191225860-10-14-2022-33-CC-AEIN-CK7QWZ-20221014123245

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191225860
Report Date: 10/14/2022
Date Signed: 10/14/2022 12:33:32 PM

Document Has Been Signed on 10/14/2022 12:33 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:	ST. MARK'S DAY SCHOOL		FACILITY NUMBER:	191225860
ADMINISTRATOR:	SUSIE FOWLER KENNY		FACILITY TYPE:	850
ADDRESS:	1020 N. BRAND BLVD.		TELEPHONE:	(818) 242-8045
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91202
CAPACITY:	102	CENSUS: 57	DATE:	10/14/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Stephanie Nicholson, Assistant Director		TIME COMPLETED:	12:45 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	Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced annual inspection on 10/14/2022 at 9:30 AM. LPA met with Stephanie Nicholson, Assistant Director. LPA provided Assistant Director with a copy of the Entrance Checklist for Child Care Centers form (LIC 125). Stephanie Nicholson, assistant director guided LPA on a tour of the facility. During this inspection at 10:10 AM, Susie Flwler Kenny, Head of the School arrived at the facility. This facility is located on the premises of St. Mark’s Episcopal Church. Entrance to the preschool is behind the church through a secured green gate. Per assistant director, parents enter the facility by using a code at the entrance gate and drop off children in the classrooms. The preschool program operates Monday – Friday from 8:00 AM – 6:00 PM. The facility consists of 5 classrooms. All areas identified on the Facility Sketch were inspected. Upon arrival, the following staff were present during this inspection; The Red Room (2-3 years old) : 11 preschoolers with 2 staff, The Green Room (2-3 years old): 10 preschoolers with 2 staff, The Blue Room (3-4 years old): 12 preschoolers with 2 staff, The Yellow Room (4-5 years old): 13 preschoolers with 2 staff, The Purple Room (4-5 years old): 11 preschoolers with 2 staff. The facility was observed to be within the license capacity and limitations. Staff names were recorded. All children were observed to be under visual supervision of a teacher at all times. The following was observed during the tour of the facility: PHYSICAL PLANT LPA observed the facility to be clean, safe, sanitary and in good repair. Furniture and equipment was inspected for age appropriateness and good repair, free of sharp, loose, or pointed parts. All indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. All materials accessible to children were observed to be toxic-free. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Parents take Linens home each week on Friday or as needed and return it on Monday. Napping equipment (cots) were observed to be stored REPORT CONTINUES ON NEXT PAGE 1 OF 4

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022

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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ST. MARK'S DAY SCHOOL	FACILITY NUMBER: 191225860
	VISIT DATE: 10/14/2022

NARRATIVE

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in each classroom. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. There are restrooms in each classroom. General sanitation was observed. Per assistant director, cleaning crew clean the facility daily after hours. Availability of indoor drinking water was observed in the classroom. LPA observed children use water bottles.

Disinfectants, cleaning solutions, medication, and other items that are dangerous to children, were inaccessible to children. Assistant Director states there are no poisons stored at the facility. LPA observed carbon monoxide detectors in each classroom. Assist Director tested the carbon monoxide detector in the office area. It sounded off the alarms and heard by LPA to be functional. LPA observed required posting information were posted in each classroom and office area.

All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. 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 or solid waste bags shall be discarded immediately after each meal in each classrooms.

Outdoor playground equipment is in a 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. There are two outdoor playgrounds on the premises, sand area and garden area. There is adequate shade in the play yard. Availability of outdoor drinking water was observed. Per assistant director, children use their water bottles during outdoor playtime. LPA advised that no children shall be left without the supervision of a teacher at any time. The Director states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this inspection. Director states there are no weapons or firearms on the premises.
FACILITY RECORDS
Assistant Director, Stephanie Nicholos was reminded that all adults 18 and over, 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.
Children’s Records were reviewed for completeness; Inspection of required forms was made and documented on the LIC 857.

