191600495-4-24-2024-30-CC-LCLN-D4MSRY-20240424140707

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191600495
Report Date: 04/24/2024
Date Signed: 04/24/2024 02:07:14 PM

Document Has Been Signed on 04/24/2024 02:07 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	MOUNT OLIVE LUTHERAN CHRISTIAN DAY NURSERY		FACILITY NUMBER:	191600495
ADMINISTRATOR:	LADISH, KRISTI		FACILITY TYPE:	850
ADDRESS:	1343 OCEAN PARK BOULEVARD		TELEPHONE:	(310) 452-2342
CITY:	SANTA MONICA	STATE: CA	ZIP CODE:	90405
CAPACITY:	97	CENSUS: 64	DATE:	04/24/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	KRISTI LADISH, DIRECTOR		TIME COMPLETED:	02:30 PM

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On 04/24/2024, Licensing Program Analyst (LPA) Lisa Clayton conducted an unannounced Annual Required Inspection for the Child Care Center. LPA Clayton met with Director Kristi Ladish. LPA Clayton observed 64 children being supervised and cared for appropriately by 13 fingerprint cleared staff. Facility hours of operation are Monday – Friday, 7:30am – 5:30pm. All meals are provided by the parent/authorized representative, CCC provides water.

LPA Clayton toured the facility indoors and outdoors and for a Health and Safety Inspection. Capacity and limitations as specified on the license are being maintained.

All children are under visual supervision of a teacher at all times. The CCC is in compliance with Title 22 regulations regarding Staff to Student ratios. LPA Clayton advised Director to revise the sign in/out sheet to instruct parents and/or authorized representatives to use full first and last name when signing the children in and/or out of the CCC.

There are no swimming pools, ponds, or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. All poisons are kept in a locked cabinet area.

LPA Clayton observed each classroom to have a fully charged 2A:10B:C Fire Extinguishers and working Carbon Monoxide/Smoke Detector combos in classrooms 3, 5, 6 and 7. The CCC has a pull Fire Alarm System.

All toilets and hand washing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. LPA Clayton inspected the classrooms and observed age-appropriate toys, books and furnishings. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. The surface of the outdoor activity spaces are maintained in a safe condition and are free of hazards. LPA Clayton inspected the “main play ground” and observed the blue and white wooden playhouse in need of repair. Director stated that she will have it inspected and will follow up with LPA Clayton on the repair plan and expected completion date.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Lisa Clayton	TELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024

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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MOUNT OLIVE LUTHERAN CHRISTIAN DAY NURSERY	FACILITY NUMBER: 191600495
	VISIT DATE: 04/24/2024

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LPA Clayton conducted a Health and Safety inspection of the food storage area, and all kitchen storage areas are clean, free of litter/rubbish and free of rodents/vermin. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair.

LPA Clayton reviewed 5 children’s files and observed files to be in compliance including current contact information for authorized representatives and/or relatives who can assume responsibility for the child, immunization records, and authorization for medical treatment.

LPA Clayton reviewed 5 employee files which were found to be in compliance with immunization for childcare providers and CPR/First Aid.

CCC COMPLETED LEAD WATER SAMPLING – NO EXCEEDANCES FOUND.

Director 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.

This facility is currently providing Incidental Medical Services - IMS. LPA Clayton provided Director Kristi with an IMS Plan sample and instructed her to return the complete plans to the Department for all children in care receiving services. For IMS information see PIN 22-02-CCP. 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/.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Lisa Clayton	TELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024

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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MOUNT OLIVE LUTHERAN CHRISTIAN DAY NURSERY	FACILITY NUMBER: 191600495
	VISIT DATE: 04/24/2024

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LPA Clayton reminded Director to access the Community Care Licensing website www.ccld.ca.gov for 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. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.

Director is to replace the smoke/carbon detector combos in classrooms 1 and 2. And replace the batteries in the smoke/carbon combos in classrooms 4 and 8 no later than tomorrow 04/25/2024.

Director will provide LPA Clayton and the Department with the following no later than May 1, 2024:

pictures of an updated Parent Board
proof of Mandated Reporter training for all staff

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations and/or Health and Safety Codes, no Deficiencies were cited, Technical Violations issued (see LIC 9012).

Exit interview conducted, and report was reviewed with Director Kristi Ladish. A Notice of Site Visit was provided and must remain posted for 30 days.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Lisa Clayton	TELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024

LIC809 (FAS) - (06/04)

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