198021071-9-21-2022-33-CC-CGRN-CJGQTS-20220921122736

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198021071
Report Date: 09/21/2022
Date Signed: 09/21/2022 12:27:50 PM

Document Has Been Signed on 09/21/2022 12:27 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:	MODERN SCHOOLHOUSE, THE		FACILITY NUMBER:	198021071
ADMINISTRATOR:	SUKHJIT ATHWAL		FACILITY TYPE:	850
ADDRESS:	248 S. MISSION DRIVE		TELEPHONE:	(408) 421-0352
CITY:	SAN GABRIEL	STATE: CA	ZIP CODE:	91776
CAPACITY: 36	TOTAL ENROLLED CHILDREN: 36	CENSUS: 0	DATE:	09/21/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Sukhjit Athwal		TIME COMPLETED:	12:35 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	An announced pre-licensing site inspection was conducted today by Licensing Program Analyst (LPA) Crystal Green to inspect and measure the facility for capacity determination. The Applicant requests to operate a Preschool Program with a Toddler Option Program. Licensing staff met with Applicant Sukhjit Athwal. This proposed Preschool Program with Toddler Option Program will operate Monday to Friday from 7 am to 5:30 pm. At 9:45 am, Licensing staff was guided through a tour of the proposed preschool and toddler classrooms. This facility will have (1) toddler and (1) preschool classrooms. LPA observed the facility to be undergoing remodeling construction. There were construction workers on site and observed to be painting the interior and exterior of the building. LPA observed a wall divider between the toddler and preschool classrooms. LPA also observed that each program would have its own entrance to prevent crossing between the two programs. Individual storage space was observed available for each child inside the classrooms. Toys were observed to be clean and safe. Furniture and equipment were inspected for age appropriateness and good repair. There are smoke detectors and fire extinguishers located throughout the facility. LPA observed the facility to have four toilets and four sinks available to children. All toilets and sinks are in safe and sanitary operating conditions. The designated isolation area will be the director's office. Parents will be called immediately if children become sick. Ill children will use the staff restroom located inside the director's office. Licensing staff was guided through the proposed outdoor activity space for toddlers and preschoolers. The toddler program shall be conducted in areas physically separate from those used by older or younger children. Per Site Director, the facility will install fencing to separate the preschool outdoor play area from the toddler outdoor play area. All areas around or under high climbing equipment and slides should have cushion material to absorb a fall. Per Site Director, the facility will install cushioning material in both toddler and preschool yards. Report Continues Page 1 of 3

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022

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 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: MODERN SCHOOLHOUSE, THE	FACILITY NUMBER: 198021071
	VISIT DATE: 09/21/2022

NARRATIVE

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There is shade provided via a tree located on the property. Water will be accessible to children via a water pitcher and disposable cup, and children will also have their sippy cups. There is a kitchen on the premises that are off-limits to children. Per the Applicant, lunches will be provided via a catering service. The facility will provide AM/PM snacks.

The 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.

Report Continues Page 2 of 3

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022

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: MODERN SCHOOLHOUSE, THE	FACILITY NUMBER: 198021071
	VISIT DATE: 09/21/2022

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The Department has received an approved Fire Clearance. Based on measurements obtained today, the capacity for indoor activity space was measured for a total of 36 children (18 preschoolers and 18 Toddlers). The outdoor capacity was measured for a total space of 13 toddlers and 23 preschoolers. LPA consulted with the Applicant regarding the information needed to submit an outdoor waiver in order to obtain the capacity requested for the Toddler Option Program. LPA informed the Applicant that waivers are not automatically granted and will need to be reviewed by the Regional Office for final approval.

The following correction needs to be made before receiving final approval. Correction will be due by 10/15/2022. • The Applicant will submit proof of the fencing installed to make the preschool outdoor space physically separate from the toddler outdoor space.
• The Applicant will submit proof of the facility's completed interior and exterior areas.

An exit interview was conducted with Applicant Sukhjit Athwal and a signed copy of this report was provided.

Report Ends Page 3 of 3

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022

LIC809 (FAS) - (06/04)

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