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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191602644
Report Date: 01/31/2020
Date Signed: 01/31/2020 03:06:32 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:SECOND MT. NEBO DAY CARE CENTERFACILITY NUMBER:
191602644
ADMINISTRATOR:WATSON, VICKIFACILITY TYPE:
850
ADDRESS:11118 YUKON AVE.TELEPHONE:
(310) 674-6980
CITY:INGLEWOODSTATE: CAZIP CODE:
90303
CAPACITY:40CENSUS: 15DATE:
01/31/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:11 AM
MET WITH:DirectorTIME COMPLETED:
03:12 PM
NARRATIVE
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On 1/31/2020 Licensing Program Analyst (LPA) Jillinda Chandler made an unannounced visit to the Second Mt. Nebo Day Care Center for the purpose of conducting an Annual Random inspection. LPA met with director Vicki Watson and a tour of the center was conducted. Upon arrival LPA observed Ms. Watson with 14 children and no assistant. Children were having free play upon arrival.
  • Care and supervision were observed, children were observed having free play in the common area of the center under the supervision of the director
  • The center capacity was within the scope of the license, 14 children were present upon arrival and one additional child arrived during the visit for a total of 15 children.
  • Ratio standards were not met upon LPA's arrival, LPA observed 1 teacher (director) and 14 children
  • Fire extinguishers were present.
  • Carbon and smoke detector were not present.
  • Detergents, and knives were inaccessible, Toxins were locked and inaccessible.
  • LPA observed 3 rest rooms; 6 toilets and 5 sinks. LPA observed 2 toilets were not in operable condition. Sinks dispensed hot and cold water, hot water temperature was hot to the touch, temperature needs adjusting.
  • No guns or weapons present as stated by the Licensee, no weapons observed by LPA.
  • Properly working telephone
  • License, facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights Poster and California Safety Seat Law are posted. Parent board is in need of updates and to be placed in a common area for parents viewing
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
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: SECOND MT. NEBO DAY CARE CENTER
FACILITY NUMBER: 191602644
VISIT DATE: 01/31/2020
NARRATIVE
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  • Mandated Reporter Training Certificate was observed for director, certificate expires 4/2/2020
  • At least one person present was current in Pediatric CPR and First Aid Card expires 9/18/2021(copy on file)
  • No bodies of water on the premises
  • Random children records reviewed, various files were missing required documents.
  • Toys, equipment and materials available and in good repair
  • Age appropriate furniture and equipment were observed. Wooden tables were in need of repair
  • The facility has central heating and cooling. The temperature gauge read 66 degrees during today visit, the temperature was comfortable for weather conditions.
  • First aid kit was observed, kit shall be updated to include the required essentials; tweezers and scissors.
  • Children's roster was provided and updated during visit
  • Sign in sheet was observed; parents and guardians used their original signatures when signing children in.
  • The out door play area was fully gated, The parking lot is used for out door activity (no waiver on ). file) Cushioning was observed under climbing structure.
  • Napping equipment was observed, children use mats and personal bedding for napping. Equipment was properly stored in separate storage bags.

Other observations:

LPA observed chipping paint and peeling panel
Doors leading directly to the street and the off limits area of the facility shall ensure inaccessibility to children
Storage area shall be locked or made inaccessible to children including stage
Baby bouncers and walkers were observed in the facilities office.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: SECOND MT. NEBO DAY CARE CENTER
FACILITY NUMBER: 191602644
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/31/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/01/2020
Section Cited

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(6) Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative and the department. Copies of the menus as served shall be dated and kept on file for at least 30 days.... This standard was not met as evidence by; LPA did not observe posted
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Menus and menus were not readily available for review. LPA observed cereals high in sugar content and per director cookies are served to chidren.This is a potential health risk and a type B citation was issued.
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Type B
02/03/2020
Section Cited

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(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, ... This standard was not met as evidence by; LPA observed the director supervising 14 children without an assistant. This is a potential hazard and a type B citation was issued
Type B
02/03/2020
Section Cited

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Every licensed child day care center shall have one or more carbon monoxide detectors in the facility... This standard was not met as evidence by LPA did not observe the presence of a carbon monoxide device, per director there is not one present. This is a potential risk and a type B citation was issued
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: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2020
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: SECOND MT. NEBO DAY CARE CENTER
FACILITY NUMBER: 191602644
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/31/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/31/2020
Section Cited

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(4) All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition... This standard was not met as evidence by; LPA observed 2 non operable toilets in the girls restroom located in the common meeting area...This is a potential health risk. Atype B citation was issued
Type B
02/07/2020
Section Cited

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(n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts. This standard was not met as evidence by; LPA observed two wooden tables used for serving meal with jagged edges. Also paneling on the wall was peeling causing a for potential splintering
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This is a potential safety hazard and a type citation was issued.
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Type B
01/31/2020
Section Cited

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(1) A baby walker shall not be allowed on the premises of a child care center ...This standard was not met as evidence; LPA observed a baby walker and a boucer in the directors office. This is a potential safety risk and a typy B citation was issued
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: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2020
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: SECOND MT. NEBO DAY CARE CENTER
FACILITY NUMBER: 191602644
VISIT DATE: 01/31/2020
NARRATIVE
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Licensee was made aware that state law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category. Licensee was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family child care home during the hours of operation.
.Applicant was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and to never shake a baby to prevent the Shaken Baby Syndrome.
Applicant was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation.
The "Notification of Parent's Rights" (PUB394) was discussed with the licensee and the licensee was advised that it must be posted in an area of the home accessible to parents.
Licensee 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
Also, discussed was; Commencing September 1, 2016, SB 792, 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. Exemption were also discussed
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. Website: www.mandatedreporterca.com
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing 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)/ (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
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
LIC809 (FAS) - (06/04)
Page: 5 of 5