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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600754
Report Date: 04/06/2022
Date Signed: 04/06/2022 12:11:17 PM

Document Has Been Signed on 04/06/2022 12:11 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:WESTWOOD HILLS PRESCHOOLFACILITY NUMBER:
191600754
ADMINISTRATOR:TRACY SCHATZFACILITY TYPE:
850
ADDRESS:1989 WESTWOOD BOULEVARDTELEPHONE:
(310) 474-7398
CITY:LOS ANGELESSTATE: CAZIP CODE:
90025
CAPACITY: 77TOTAL ENROLLED CHILDREN: 74CENSUS: 71DATE:
04/06/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Anita Porter, Business Associate - Designated PersonTIME COMPLETED:
12:15 PM
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On 04/06/2022 at 09:45 am, Licensing Program Analyst (LPA) Denise Miranda conducted an unannounced Case Management – COVID-19 inspection for the purpose of following up on 4 Unusual Incident Reports (UIR) submitted on 01/06/2022, 01/11/2022, 01/14/2022, and 01/18/2022. LPA Miranda met with the Designated Person Ms. Anita Porter, who toured LPA through the inside and outside of the facility. LPA observed 71 children in care with 17staff and Ms. Porter. Staff present were observed to have their criminal record clearances. Per Ms. Porter Director was not present today.

According to the UIR, on 01/06/2022 -1 staff was reported as testing positive for COVID-19.

According to the UIR, on 01/11/2022 – 1 child were reported as testing positive for COVID-19.

According to the UIR, 01/14/2022 – 1 child was reported as testing positive for COVID-19.

According to the UIR, 01/18/2022 – 1 staff member was reported as testing positive for COVID-19.

Ms. Porter, stated all of the children and staff who were reported positive COVID -19 have all isolated and have since all returned to the facility. LPA Miranda observed the 2 staff and the 2 children who were reported with positive COVID to be present during visit.

During visit LPA Miranda observed the children in classrooms and outdoors. LPA observed children’s in classroom using masks and additional mask in cubbies, staff wearing masks, soap and paper towels were observed to be available at all handwashing sinks and hand sanitizer available in each room. LPA observed children’s playing at the outdoor space. All staff were using mask.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Denise Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/06/2022
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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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: WESTWOOD HILLS PRESCHOOL
FACILITY NUMBER: 191600754
VISIT DATE: 04/06/2022
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LPA Miranda observed COVID-19 sign throughout the facility for mask wearing, washing hands, and stay safe 6 feet apart. At the front entrance LPA Miranda observed signs advising, “you may not enter without wearing a mask, even you are fully vaccinate. Sign for Covid-19 when to seek care and not enter the campus without authorization. Per Ms. Porter, no Visitors allowed Due to COVID-19.

LPA Miranda observed facility supply of PPE COVID supplies as gloves, hand sanitizing wipes, liquid hand sanitizer, cleaning wipes, children mask, adult masks, and thermometers.

LPA Miranda discussed with Ms. Porter current COVID-19 resources and guidance.

No deficiencies are cited, per Title 22, Division 12, Chapter 3, of the California Code of Regulations.

An exit interview was conducted and a copy of this report (LIC 809) and Notice of Site Visit were provided to Business Associate, Ms. Anita Porter.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Denise Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022
LIC809 (FAS) - (06/04)
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