191202174-9-21-2023-58-CC-AMOY-CVW7QT-20230921215228

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191202174
Report Date: 09/21/2023
Date Signed: 09/21/2023 09:52:35 PM

Document Has Been Signed on 09/21/2023 09:52 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	VILLAGE NURSERY SCHOOL		FACILITY NUMBER:	191202174
ADMINISTRATOR:	BRIDGET CANTRELL		FACILITY TYPE:	850
ADDRESS:	3306 WEST VICTORY BOULEVARD		TELEPHONE:	(818) 843-5766
CITY:	BURBANK	STATE: CA	ZIP CODE:	91505
CAPACITY: 65	TOTAL ENROLLED CHILDREN: 65	CENSUS: 53	DATE:	09/21/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Bridget Cantrell, Director		TIME COMPLETED:	04:15 PM

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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced Required 1 year inspection. LPA met with Director Bridget Cantrell who guided analyst on tour of the facility. LPA provided the LIC 125 Entrance Checklist. This is a preschool program serving up to 65 children. The facility operates Monday – Friday from 7:00 AM – 6:00 PM. The entrance to the facility is locked, entry using a call/buzzer system.

LPA observed 53 napping children supervised by seven staff, in the following rooms: LPAs observed teacher-child ratios in compliance and staff fingerprints have the required clearances at this time.

LPA observed telephone service, heating, lighting and ventilation to be satisfactory. Children have adequate cubby storage for their belongings. Napping mats are stored appropriately with bedding removed. The facility provides sheets and blankets and weekly laundering. LPA observed drinking water with drinking cups readily available in the classrooms. Age appropriate restrooms, sinks and toilets were inspected for good repair, water temperature, toilet paper, safety and sanitation. The indoor classrooms have surfaces that appear to be clean and safe and there are age appropriate toys and reading material for children to use.

There are first aid supplies in each classroom. Carbon monoxide detectors and smoke detectors are present in the facility. Hazardous items including including medicine and cleaning compounds are stored in inaccessible areas such as high cabinets and inaccessible office cabinets. The office is used as an isolation area for ill children and cots are available for children to rest.

The outdoor play area is enclosed. Areas around and under climbing equipment have mats and grass to cushion a fall. All play equipment, toys, materials and surfaces accessible to children appear to be age appropriate and toxic free. There is a separate outside play area used only for the pre-k children that includes a "take apart" table and tools. Children received extra supervision when they have access to the table.

LPA advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.
Page 1 - Report Continues

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: VILLAGE NURSERY SCHOOL	FACILITY NUMBER: 191202174
	VISIT DATE: 09/21/2023

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Snack menus are posted at least one week in advance and are visible to an authorized representative. The facility provides AM and PM snacks and lunch is provided by parents. Snacks were reviewed for availability, quantity, expiration dates and appropriateness for children in care. LPA observed the snack storage area (in the office) appear to be in sanitary condition. LPA informed Site Supervisor to constantly assess expiration dates on food items that are removed from original packaging and document. LPA observed drinking water available (indoors and outdoors) and trash receptacles have tight fitting covers.

Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are locked and/or inaccessible. The facility has one or more functioning smoke detectors and carbon monoxide detectors that meet statutory requirements. LPA observed a fire extinguisher in the hallway due for service July 7, 2023.

LPA observed digital sign in and sign out to ensure children are being properly signed in and signed out by the authorized representative. LPA conducted a Children's Records Review for completeness and to ensure children have proper forms such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights etc.on file. The children's roster was available and current.

Staff Records were reviewed to ensure the following: Criminal record clearance or criminal record exemption, education credits, current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination, Mandated Reporter training, LPA observed at least one staff member to have current CPR (Expiration January, 2024) .

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretation 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.

Mandatory forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. Role and responsibilities of being a Mandated Reporter were reviewed. The Director was advised how to access forms and Regulations online at www.ccld.ca.gov. Staff has completing Mandated Reporter training.

Page 2 Report Continues.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: VILLAGE NURSERY SCHOOL	FACILITY NUMBER: 191202174
	VISIT DATE: 09/21/2023

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The Director 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.

LPA informed Director to log onto web site www.ccld.ca.gov to access forms, regulations and quarterly updates. Records for all children and staff must be maintained for three (3) years after separation from the facility. Report Unusual Incidents and/or injuries to the parent/guardian immediately and to Child Care Licensing within 24 hours and/or the next business day. Visit www.shotsforschool.org for immunization information.

LPA verified that the lead testing was completed and in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

There were no violations of Title 22 requirements at this time.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/tion-process.

Exit interview was conducted with Director Bridget Cantrall. Notice of Site Visit Provided.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023

LIC809 (FAS) - (06/04)

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