191290429-1-9-2023-58-CC-SORS-CMWUDB-20230109142917

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191290429
Report Date: 01/09/2023
Date Signed: 01/09/2023 02:30:05 PM

Document Has Been Signed on 01/09/2023 02:30 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:	L.A. VALLEY COLLEGE CAMPUS CHILD DEVELOPMENT CTNR.		FACILITY NUMBER:	191290429
ADMINISTRATOR:	JENNIFER GUEVARA		FACILITY TYPE:	850
ADDRESS:	5800 FULTON AVENUE		TELEPHONE:	(818) 947-2931
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91401
CAPACITY:	165	CENSUS: 30	DATE:	01/09/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:23 AM
MET WITH:	JENNIFER GUEVARA - Director		TIME COMPLETED:	02:33 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	On 01/09/2023, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced Annual Required Inspection for the facility. LPA met with Jennifer Guevara, Director and toured the facility indoors and outdoors. Center has school age license (191230146) on the premises. School age Children and preschool children do not co-mingle. LPA observed 30 children, 19 adults and a 1 on 1 behavior specialist from Big Solutions. Days and hours of operation are Monday through Friday 7:45am to 3:00pm. *Center follows the LA Valley College year round campus schedule.* Children Sign-In According to the Site Director: Sign in and out sheets were reviewed. Children are signed in and out by their parents. LPA reminded director that all parents must sign children in and out when being dropped off and picked up. RM1 (2.5-3y) /RM2 (2.5-3y) /RM3 (3y) /RM4 (3-4y)/RM5 (4y) All areas identified on the Facility Sketch were inspected. The facility consists of a total of 6 classrooms. The preschool program operates in rooms 1,2,3,4, 5 and 6 as needed; however, due to enrollment room 6 is not currently being used. RM 1: 6 children with a ratio of 4 teachers RM 2: 8 children with a ratio of 4 teachers RM 3: 6 children with a ratio of 4 teachers RM 4: 7 children with a ratio of 3 teachers RM 5: 9 children with a ratio of 4 teachers

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2023

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: L.A. VALLEY COLLEGE CAMPUS CHILD DEVELOPMENT CTNR.	FACILITY NUMBER: 191290429
	VISIT DATE: 01/09/2023

NARRATIVE

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LPA observed all required postings in a prominent area. All children are under supervision, including visual supervision, of a teacher at all times. Capacity and limitations as specified on the license are being maintained. A walk through of the classroom area was conducted. Classroom space was found to be clean and free from any potential hazards. Furniture was found to be in good repair and age appropriate. There is adequate heating, lighting and ventilation. LPA observed classroom space to have arts/crafts, reading, individual cubbies for storage and learning activities. There is a first aid kit located inside each classroom.

LPA inspected and observed restrooms located in each classroom. There are enough toilets and sinks to accommodate the capacity. Toilets and sinks are functioning properly and are age appropriate. LPA observed soap, toilet paper and paper towels readily available. Water temperature was tested and is appropriate.

There are two preschool yards. Children play in the main yard located in the center of the facility. There is a smaller play yard located behind room 1 that is used only by the 2 1/2-3 year old’s. The outdoor play yards is fenced and is separated from the school age yard. The play yards were inspected during this visit for health, safety, good repair and age appropriateness equipment. The areas were observed to be free of debris. Play area was inspected for hazards and inaccessibility to bodies of water.

All food preparation and storage areas are clean and safe. Per Director, program provides daily meals which includes breakfast, lunch and an afternoon snack. There is a clean, fully equipped kitchen with stove, refrigerator, freezer and microwave oven. Menus are posted weekly. Currently, there is 1 child with allergies enrolled in this program. Per Director a list of children with allergies is kept both in the classroom and in the kitchen.

Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is readily available both indoors and outdoors. The facility is equipped with a working smoke detector and carbon monoxide detector in all classrooms. LPA observed multiple fire extinguisher (2A 10BC) located on the campus serviced 1/2022. LPA explained to director to ensure it is serviced by the end of the month. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2023

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: L.A. VALLEY COLLEGE CAMPUS CHILD DEVELOPMENT CTNR.	FACILITY NUMBER: 191290429
	VISIT DATE: 01/09/2023

NARRATIVE

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LPA reviewed a sample of children’s files and observed files were complete. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at off site activities. The name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. LPA reviewed a sample of staff files and observed files were complete.

Children are inspected for illnesses as they arrive. A review of medication policy indicated the facility does not dispense medication. Children's parents come to the facility to dispense the medication to the children. The Director's office is utilized for isolation and care of ill children. There is a cot available for each ill child. The bathroom located on the reception area is utilized for ill children.

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are being cited.

Licensee was provided a copy of their appeal rights. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2023

LIC809 (FAS) - (06/04)

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