<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191290994
Report Date: 05/16/2022
Date Signed: 05/16/2022 04:13:33 PM


Document Has Been Signed on 05/16/2022 04:13 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:WOODLAND HILLS PRIVATE SCHOOLFACILITY NUMBER:
191290994
ADMINISTRATOR:ROBIN A GEEFACILITY TYPE:
850
ADDRESS:22322 COLLINS STREETTELEPHONE:
(818) 712-9966
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:144CENSUS: 118DATE:
05/16/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:59 AM
MET WITH:Robin A.Gee, Director TIME COMPLETED:
04:15 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 5/16/2022 11:59Am, Licensing Program Analyst (LPA) Densie Miranda and Licensing Program Manager (LPM) Claudia Escobedo, conducted an unannounced Required 1- Year Inspection to the facility. At 12:02 PM, LPA and LPM met with Director Robin Gee. According to the center Director, the facility operates: Monday – Friday from 7:00am – 6:00pm. At 12:08 PM. LPA and LPM were guided on a tour of the facility inside and outside.

Facility is licensed for 120 preschoolers ages – 2-6 years old and 24 children ages 18 months to 30 months in the toddler option program. The toddler option operates in rooms #1 and #3. The facility will be revised the form LIC999A (floor plan) and (yard), will be submit to LPA Miranda.
LPA Miranda and LPM Escobedo observed 94 preschooler children under supervision of 15 staff and the toddler component was observed 24 toddler children under supervision of 4 staff. Also, was present Director and Director Assistant Ailin Sacks. LPA and LPM observed all children are under supervision, including visual supervision, of a teachers at all times.
Furniture and equipment are in good condition, free of sharp, loose or pointed parts. All materials and surfaces accessible to children are toxic free. All toilets and handwashing facilities are in safe and sanitary operating condition. All floors in the facility are clean and safe.
Per Director, parents will bring their own lunch or they will buy from a third party company. Facility provide only the snacks. LPAs observed the preparation area and storage areas are clean, free of litter/rubbish and free of rodents/vermin. All
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:
DATE: 05/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/16/2022
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: WOODLAND HILLS PRIVATE SCHOOL
FACILITY NUMBER: 191290994
VISIT DATE: 05/16/2022
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
26
27
28
29
30
31
32
food is protected against contamination. Contaminated food is discarded immediately.
Solid waste storage containers was observed at the outdoor area and inside of the classroom without covers.
LPA Miranda and LPM Escobedo observed on the toddler outdoor area with cracks on the floor around the tree, that needs to be repair. Pipe on the wall needs to be inaccessible to the children in care. Outdoor - Mini Ranch - All the trees that has sharp thorns needs to barricade.
Drinking water is available both indoors and outdoors.
Playground equipment is in safe condition, free of sharp, loose or pointed parts, disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection.
There is a swimming pool on the premises, that was inspected with fence working. There are no firearms or ammunition allowed or stored on the premises.
The facility is free of flies, insects and rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. The child care center was observed to be clean, safe, sanitary and in good repair.
LPA verified staff have received a criminal record clearance or exemption. LPA advised upon notification from the Department, the Director will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption.
Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities.
Facility maintains a ratio of one teacher supervising no more than 12 preschool children in care and one teacher supervising no more than 6 toddler children. The facility is equipped to isolate and care for any child who becomes ill during the day.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2022
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: WOODLAND HILLS PRIVATE SCHOOL
FACILITY NUMBER: 191290994
VISIT DATE: 05/16/2022
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
26
27
28
29
30
31
32
LPA reviewed a sample of 15 children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment.
Incidental Medical Services (IMS) are not currently being provided. Director 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.
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.
Director 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.
LPA and Director 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, deficiencies are not cited.
LPA Miranda will conducted a second announced inspection to continue this Required 1 year - inspection.
Exit interview conducted and report was reviewed with the Director Robin Gee. A copy of this report, appeal rights and Site of Visit was provided to the Director.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3