191600666-3-3-2020-30-CC-MCON-BMCU26-20200303141125

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191600666
Report Date: 03/03/2020
Date Signed: 03/03/2020 02:11:38 PM

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:	ST PETER'S BY THE SEA PRESBYTERIAN CHURCH		FACILITY NUMBER:	191600666
ADMINISTRATOR:	WHITE, ALEXIS		FACILITY TYPE:	850
ADDRESS:	6410 PALOS VERDES DRIVE SOUTH		TELEPHONE:	(310) 377-1194
CITY:	RANCHO PALOS VERDES	STATE: CA	ZIP CODE:	90274
CAPACITY:	54	CENSUS:	DATE:	03/03/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	ALexis White, Director		TIME COMPLETED:	01:30 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 March 3, 2020 at 11:00 AM, Licensing Program Analyst (LPA) Miriam Cohen met with Preschool Director, of St. Peter’s by the Sea Presbyterian Church, 191600666 located at 6410 Palos Verdes Drive South, Rancho Palos Verdes Estate, CA 90274 for the purpose of conducting a required annual inspection. LPA Cohen toured and inspected classrooms in the facility sketch. Sign In/Out sheet was observed with full legal signatures and record of time of day. The preschool hours are from 8:00 AM to 4:00 PM, Monday through Friday. Facility is operating within capacity limitations. Upon arriving at the preschool, LPA observed 31 children being supervised by eight adults. LPAs observed care provided in three classrooms: Sunshine Classroom with a ratio of two adults to eight children Butterflies Classroom with a ratio of two teachers to 12 children Rainbow Classroom with a ratio of two adults to 11 children LPA inspected above classrooms and found them to be clean and free from any potential hazards. The floors of each classrooms were observed clean and safe. LPA observed the classrooms to have age appropriate material and equipment. Furniture in the classrooms is found to be in good repair and age appropriate. Disinfectants, cleaning solutions, and poisons are inaccessible to children. Storage areas for poisons are inaccessible to children in care. Medications are kept in a safe place in the director’s office. LPA observed all toilets and hand washing facilities in safe and sanitary operating condition. Storage containers for solid waste, including moveable bins were observed with tight-fitting covers that are kept on, and in good repair. Uncontaminated drinking water was readily available both indoors and out. Inspection of the outdoor play area was conducted. Playground equipment were observed in safe to be in good condition, free of sharp, loose, or pointed objects. The surface of the outdoor activity space is maintained in a safe condition and free of hazards.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam Cohen	TELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

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: ST PETER'S BY THE SEA PRESBYTERIAN CHURCH	FACILITY NUMBER: 191600666
	VISIT DATE: 03/03/2020

NARRATIVE

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LPA observed climbing structure with slides, and other large play equipment securely anchored with adequate cushioning material underneath and around the perimeter that absorbs a fall. Materials and surfaces accessible to children appeared to be toxic free. The facility is free of flies, and other insects, and rodents. Playground is free from miscellaneous debris such as tree branches, trash, leaves, etc.
Currently, the above facility does NOT provide IMS. Children’s record was reviewed for Emergency Identification form including name of authorized representative who can assume responsibility for the child if the authorized representative cannot be reached when necessary. Children’s record was reviewed for medical assessment. Staff records were reviewed during inspection for completeness including but not limited to Criminal Record Clearances for adult and health screening including immunization records. LPA observed CPR/First Aid expires 01/2022.

LPA advised the director that records for all children and staff must be maintained for three years after separation from the facility. A record of teachers and teacher’s assistants’ names was check against current facility roster. The name of the director or fully qualified teacher designated to act in the director’s absence is observed posted (LIC 308 form).

The following requirements were discussed with the licensee:
Mandatory forms for the children and provider’s files; requirements for fire drills, earthquake drills, and documentation for both; role and responsibilities of being a mandated reporter. The licensee was advised on how to access forms and Regulations for Child Care Center online at www.ccld.ca.gov . Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. The licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified. Regulation prohibits the smoking of tobacco on the premises.
The ADA requires that childcare providers not discriminate against persons with disabilities on the basis of disability, that is, that they provide children and parents with disabilities with an equal opportunity to participate in the child care center's programs and services.
Requirements for fingerprint clearances and associations were discussed with the licensee. Licensee can be cited a civil penalty of $100 per day, up to $500.00 (5 days) for the 1^st offense and up to $3000.00 for the 2^nd offense within a 12-month period.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam Cohen	TELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

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: ST PETER'S BY THE SEA PRESBYTERIAN CHURCH	FACILITY NUMBER: 191600666
	VISIT DATE: 03/03/2020

NARRATIVE

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The licensee was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and licensing within the time frame specified by the regulation. The "Notification of Parent's Rights" (PUB394) poster must be posted in an area accessible to parents. The information regarding new legislation with regards to exemptions and Parent’s Rights was also discussed.
The licensee was informed of The Child Care Advocate Program (CCAP) that is available from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541
Email Address: childcareadvocatesprogram@dss.ca.gov
AB 1207: Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com
Senate Bill 792: this bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the visit.
New Immunization Requirement: Law enacted by SB 277, beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.
New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment. Appeal may be submitted and mailed to the following address:
300 North Continental Boulevard, 290 A, MS 29-13
El Segundo, CA, 90245

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam Cohen	TELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

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: ST PETER'S BY THE SEA PRESBYTERIAN CHURCH	FACILITY NUMBER: 191600666
	VISIT DATE: 03/03/2020

NARRATIVE

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The licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Copies of the reports must also be provided to each parent when a serious deficiency, Type A, is cited (LIC9224).

The facility was found to be in compliance per Title 22 regulations,
There shall be NO Type A and B deficiencies cited today, 03/03/20.

A copy of this report along with a Notice of Site Visit were issued and explained to the licensee.

An exit interview was discussed and conducted with preschool director, Alexis White, including, but not limited to: Provider Rights, Appeal Procedures and Agency's Consultative Role.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam Cohen	TELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

LIC809 (FAS) - (06/04)

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