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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600233
Report Date: 01/17/2024
Date Signed: 01/18/2024 07:11:36 AM

Document Has Been Signed on 01/18/2024 07:11 AM - 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:FIRST PRESBYTERIAN CHC OF SANTA MONICA NURSERY SCFACILITY NUMBER:
191600233
ADMINISTRATOR:DAVID KELLYFACILITY TYPE:
850
ADDRESS:1248 SECOND STTELEPHONE:
(310) 451-9259
CITY:SANTA MONICASTATE: CAZIP CODE:
90401
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 67DATE:
01/17/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:David Kelly, DirectorTIME COMPLETED:
01:15 PM
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On 1/17/2024 Licensing Program Analysts (LPA) Judy Laureano and Ranita Richmond conducted an unannounced Annual Required Inspection at the above mentioned facility. LPAs met with David Kelly, facility director.
Facility operates Monday through Friday 8:30 a.m. to 4:30 p.m. Facility is licensed for 120 children ages 2 to 6 years old. Facility has a playground waiver on file.

LPAs observed the following classroom:
Rainbow Room- 11 children and 3 staff members
Moon Room- 7 children and 2 staff members
Sun Room- 14 children and 3 staff members
Rose Room- 15 children and 2 staff members
Blue Room- 10 children and 3 staff members
Green Room- 10 children and staff members

LPAs observed 67 children and 14 staff members, in addition to site director and 2 administrative staff and 1 music teacher.

Classrooms were observed and inspected. Classrooms were observed with age-appropriate materials and a variety of manipulative. Classrooms were observed to have fine and gross motor activities centers. Each classroom was observed to have children’s cubbies where children’s store their personal belongings.

Facility was observed with a centralized sprinkler system and working fire extinguishers. Furniture and equipment are in good condition, free of sharp, loose or pointed parts.
LPAs observed emergency bag packs and First Aid kits in the classrooms.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2024
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: FIRST PRESBYTERIAN CHC OF SANTA MONICA NURSERY SC
FACILITY NUMBER: 191600233
VISIT DATE: 01/17/2024
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Facility is open to enroll children that might need medication administered. Preschool classroom currently has students with allergies and/or medication. LPAs observed allergy list posted in each classroom.

Medication, if needed, is stored in the child’s perspective classroom. LPAs reminded facility to ensure that all medication is stored with all necessary LIC forms. All prescription and non prescription medication shall be centrally stored in accordance with the following requirements: medication shall be kept in a safe place inaccessible to the children in care, each container shall have an unaltered label.

Facility has a designated custodial staff that clean and disinfects the classrooms. Teachers are responsible for the day-to-day cleaning. Disinfectants and cleaning solutions were observed in the top cabinet in each classroom, making the content inaccessible to the children in care.

Facility does not provide meals or snacks, families are responsible for providing daily meals and snacks in appropriate containers, eg lunch boxes with icepacks and/or thermos. Water is readily available to children via water dispenser. Director confirmed water is delivered to facility every three weeks or as needed. Children bring in their refillable water bottles and teachers are responsible for refilling as needed.

Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Areas around high climbing equipment have cushioning material to absorb falls. Teachers ensure playground and outdoor equipment is safe and free of hazard before children use the area. LPAs observed all outdoor space to offer. Different shaded area for children to play under was inspected. Director confirmed sand in the sand boxes is racked by staff daily.

LPAs observed all toilets and hand washing facilities. LPAs observed toilets and sinks to accommodate the facility’s capacity. Toilets flush properly, toilet and sinks are reachable by the children in care. Water temperature, toilet paper, paper towels, area safety and sanitation were inspected. Floors in the facility are clean and safe. Solid waste storage containers have tight-fitting covers and are in good repair.
Parent board was observed with all necessary posting in the front office. LPAs observed a daily schedule posted outside the classroom and in each classrooms- Flow of the Day.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024
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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: FIRST PRESBYTERIAN CHC OF SANTA MONICA NURSERY SC
FACILITY NUMBER: 191600233
VISIT DATE: 01/17/2024
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The facility is free of flies, insects and rodents. Facility contracts with a Pest control vendor to ensure that facility stays pest free.
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. LPAs observed working fire extinguisher and smoke detectors and carbon monoxide detectors throughout the classrooms. All electrical outlets were observed to be covered.

Prior to working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. Upon notification from the Department, the licensee 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 during today’s inspections; 67 children and 14 staff members providing care and supervision.

At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. LPA’s reviewed 16 staff files and observed all teachers file with current CPR and Pediatric First Aid. LPAs discussed the importance of making sure all Pediatric CPR and Pediatric First Aid training is EMSA approved. Mandated Reporter training was reviewed. LPAs reviewed a sample of children’s files and observed 10 files completed. LPA Richmond emailed facility admin the updated LIC 311A and LIC 125 to use as a reference when auditing files.

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. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. Sign in/out sheest were observed outside each classroom.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024
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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: FIRST PRESBYTERIAN CHC OF SANTA MONICA NURSERY SC
FACILITY NUMBER: 191600233
VISIT DATE: 01/17/2024
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All children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 12 children in care.
To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility director, David Kelly was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility Director, David Kelly.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/18/2024 07:11 AM - It Cannot Be Edited


Created By: Judy Laureano On 01/17/2024 at 12:40 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: FIRST PRESBYTERIAN CHC OF SANTA MONICA NURSERY SC
FACILITY NUMBER: 191600233

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/17/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101226(e)(3)(A)
Health-Related Services
(3) Prescription medications may be administered if all of the following conditions are met: (A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above in having an expired prescription for an Epi Pen for C1, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/12/2024
Plan of Correction
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Facility agrees to not have C1 present on campus unless facility has a current prescription on site. Facility will email proof via email.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Claudia Escobedo
LICENSING EVALUATOR NAME:Judy Laureano
LICENSING EVALUATOR SIGNATURE:
DATE: 01/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/17/2024


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