REPORT CONTINUES ON NEXT PAGE 2 OF 4

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022

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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ST. MARK'S DAY SCHOOL	FACILITY NUMBER: 191225860
	VISIT DATE: 10/14/2022

NARRATIVE

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There is at least one person trained in CPR and Pediatric First Aid present during this inspection. LPA also reviewed staff records. The review of Staff records was documented on the LIC 859. During this inspection LPA reviewed 5 staff file and 1 out of 5 staff, did not have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present had proof against TB, measles, pertussis, and influenza. All staff have been given on the-job training sanitation principles, housekeeping, including universal health precautions.

Children's roster was reviewed and is current. Facility use Procare app for Sign in and out. Sign in and out sheets was printed by Stephanie Nicholson, assistant director per LPA's request for 10/14/2022. Sign in and out sheet were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. During this inspection total of 57 children were present, and only 53 children were singed in. Disaster drill log was available, last drill was conducted on 07/13/2022.

Menus are not posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days are not available for review. Per Stephanie Nicholoson, assistant director, after Covid facility did not have a menu and did not provide any snacks to the children. Per assistant director, enrolled children bring their own snacks and food from home.

First Aid supplies were observed in each classroom in a cabinet. According to assistant director, Stephanie Nicholson medication is only administered to a child when accompanied with a doctor's note and is stored in the child’s classroom. The facility was observed to be equipped with an isolation area for any child who becomes ill and it is located in the staff office. The ill child will use the staff restroom during isolation which is disinfected immediately after use per Site Supervisor.

Medication: This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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 asked Stephanie Nicholson, assistant director to submit a Plan of Operation for Incidental Medical Services by 11/14/2022.

REPORT CONTINUES ON NEXT PAGE 3 OF 4

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022

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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ST. MARK'S DAY SCHOOL	FACILITY NUMBER: 191225860
	VISIT DATE: 10/14/2022

NARRATIVE

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LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

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/process.

The deficiencies listed on the following pages were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809D for deficiencies that are being cited and need to be cleared to protect the children’s health & safety.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Susie Fowler Kenny, Head of the school and Stephanie Nicholoson, assistant director at 12:45 p.m..

END OF REPORT PAGE 4 OF 4

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022

LIC809 (FAS) - (06/04)

Page: 4 of 6

Document Has Been Signed on 10/14/2022 12:33 PM - It Cannot Be Edited

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: ST. MARK'S DAY SCHOOL	FACILITY NUMBER: 191225860
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/14/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA's file review, the licensee did not comply with the section cited above in 1 out of 5 staff that LPA reviewed their files, staff#1 did not have current mandated reporter training certificate on file which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/14/2022
	Plan of Correction
1 2 3 4	Per assistant director, staff#1 will complete the required mandated reporter training by plan of correction due date, 11/14/22 and a copy of certificate will be submitted to LPA via email.

Type B

Section Cited

CCR

101229.1(b)

Sign In and Sign Out

(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on printed sign in and out sheet from Procare app for 10/14/22, the licensee did not comply with the section cited above and during this inspection total of 57 children were present and only 53 children were signed in which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/14/2022
	Plan of Correction
1 2 3 4	Per assistant director, a written reminder will be sent out to all the parents to sign in and out children daily and a copy of note will be submitted to LPA by plan of correction due date 11/14/22 via email.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022

LIC809 (FAS) - (06/04)

Page: 5 of 6

Document Has Been Signed on 10/14/2022 12:33 PM - It Cannot Be Edited

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: ST. MARK'S DAY SCHOOL	FACILITY NUMBER: 191225860
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/14/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101227(a)(6)

Food Service

(6) Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days. Menus shall be made available for review by the child's authorized representative and the Department upon request. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on assistant director statement facility does not have any menus after Covid, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/14/2022
	Plan of Correction
1 2 3 4	Per assistant director, currently facility does not provide any food or snacks to the enrolled children, not even snacks. Per assistant director a menus will be created by plan of correction due date 11/14/22 and a copy will be submitted to LPA via email.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022

LIC809 (FAS) - (06/04)

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