The approved capacity for the school age program will be 35 based on the indoor space.

The following requirements are needed prior to the applicant obtaining a school age license:

1. The gate for the ac area needs to be fixed.
2. Yellow wooden gate needs to be fixed.
3. Doors from classrooms need to be painted.
4. One toilet in the preschool area needs to be fixed.
5. Outdoor water fountain needs to be reglazed.
6. All unused items in the classrooms should be removed for more activity space.

*REPORT CONTINUES ON NEXT PAGE

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: SMART TREE PRESCHOOL	FACILITY NUMBER: 198020508
	VISIT DATE: 04/16/2021

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

Once the above items have been corrected, and all application documents approved, the department will make its determination on whether or not to approve the Applicant for a school age license.

THE ABOVE CORRECTIONS ARE DUE ON OR BEFORE APRIL 30, 2021.

The following was discussed with the Applicant:

Mandatory Forms for the children’s files and staff files. Requirements for fire drills, earthquake drills and documentation on a quarterly basis for both were discussed. Role and responsibilities of being a Mandated Reporter were reviewed. The Applicant was advised how to access forms and Regulations online at www.ccld.ca.gov. Applicant was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care. The Applicant was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.

Licensing staff advised Applicant that all adults 18 years of age and older providing Care & Supervision and/or have continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check. LPA informed Applicant to log onto web site www.ccld.ca.gov to obtain forms and LIVE SCAN application. Applicant advised that records must be updated with the required documents immediately, and records for all children and staff must be maintained for three (3) years after separation from the facility.

The Applicant was also advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to Community Care Licensing (CCL) within the time frame specified by the regulation. Applicant advised to visit www.shotsforschool.org for immunization information.

An exit phone interview has been conducted with Applicant Ricky Thai. A copy of this report has been signed by LPA Mora. This report will be e-mail to Applicant Ricky Thai, who understands that an electronic “Read Receipt” and/or confirmation of receipt of the e-mail confirms receipt of the report and constitutes an electronic signature. A hard copy of this report, will be mailed to Applicant and agrees to sign the bottom of each page of the LIC 809 and return the originals to LPA Mora in-person or via U.S. Mail.

*END OF REPORT

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2021

LIC809 (FAS) - (06/04)

Page: 3 of 3