191290431-3-10-2020-30-CC-KSTS-BMKQJV-20200310121323

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191290431
Report Date: 03/10/2020
Date Signed: 03/10/2020 12:13:35 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:	VOA/MAUD BOOTH FAMILY CENTER		FACILITY NUMBER:	191290431
ADMINISTRATOR:	PEREZ, M BONILLA, S		FACILITY TYPE:	850
ADDRESS:	11243 KITTRIDGE STREET		TELEPHONE:	(818) 980-2287
CITY:	NORTH HOLLYWOOD	STATE: CA	ZIP CODE:	91606
CAPACITY:	132	CENSUS: 101	DATE:	03/10/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:41 AM
MET WITH:	Martha Perez		TIME COMPLETED:	12:20 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 03/10/2020 at 09:41 am, Licensing Program Analyst (LPA) Karren Starks made an unannounced visit for the purpose of conducting an Annual inspection. At 10:00am, LPA met with Site Supervisor, Martha Perez. At 10:02am, LPA and Site Supervisor toured the facility. LPA observed proper teacher/child ratios in the classrooms inspected.. The facility serves preschool age, infant/toddler and school age programs; This is a preschool program consists of State Preschool, Head Start and General Child Care serving all full day session. During this inspection, LPA observed a working telephone on the premises, heating, lighting and ventilation were evaluated. Furniture and equipment was inspected for age appropriateness and good repair. Napping equipment was observed to be in good condition. Adequate storage for children's belongings, bathroom facilities, and a separate area for isolation and care of ill children located in the office area. Drinking water is made readily available. Trash cans with tight fitting lids were observed. Documentation of current Fire/Earthquake disaster drill was observed on a monthly. Emergency disaster plan is updated and reflects the current operation. Complete First Aid Kits were observed as well as Fully charged Fire Extinguishers. Operable Smoke and Carbon monoxide detectors were also observed. Sign in/out were observed and did match the cenus. A review of medication policy, including properly labeled and stored in original container. There is one child that requires Incidental Medical Services (IMS), documentation was observed. . LPA observed the required postings including Safe Sleep information. Per the Site Supervisor parents were given a flyer regarding Lead Exposure with the parents returning the receipt and a copy placed in the child's file. Also observed were the Menu, and Activity Schedule. The facility obtained current pediatric CPR and First Aid for all facility staff members. Children and staff records were reviewed.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020

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

FACILITY NAME: VOA/MAUD BOOTH FAMILY CENTER	FACILITY NUMBER: 191290431
	VISIT DATE: 03/10/2020

NARRATIVE

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The kitchen preparation area was inspected. The area is made inaccessible by a pony door. The food is delivered to the facility from a central kitchen. Proper refrigeration and storage of food items was observed. There were no detergents, toxins or cleaning compounds being stored with the children's utensils. The water temperature for the kitchen area was proper with a sufficient supply of food observed. Allergy list posted in the kitchen and each classroom.

The outdoor area which is gated was inspected. LPA observed age appropriate toys and an activity apparatus with proper cushioning beneath. There was an area for shade and water is made readily available. There were no hazards, debris nor bodies of water observed at the time of inspection.

Senate Bill (SB) 792: This bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles.

Licensee was also shown how to access current information on the www.ccld.ca.gov website on how to access: Reducing the Risk of SIDs in Early Education and Child Care

Licensee was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541
Email Address: childcareadvocatesprogram@dss.ca.gov

Mandated Reporter: Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com

No deficiencies cited. Copy of report and Notice of Site Visit issued.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020

LIC809 (FAS) - (06/04)

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