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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191505107
Report Date: 08/18/2022
Date Signed: 08/18/2022 01:58:32 PM


Document Has Been Signed on 08/18/2022 01:58 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 CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:NEW LIFE COMMUNITY CHURCH PRESCHOOLFACILITY NUMBER:
191505107
ADMINISTRATOR:BAILEY, BARBARAFACILITY TYPE:
850
ADDRESS:18800 NORWALK BLVD.TELEPHONE:
(562) 402-2577
CITY:ARTESIASTATE: CAZIP CODE:
90701
CAPACITY:146CENSUS: 0DATE:
08/18/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Director, Barbara BaileyTIME COMPLETED:
02:15 PM
NARRATIVE
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On August 18, 2022 at 11:45 am, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced inspection at the facility noted above and met with Director, Barbara Bailey. The purpose of the inspection was to conduct the Required 1 Year inspection at the facility. Entrance Checklist – Child Care Centers (LIC 125) was provided to the Director upon arrival. The facility is currently licensed for 146 children, ages 2 years until entry into first grade. The facility is located on New Life Community Church premises. There is also a licensed school-age program on site (License Number: 198012652). Per Director, the preschool program operates Monday through Friday from 7:00 am to 6:00 pm.

The Director guided LPA on a tour of the inside and outside of the facility. All areas on the facility sketch were inspected. The facility has twelve (12) classrooms where care is provided. Upon arrival, there were no other staff or children present. Per Director, the children return to school on Monday, August 22nd.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Napping equipment (cots and mats) were observed. Per Director, bedding is washed at the facility on a weekly basis or as needed. Per Director, the isolation area is in the conference room. In the conference room, a cot or mat can be placed on the floor for an ill child and the staff restroom is readily available if an ill child requires it. Age appropriate sinks and toilets were inspected for availability and good repair. General sanitation was observed. Availability of indoor drinking water was observed in each classroom.

Per Director, the carbon monoxide detector and smoke detectors are linked together with the alarm system. Detectors were not tested during this visit due to the detectors being wired to the emergency pull down fire alarm. The fire extinguishers are fully charged and were last serviced on May 26, 2022.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Monique AyalaTELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:
DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/18/2022
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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Document Has Been Signed on 08/18/2022 01:58 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 CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: NEW LIFE COMMUNITY CHURCH PRESCHOOL

FACILITY NUMBER: 191505107

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 08/18/2022

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
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Based on record review, the licensee did not comply with the section cited above as the Director did not have a current Mandated Reporter (AB 1207) certificate of completion on record (expired April 27, 2022) which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/19/2022
Plan of Correction
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The Director will renew the mandated reporter training and submit proof of completion to LPA via e-mail by September 19th.
Type B
Section Cited
CCR
101215.1(m)
(m) A child care center director shall complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as the Director did not have the Preventative Health and Safety Practices (EMSA-approved) certificate of completion on record which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/19/2022
Plan of Correction
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The Director will complete the Preventative Health and Safety Practices course (EMSA-approved) and submit proof of completion to LPA via e-mail by September 19th.

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: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Monique AyalaTELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:
DATE: 08/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/18/2022
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NEW LIFE COMMUNITY CHURCH PRESCHOOL
FACILITY NUMBER: 191505107
VISIT DATE: 08/18/2022
NARRATIVE
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Disinfectants, cleaning solutions, medication and other items that are hazardous to children, were made inaccessible to children in all areas. Director confirmed that there are no poisons stored at the facility. All kitchen, food preparation 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 have tight-fitting covers that are kept on and in good repair.

Outdoor playground equipment is in a safe condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with sand that could absorb a fall. Per Director, the sand is inspected daily by staff prior to use. There is adequate shade in the outdoor play yard. Availability of outdoor drinking water was observed. No bodies of water were observed on the premises.

All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person present with a valid Pediatric First Aid and CPR certification (EMSA-approved) during this inspection.

LPA conducted a record review of 7 children’s records and 1 personnel record for completeness. Based on the record reviews, children's records were complete with all the required documents per California Code of Regulations, Title 22, Division 12. Based on the record review, the Director did not have a current Mandated Reporter (AB 1207) certificate of completion (expired April 27, 2022) and Preventative Health and Safety Practices (EMSA-approved) certificate of completion on record. The names of children and staff whose records were reviewed were documented.

Children's roster was reviewed and is current. Sign-in and sign-out sheets were reviewed. Per Director, the facility conducts disaster drills at least every six months however, the drills were not documented. Director was advised that disaster and fire drills shall be documented, including the date and time of each drill. Per Director, transportation is not provided by the facility.

The facility provides the preschool children with morning snack, lunch, and afternoon snack. Food menus are posted one week in advance where it is visible by the child’s parent or authorized representative. Menus for the past 30 days are available upon request. During the inspection, snacks were reviewed for availability and quantity.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Monique AyalaTELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022
LIC809 (FAS) - (06/04)
Page: 4 of 5
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NEW LIFE COMMUNITY CHURCH PRESCHOOL
FACILITY NUMBER: 191505107
VISIT DATE: 08/18/2022
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First Aid supplies were observed and kept in the front office hallway. According to the Director, medication is only administered to a child when accompanied with a doctor's note and medication is stored in a cabinet at the front desk.

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

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 advised the Director on how to access forms, regulations, quarterly updates, and Provider Information Notices (PINs) on the Department 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.

Deficiencies were cited in accordance with California Code of Regulations, Title 22, Division 12 (refer to deficiency page).

A Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Exit interview was conducted and report was reviewed with Director, Barbara Bailey. Appeal Rights were discussed, and a copy was provided to the facility representative.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Monique AyalaTELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022
LIC809 (FAS) - (06/04)
Page: 5 of 5