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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020956
Report Date: 01/15/2025
Date Signed: 01/15/2025 02:30:24 PM

Document Has Been Signed on 01/15/2025 02:30 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MACY INTERMEDIATE HEAD STARTFACILITY NUMBER:
198020956
ADMINISTRATOR/
DIRECTOR:
DANIEL OROSCOFACILITY TYPE:
850
ADDRESS:2101 S LUPINE AVETELEPHONE:
(323) 887-7963
CITY:MONTEREY PARKSTATE: CAZIP CODE:
91755
CAPACITY: 24TOTAL ENROLLED CHILDREN: 11CENSUS: 10DATE:
01/15/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Lead Teacher, Areceli RamirezTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analysts (LPA) Staicy Perry conducted an unannounced annual inspection. LPA met with Lead Teacher, Araceli Ramirez, who guided the LPA on a tour of the facility. This is a preschool age head start program licensed for 24 children which operates Monday – Friday 8:15 am to 2:45 pm. Facility operate a full day program. There are 11 children enrolled total. Sign in/out takes place electronically through Childplus app on an ipad. Waiver was observed to be on file for staff health screening and immunization's being kept at Montebello Unified School District HR Office.

Facility is located on the Macy Intermediate School Campus. Staff names were recorded, and teacher and child ratio were observed to be in accordance with Title 22 Regulations. LPA took an census and observed 4 staff with 10 children who were observed to be napping.

LPA observed central AC /heater and vents located on the ceiling. LPA observed the thermostat located in classroom and the temperature to be at 70. The fire extinguishers is located in the classroom and the valve on the required 2A10BC fire extinguisher indicating fully charged and serviced within the year. Smoke detectors and carbon monoxide detectors were not tested during this visit due to the detectors being wired to the emergency pull down fire alarm system. The last emergency drill was conducted on January 15, 2025.

LPA observed children’s personal items to be in individual bins and cleaning solutions were observed to be stored inside a cabinet making it inaccessible to children. First aid kits supplies are kept inside the classroom and LPA observed the kits to be fully equipped. During this visit, teacher Araceli stated that there are no with medication or severe food allergies enrolled. Teacher Araceli stated no firearms, weapons, poisons nor bodies of water are in the premises and LPA did not observe any of the above mentioned.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE: DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2025
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MACY INTERMEDIATE HEAD START
FACILITY NUMBER: 198020956
VISIT DATE: 01/15/2025
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LPA entered the classroom and children were observed to be napping. LPA observed sleeping arrangements in form of cots and teacher stated sheets are sent home every Friday to be washed.All furniture and equipment were inspected and was observed to be in good repair, free of sharp, loose, or pointed parts. All toilets and washing facilities are in safe and sanitary operating conditions. Currently, the teacher’s office is used as an isolation area.

LPA Perry observed the playground to be fenced all around and the gate that leads to the sidewalk, closed and locked with a lock. The equipment was observed to be in a safe condition, free of sharp, no lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. LPA observed play structure equipment to be age appropriate and areas around or under climbing equipment, are cushioned with material that may absorb a fall. For adequate shade, a large canopy was observed. For outdoor water drinking, there are water fountains available.

This program provides breakfast, lunch and p.m. snack. Meals and snacks are provided by the school cafeteria. For indoor water drinking, water fountains are available in the classrooms. LPA observed the food preparation area to be clean and free of litter, rubbish, rodents, and/or any other vermin. Storage containers for solid waste, including moveable bins, have tight fitting covers on and are in good repair. LPA also observed a door making it inaccessible to the children.

All staff present are trained in CPR and Pediatric First Aid present during this inspection. All staff have received an active criminal record clearance as a condition of their employment with the Montebello Unified School District. Children’s files were reviewed electronically and observed to be complete. LPA Perry observed staff files and files were observed to be complete.



Teacher was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MACY INTERMEDIATE HEAD START
FACILITY NUMBER: 198020956
VISIT DATE: 01/15/2025
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the first test.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. Lead testing was completed on 06/07/24 and was found to not have any lead exceedances. Facility was built after 2010 and is not required to get testing done.

For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.


MyChildCarePlan.org, Teacher was informed of the MyChildCarePlan.org website; 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.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.



Currently the facility is in compliance with all Title 22 regulations and is not being cited.A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty.Exit interview conducted and report was reviewed with Teacher Araceli Ramirez. Appeal rights were provided and discussed.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
LIC809 (FAS) - (06/04)
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