191602339-3-2-2020-30-CC-HESA-BMBQ75-20200302105433

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191602339
Report Date: 03/02/2020
Date Signed: 03/02/2020 10:54:41 AM

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:	WESTCHESTER LUTHERAN NURSERY SCHOOL		FACILITY NUMBER:	191602339
ADMINISTRATOR:	NUNEZ, BEVERLY		FACILITY TYPE:	850
ADDRESS:	7833 S. SEPULVEDA BLVD.		TELEPHONE:	(310) 670-6093
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90045
CAPACITY:	112	CENSUS: 29	DATE:	03/02/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:10 AM
MET WITH:	Beverly Nunez - Director		TIME COMPLETED:	11:10 AM

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 3/2/2020, Licensing Program Analyst (LPA) Helen Estrella conducted an unannounced visit to the center for the purpose of a 1-year required inspection. LPA met with Director Beverly Nunez and informed the nature of the inspection. LPA was guided on a tour of the facility (inside and outside). The facility consists of 4 classrooms and 4 outdoor play yards. The following teacher to child ratio was observed: Fish classroom: 8 children being supervised by 1 staff; Lambs classrooms: 6 children being supervised by 2 staff; Butterfly classroom: 7 children being supervised by 1 staff; Doves classroom: 8 children being supervised by 2 staff. LPA confirmed with the Director that appropriate teacher to child ratios are met. LPA inspected the following during today's inspection: Sign in/out sheets are in each classroom and match physical census of children during the inspection. There are equipped first aid kits fully charged 2A10BC fire extinguishers in each classroom. Pitchers of drinking water was observed available (inside and outside). Furniture & equipment age appropriate & in good repair. Heating, lighting, ventilation appears adequate. Isolation area for ill children is in Director's office. Toilets and sinks observe to work, are age appropriate and clean. There are sufficient sanitary supplies available. Menu observed in each classroom. Required food groups served. Food preparation area is inaccessible to children and adequate amount of snacks observed. Director states parents provide lunch or have an option to order a hot lunch. The facility provides AM/PM snacks. Cots are available for each child and in good repair. Bedding is stored separately. Storage cubbies available for each child in care. Licensing required posting observed. Facility appears safe, sanitary and in good repair. Disinfectants, toxins and other items that may pose a hazard to children in care are inaccessible to children. Allergy list poses in each class. Medication observed and labeled appropriately. At least one staff has current Pediatric/CPR first aid valid through 08/2020. Last fire drill conducted on 2/12/2020. Children's records were reviewed and appeared complete with required licensing forms. (Page 1)

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Helen Estrella	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2020

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: WESTCHESTER LUTHERAN NURSERY SCHOOL	FACILITY NUMBER: 191602339
	VISIT DATE: 03/02/2020

NARRATIVE

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Physical plant and playground inspected. Climbing structures, slides are securely anchored and free of hazards. Shaded rest areas are provided. Each playground observed sand provided as cushioning material. LPA observe sand free of hazardous materials and excess of leaves from trees. Director states each play yard is raked to remove excess of leaves and play equipment is washed down. There are no bodies of water present at the facility.

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.

The following was discussed with the Director:

All adults employed at the facility shall be fingerprinted and cleared prior to entering the facility. The licensee was informed that the presence of adults in the facility without Criminal Record Clearance or Exemption will be cited and civil penalty assessed for $100 per day. The licensee may find additional information and forms on the DSS website at www.ccld.ca.gov including information on the Live Scan application (LIC 9163). Appointments can be made for Live Scan at 1-800-315-4507.

Director was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects 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

(Page 2)

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Helen Estrella	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2020

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WESTCHESTER LUTHERAN NURSERY SCHOOL	FACILITY NUMBER: 191602339
	VISIT DATE: 03/02/2020

NARRATIVE

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The Director was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot line at 1-800-540-4000.

Mandated Reporter: Beginning on January 1, 2018, AB 1207, 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. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/.

Unusual Incident/Injury Reports: Director was made aware to report all Unusual Incident/Injury Reports within 24 hours from the occurrence via phone and follow up with a written report Unusual Incident/Injury Report (LIC 624B) within 7 business days.

Lead Bill - Health & Safety Code 1596.7996. Director was made aware of AB 2370, requiring a licensed child day care center located in a building constructed before January 1, 2010, to have its drinking water tested for lead contamination and to let parents or legal guardians of children enrolled about the requirement to test and result of the tests.

The facility is operating within substantial compliance during today's inspection. A copy of this report was provided and exit interview conducted.

(Page 3)

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Helen Estrella	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2020

LIC809 (FAS) - (06/04)

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