191603494-12-9-2020-30-CC-LJCS-BW629E-20201209161147

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191603494
Report Date: 12/09/2020
Date Signed: 12/09/2020 04:12:32 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:	CHRIST LUTHERAN PRESCHOOL		FACILITY NUMBER:	191603494
ADMINISTRATOR:	RUSSO-BABAJKO, DEANNA		FACILITY TYPE:	850
ADDRESS:	28850 S. WESTERN AVENUE		TELEPHONE:	(310) 831-8008
CITY:	RANCHO PALOS VERDES	STATE: CA	ZIP CODE:	90275
CAPACITY:	53	CENSUS:	DATE:	12/09/2020
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Anna Maggio		TIME COMPLETED:	04:00 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 12/9/2020 at 3:00 PM, Licensing Program Analyst (LPA), Lillian Casillas conducted a virtual inspection with Anna Maggio, School Age Director, via FaceTime. The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children. Due to the COVID-19 State of Emergency, a Licensed Child Care Centers Emergency Waiver was granted on 12/9//2020 for the facility to care for 24 children, ages six (6) to twelve (12), within the current capacity of 53 children, ages two (2) to five (5), in two unlicensed classrooms in cohorts of twelve (12) children. Children will not commingle with other age groups. Children will participate in remote learning. Hours of operation are Monday through Friday, 8:00 AM through 4:00 PM. Fire Safety Clearance was issued on 11/19/2020. The facility will utilize the following classrooms for childcare: 110 and 207. Check-in will take place in Room 101 (conference room) that is accessed via the parking lot. Parents sign in and sign out their children in this room. Staff takes the children's temperatures upon arrival. If a child develops COVID-19 symptoms during the day, the child will rest in the upstairs office on a designated "sick bed" or in the nursery that is currently not used. The Department of Public Health will be contacted in regard to any COVID-19 illness. Children will bring their own lunch and eat at their desks. Children wash their hands before and after eating. Classroom 110 is large and divided into two (2) separate remote learning areas. One side is for students in fifth, sixth and seventh grade. LPA Casillas observed six (6) desks spaced six (6) feet apart. LPA Casillas observed three (3) desks spaced 6 feet apart on the other side that is for second and third grade students. [CONTINUE ON PAGE 2]

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J Casillas	TELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2020

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: CHRIST LUTHERAN PRESCHOOL	FACILITY NUMBER: 191603494
	VISIT DATE: 12/09/2020

NARRATIVE

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LPA Casillas observed a smoke detector and fire extinguisher in this room. An individual bathroom with one (1) toilet and one (1) sink is located in Room 110.

Classroom 207 is located on the second floor and is reserved for first grade students who will attend childcare after school ends at 12:30pm. This room is large and includes nine (9) desks, a smoke detector, and fire extinguisher.

The upstairs boys bathroom includes two (2) stalls, one (1) urinal, and two (2) sinks. The upstairs girls bathroom includes three (3) stalls and two (2) sinks. LPA Casillas observed hand washing posters in both bathrooms.

The outdoor play area includes a soccer field, swings, slide and more age-appropriate play equipment. Applicant stated play equipment is disinfected after each use.

LPA Casillas discussed the terms and conditions of the waiver. Facility will ensure compliance with all terms and conditions of the Temporary Waiver and will adhere to Public Health guidelines and directives.

To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility.

Please feel free to contact the El Segundo Child Care Office at (424) 301-3077

An exit interview was conducted on 12/9/2020 at 4:00 PM. A copy of this report was sent via email to Anna Maggio who agrees to reply to this email in lieu of a signature.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J Casillas	TELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2020

LIC809 (FAS) - (06/04)

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