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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191570889
Report Date: 03/01/2023
Date Signed: 03/01/2023 01:37:49 PM


Document Has Been Signed on 03/01/2023 01:37 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:WILL ROGERS CHILDREN'S CENTERFACILITY NUMBER:
191570889
ADMINISTRATOR:VERONICA BLOOMFIELDFACILITY TYPE:
850
ADDRESS:11250 DUNCANTELEPHONE:
(310) 603-1544
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:71CENSUS: 37DATE:
03/01/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Facility Representative (FR)TIME COMPLETED:
01:30 PM
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On 03/01/2023 at 11:20 AM an unannounced Required – 1 Year Inspection was conducted by Licensing Program Analyst (LPA) Katrina Chicote. Facility is currently licensed for a capacity of 71. Licensing staff announced purpose of visit and initially met with Jessica Smith, Office Secretary, who granted entry to facility. Facility is located on Will Rogers Elementary School campus. The program currently operates a Full Day Program 7:15 AM to 4:45 PM in RMs 1 and 2, there is an additional room, RM 3, currently not being used at this time. LPA singularly toured the facility both indoors and outdoors. LPA observed required licensing postings on in Office as well as both classrooms.

At the initial start of the site visit, LPA observed 20 preschoolers with three staff (S1, S2, and S3) in RM 2 and 17 preschoolers with two staff (S4 and S5) in RM 1, totaling 37 preschoolers with five staff.

Beginning at 11:21 AM, furniture and equipment were inspected for age appropriateness and good repair in each classroom. LPA observed carpets, and child size tables and chairs available for children well maintained. LPA observed learning stations for dramatic play, math, and science with toys free of loose and sharp parts and a library area available for quiet play in each classroom. Telephone service, heating, lighting and ventilation were evaluated. There were cubbies observed as storage for children's belongings. Mats/cots were inspected. LPA observed cots laid out in RM 2 that does not hinder walkways or block exits at time of inspection. Per FR, linens are provided by the facility and washed weekly. Availability of drinking water was reviewed. LPA observed water bottles available for children stored in hanging pockets in classroom with each child's name in both classrooms. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. LPA observed each classroom to have a bathroom available, RM 1 had two toilets and three sinks available outside classroom, and RM 2 had four toilets and three sinks in bathroom.

Report Continues - Page 1 of 3
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:
DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/01/2023
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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WILL ROGERS CHILDREN'S CENTER
FACILITY NUMBER: 191570889
VISIT DATE: 03/01/2023
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Snack/lunch menus were reviewed and observed posted at time of inspection. All meals and snacks are provided by the Lynwood Unified School District. Children are provided with a breakfast, lunch, and a snack. LPA observed children eating lunch using child appropriate tables and chairs in Main Office. LPA observed trash cans used to discard food have tight fitting lids at time of inspection.

LPA observed a first aid kit is kept in each classroom on a wall compartment which was inventoried for necessary supplies. Carbon monoxide detectors were tested and observed operable in each classroom. LPA observed smoke detectors present in the facility and fire extinguishers have been serviced on 10/09/2022. LPA observed disaster drill log available, last drill conducted on 02/28/2023 for RM 1 and 02/10/2023 for RM 2. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. FR states that there are no poisons stored at the facility. At 12:02 PM, LPA observed medicine that is stored in Main Office for C1 to have required documents and to be stored per Title 22 Regulation requirements. FR states that sick/isolation area is in Main Office.

Beginning at 11:31 AM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. LPA observed multi-level play structure with slide and climbing equipment that has cushioning material below to absorb fall all well maintained. LPA observed bicycles on bicycle area, basketball hoop, and other toys available for children to use on a toy cart outside that were well maintained. Required shade and fencing were inspected. LPA observed benches under shaded area available for children for shade and play area fenced through out. LPA advised that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. The children have access to their water bottles during outside play. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed at time of inspection.

Teacher-child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. LPA observed all children present were signed in electronically at time of inspection. Personal Rights of children were observed by LPA.

Beginning at 12:12 PM, staff and children’s records were reviewed. Children’s Records were reviewed for completeness. Inspection of required forms was made and documented on the LIC 857. The review of Staff records was documented on the LIC 859.
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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023
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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WILL ROGERS CHILDREN'S CENTER
FACILITY NUMBER: 191570889
VISIT DATE: 03/01/2023
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Staff present did have proof of the AB 1207 Mandated Reporter Training certificate on file. LPA observed Pediatric First Aid/CPR expires on 02/2025 for S2. LPA did not review confidential staff files during the inspection due to the staff confidential files being stored at the administrative office. All staff and employees have obtained a criminal record clearance or criminal record exemption as a condition of employment with the Lynwood Unified School District.

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


Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location.

LPA advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 03/01/2023.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.



Exit interview was conducted and report was reviewed with the Facility Representative, Jessica Smith.
Report Ends - Page 3 of 3
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3