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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191200671
Report Date: 11/08/2019
Date Signed: 11/08/2019 03:55:14 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:NURTURY, THEFACILITY NUMBER:
191200671
ADMINISTRATOR:DEBRA KAUFMANFACILITY TYPE:
850
ADDRESS:14401 DICKENSTELEPHONE:
(818) 990-8352
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91423
CAPACITY:49CENSUS: 27DATE:
11/08/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:48 AM
MET WITH:directorTIME COMPLETED:
04:04 PM
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On 11/8/2019 Licensing Program Analyst (LPA) J. Chandler and L. Thompson made an visit to the above facility for the purpose of conducting an Random Annual/ Case Management - Increase in capacity inspection. LPA's met with director Kaufman who provided a tour of the facility.
During the visit the following was observed;
  • Care and supervision
  • Capacity and ratios met regulation standards
  • Furniture and equipment was age appropriate and in good repair
  • Menus were posted in a common area of viewing
  • Restrooms were observed with the necessary toileting requirements; toilet paper and paper towels. Sinks and toilets were in operable condition.
  • The kitchen was clean free of vermin and insects. The facility serves snacks only except on Fridays, preparation area is inaccessible to children.
  • Temperature was set at a comfortable setting.
  • Children use mats for napping, mats were in good repair free of rips or tears.
  • Water was available indoors and outdoors. Children are required to have individual water containers.
  • The outdoors play area was free of any hazardous conditions
  • At least one staff was current in Pediatric CPR/First Aid
  • A roster was updated during the visit, facility currently uses an alternate roster that did not contained the required information as requested on the LIC. 9040
  • Staff files were reviewed for completeness. Files were updated and current.
  • Fire extinguishers, smoke and carbon monoxide detectors were present and in operable condition
  • Parent notification were posted in a common area visible to the parents/guardians
  • First aid kits were present containing the required supplies tweezers,scissors, bandages and thermometers
  • No deficiencies were cited during todays visit.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: NURTURY, THE
FACILITY NUMBER: 191200671
VISIT DATE: 11/08/2019
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and out. The number of children in attendance matches the sign in sheet.
  • Fire and Emergency drills are conducted every month. Last drill conducted 10/30/19

During todays inspection LPA's measured all areas according to the facility sketch. The purpose of measuring all areas was to update any changes since the original license and to add classroom # 4 to the license. Prior to adding room #4 the pillar shall be padded. The door leading to the supply room shall remain locked at all times.

Based on todays measurements ( see attached worksheet) the facility shall be granted a capacity of 38 children based on the indoor space. Licensee wishes to add the gated side of the lower level play yard, to meet the needed out door requirement space, based on those measurements the facility shall is eligible for a capacity of 35, director wishes to request a waiver of Title 22 section 101238.2.

Prior to granting the above increase the following corrections shall be completed:
1. The requested area must be free of storage items and excess equipment.

REGARDING THE UPSTAIRS JUNGLE GYM PLAY AREA THE FOLLOWING CORRECTIONS SHALL BE MADE PRIOR TO CHILDREN UTILIZING THIS AREA.
2. The newly erected jungle gym shall be professionally modified to meet age appropriate standards. The equipment highest platforms stands 11.6 feet from the ground and the smallest is 8.6 feet. There is also a ladder with a 8.10 foot climb. Currently this area is deducted from the out door activity space.
3. Locks on gates leading to stairwells shall be made inaccessible to children
4. Padding to be added to wooden pillars and patio canopy poles.
5. Director shall device a plan for children to access this area
6. Flower beds shall be barricaded or leveled.

Also during todays visit director inquired regarding the use of the activity room,
1. This area will require a fire clearance
2. The fireplace and hearth shall be made inaccessible to children
3. The room was measured pillar to pillar width wise and wall to fire place.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: NURTURY, THE
FACILITY NUMBER: 191200671
VISIT DATE: 11/08/2019
NARRATIVE
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#NAME?
FACILITY NAME        NURTURY
FACILITY ADDRESS : NUMBER, STREET                       14401 DICKENS, SHERMAN OAKS, CA 91423
THIS FORM IS INTENDED TO HELP DETERMINE AND DOCUMENT THE MAXIMUM CAPACITY FOR A CHILD CENTER BASED ON INDOOR/OUTDOOR SPACE AND TOILET/SINK RATIO IN THE FACILITY.  THIS SHEET SHOULD BE USED DURING THE PRELICENSING VISIT. MAXIMUM CAPACITY SHOULD ALSO BE DOCUMENTED ON THE LICENSING REPORT (LIC 809) AND THE FACILITY SKETCH.  THIS WORKSHEET SHOULD BE FILED WITH THE FACILITY SKETCH.
I.  INDOOR PLAY SPACE (Do not include unsupervised small areas)         
  ROOM NUMBER/DESCRIBELENGTHWIDTHAREAENCUMBEREDSPACE
Room #1 
17.3
15.2
262.96
262.96
Room#2
18
13.1
235.8
235.8
Room #3
24.3
10.8
262.44
262.44
Room #4
27.9
20.4
569.16
569.16
0
0
0
0
……………………………………………………………...……………………….
1330.36
INDOOR CAPACITY (SPACE)
1330.36
  Divided by 35 (SQ. FEET) EQUALS     (A)        
38.01029
II.  OUTDOOR PLAY SPACE
  ROOM NUMBER/DESCRIBELENGTHWIDTHAREAENCUMBEREDSPACE
Lower Play yard
104.3
19.31
2014.033
2014.033
Upper play yard /gate entry
0
0
0
0
0
0
0
upper patio area
26.7
24.8
662.16
662.16
TOTAL SPACE………………………….……………………………………………………………...……………………….
2676.193
OUTDOOR CAPACITY (SPACE)
2676.193
  Divided by 75 (SQ. FEET) EQUALS     (A)        
35.68257
III. SINK/TOILET RATION
1.   SINKS AVAILABLE TO CHILDREN
3
MULTIPLIED BY 15 EQUALS       (C)
45
2.  TOILETS/URINALS AVAILABLE
3
MULTIPLIED BY 15 EQUALS       (D)
45
(TWO TOILETS TO EACH URINAL)
IV  CAPACITY LIMITATIONS
1.  CAPACITY BASED ON INDOOR SPACE(A)
38.01
2. CAPACITY BASED ON OUTDOOR SPACE(B)
35.68
3.  CAPACITY BASED ON SINKS(C)
45
4.  CAPACITY BASED ON TOILETS/URINALS(D)
45
5.  CAPACITY APPROVED BY FIRE MARSHALL(E)
6.  MAXIMUM CAPACITY (LEAST OF THE ABOVE)
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3