Inspector’s narrative
What the inspector wrote
On 11/13/25 at 1:00pm, Licensing Program Analyst (LPA) Stephanie Li conducted an unannounced annual inspection. Upon arrival, LPA met with lead teacher Wen Li who guided LPA on a tour. This is a preschool program part of the Pasadena Unified school District located at Field Elementary school operating out of class C21 and H25. This is a Mandarin Dual Immersion program that ends at 3pm with the option of extended day program ending at 6pm. There were 12 children total and 4 staff present during today\342\200\231s visit. Hours of operation are Monday-Friday 8:30am \342\200\223 3:00pm and 3:00pm-6:00pm.
All areas identified on the Facility Sketch were inspected. The preschool facility consists of 2 classrooms, 1 play yard (shared w/TK and K: waiver on file), and 3 restrooms. Teacher-child ratios were observed to be in accordance with Title 22 regulations. The Licensee is within the conditions, limitations, and capacity specified on the license. All children were observed to be under active/visual supervision of a teacher during the tour.
Licensing staff observed disinfectants, cleaning solutions, and other items that are dangerous to children are not accessible to children. Classroom furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All floors are clean and safe. Napping equipment cots and bedding were inspected for good condition, appropriate storage, and cleanliness
.
Per teacher, linens are washed weekly at home by parents. Storage for children's belongings were inspected. A
ge-appropriate toys and materials were inspected in each classroom for children.
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All toilets and washing facilities are in safe and sanitary operating conditions. Restroom in H25 class was observed to have chipping paint with jagged points along 2-3 walls near the sink. LPA advised to cover chipping paint (ie. wallpaper, water proof kitchen liner) to prevent contact due to unknown paint and possible lead and to prevent children from picking at it. First Aid supplies are available and complete. Drinking water is available through filtered brita water jugs. The school nurses office is used as the sick area for an ill child to rest. There is a restroom available for an ill child to use.
Licensing staff observed all required forms/publications to be posted on the parent board. There is a playground waiver on file to share the playground with TK and K students. Per director, facility provides lunch and afternoon meal. Children packs snacks from home. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. The facility was observed to be free of flies, other insects, and rodents.
Licensing staff observed the required 2A10BC fire extinguisher indicates fully charged and was serviced on 11/5/24
on service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. Per lead teacher, she is going to contact campus facilities maintenance to get them serviced. Facility has a carbon monoxide and smoke detector that meets statutory requirements is hard wired and unable to test. Director
stated there are no weapons, firearms, or bodies of water on the premises. The last Disaster drill was conducted in 10/8/25.
Licensing staff observed the outdoor play area. The playgrounds equipment was inspected for safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. LPA did observe a 5 inch hole in the cushioning material around the play structure and sand around both trees were sectioned off to restrict access. Per teachers, facility is going to remove all sand due to drainage issues in the yard and replace sand with materials children can utilize. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Drinking water is readily available outdoors through water bottles.
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Sign in and out is conducted on the Care connect app. A children\342\200\231s roster was available for review. Staff records were not reviewed at this time as they are kept at the CDC office and will be reviewed at a later time. Children\342\200\231s records were reviewed and documented on LIC857. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. Staff names were recorded.
Incidental Medical Services (IMS) is currently not being provided. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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
Facility 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.
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
.
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 the first test. For childcare 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 21-21.1-CCP). The facility has completed lead testing on 12/7/2022 and had no exceedances. LPA referred facility representative to the Department website for lead:
Lead Toxicity Prevention and Water Testing Information
.
Per report on parent board, lead testing of water was conducted on 2/20/2024.
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Teacher was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.
At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.
The Notice of Site Visit (LIC 9213) \342\200\223 must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.
Exit interview conducted, report was reviewed, and appeal rights were given to Lead teacher Wen Li.
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