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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021044
Report Date: 01/18/2023
Date Signed: 01/18/2023 11:52:08 AM

Document Has Been Signed on 01/18/2023 11:52 AM - 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:TOTAL CHILD PRESCHOOLFACILITY NUMBER:
198021044
ADMINISTRATOR:WEERASINGHE, SAJITHFACILITY TYPE:
850
ADDRESS:1134 S. SAN GABRIEL BLVD.TELEPHONE:
(626) 285-8256
CITY:SAN GABRIELSTATE: CAZIP CODE:
91776
CAPACITY: 55TOTAL ENROLLED CHILDREN: 55CENSUS: 12DATE:
01/18/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Sajith Weerasinghe TIME COMPLETED:
12:00 PM
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An announced pre-licensing site inspection was conducted today by Licensing Program Analyst (LPA) Crystal Green to inspect and measure facility for capacity determination. The applicant is requesting for a Change of Ownership. Facility location is currently operating under license #198013125 (Total Child Preschool). Applicant is seeking to provide care for 55 preschoolers. Licensing staff met with Applicant, Sajith Weerasinghe, who guided analyst on a tour of the facility. The hours of operation will be Monday to Friday from 6:30am to 6:30pm.

At 10:35 AM, Licensing staff was guided through a tour of the proposed preschool classrooms. The facility is currently operating, LPA observed a total of 12 children with 2 staff members. The facility has a total of 3 classrooms (Tulips, Lilies, and Lotus). LPA inspected classroom 1, 2, and 3. Furniture and equipment were inspected for age appropriateness and good repair. Toys were observed to be clean and safe. Individual storage space was observed available for each child within the classrooms. LPA observed the children to have access to 2 toilets and 2 sinks located within the Tulips classroom. In Lilies classroom, it was observed to have 3 toilets and 2 sinks access to the children. All toilets and sinks are in safe and sanitary operating conditions. LPA observed the preschool to have emergency/first aid kits located in the main office. There are smoke detectors and fire extinguishers located throughout the facility. The main office will be used as the designated ill isolation room. Ill children will use the staff restroom.

At 10:40 AM, Licensing staff was guided through the outdoor activity space. The outdoor playground was inspected for safety, cushioning material, good repair and age appropriateness. LPA observed age appropriate play equipment and toys. There is adequate shade available to children via canopy and trees located in the outdoor play area. Water will be accessible to children via water pitcher, Brita, and deposable cup and children will also have their individual sippy cup. There is a kitchen on the premises where snacks and meals are prepared. Facility will continue to provide AM/ PM snacks and Lunch for the children in care.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE: DATE: 01/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/18/2023
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: TOTAL CHILD PRESCHOOL
FACILITY NUMBER: 198021044
VISIT DATE: 01/18/2023
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Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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

LPA reviewed with facility representative the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

At this time, the facility was observed to be operating in compliance with California Title 22 Regulations. An approved Fire Clearance has been received by the Department. Based on measurements obtained today, the capacity for the preschool will be (51) children.

Exit interview was conducted with Applicant, Sajith Weerasinghe and a signed copy of this report was provided.


End Report Page 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023
LIC809 (FAS) - (06/04)
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