191603677-11-22-2019-30-CC-SPOL-BJ6S62-20191122123513

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191603677
Report Date: 11/22/2019
Date Signed: 11/22/2019 12:35:22 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:	HOLY TRINITY LUTHERAN CHILD CARE CENTER		FACILITY NUMBER:	191603677
ADMINISTRATOR:	PRINCESS FOSTER		FACILITY TYPE:	850
ADDRESS:	9300 CRENSHAW BLVD		TELEPHONE:	(323) 757-4850
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90305
CAPACITY:	85	CENSUS: 41	DATE:	11/22/2019
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	08:49 AM
MET WITH:	Andrea Penn, Director		TIME COMPLETED:	12:50 PM

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Licensing Program Analyst (LPA) Shandra Powell conducted an unannounced annual required inspection. LPA met with Andrea Penn, Director, who guided analyst on a tour of the facility. This is a preschool program with a Toddler Option Component which consists of 5 classrooms; The 2's Room,3's Room, The Older 3's and 4's Room and the Toddler Room. Facility operation hours are Monday to Friday from 7:00 AM to 6:00 PM.

All areas identified on the report were inspected. Upon arrival, LPA observed 23 preschooler 3 teachers and 10 toddlers with 2 teachers in the auditorium/cafeteria area. Teacher child ratios were observed to be in accordance with Title 22 regulations. The Licensee is within the conditions, limitations, and capacity specified on the license. Staff names were recorded. All children were observed to be under visual supervision of a teacher at all times.

Furniture and equipment was inspected for good repair, free of sharp, loose, or pointed parts. All indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. All toilets and hand washing facilities are in safe and sanitary operating conditions. First Aid supplies were observed in each classroom. According to the Director, medication is only administered to a child when accompanied with a doctor's note and is stored in the Director office in a locked cabinet. At this time, the office is used as an isolation area.

All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

Children's roster was reviewed LPA advised Director to complete all physician name, address and phone number on the roster. Disaster drill log was available, last drill was conducted on 10/15/19.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

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: HOLY TRINITY LUTHERAN CHILD CARE CENTER	FACILITY NUMBER: 191603677
	VISIT DATE: 11/22/2019

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Breakfast, Lunch and Snack menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. The facility provides Breakfast, Lunch and AM snack. Children can bring their own lunches. All kitchen, food preparation, and storage areas are clean, free of litter, rubbish, and rodents/vermin. There is a drinking water fountain in the cafeteria area and water and cups are available in all indoor classrooms LPA observed water jugs. All storage containers for solid waste, including moveable bins, have tight fitting covers on and are in good repair. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are stored in an area inaccessible to children. Facility has one or more functioning smoke and carbon monoxide detectors that meet statutory requirements.

The licensee takes measures to keep the facility free of flies, other insects and rodents by having facility exterminated at least once a month.

Outdoor play equipment was observed to be in good condition, free of sharp, loose or pointed parts. LPA observed one gate unlocked that leads to the outside of the facility near a busy street on the side of the facility. LPA advised Director to double lock gate with key and not to just use turn lock on door handle. Children are tall enough to turn the handle and unlock and open gate. Director locked gate with key during inspection. LPA did not observe any bodies of water during this visit.

There is adequate shade in the play yard. Availability of outdoor drinking water was observed. Areas around and/or under climbing equipment and slides have cushioning material to absorb a fall. Director states there are no weapons or firearms on the premises.

Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. LPA observed 46 children present and 46 children signed in. . Staff Records were reviewed to ensure that a health screening report is on file. Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. Criminal Records Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

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: HOLY TRINITY LUTHERAN CHILD CARE CENTER	FACILITY NUMBER: 191603677
	VISIT DATE: 11/22/2019

NARRATIVE

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Children’s Records were reviewed for completeness; Inspection of required forms was made. LPA issued the Children’s Record Review (LIC 857). In review of children’s records, files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

LPA also issued the Review of Staff records (LIC 859) In review of staff records, LPA observed that Staff #2 and Staff #3 do not have record of all immunization's on file. SB792 Immunization Requirements for Staff and Employees was discussed.

REMINDER: Failure to obtain a criminal record background check clearances prior to initial presence in the facility will result in an immediate $100.00 dollar or more per day Civil Penalty.

LPA advised the Director of the importance of Safe Sleep Practices. According to the American Academy of Pediatrics (AAP) more than 3,500 babies in the U.S. perish suddenly and unexpectedly every year while sleeping, often due to Sudden Infant Death Syndrome (SIDS). Director and Staff were given a copy of “A Child Care Provider’s Guide to Safe Sleep” pamphlet during the visit. For more information on Safe Sleep Practices please visit http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep.

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 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

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

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: HOLY TRINITY LUTHERAN CHILD CARE CENTER	FACILITY NUMBER: 191603677
	VISIT DATE: 11/22/2019

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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. Website: www.mandatedreporterca.com

Update on Incidental Medical Services: Facilities that provide Incidental Medical Services (IMS) must identify those services in their facility’s Plan of Operation and submit an updated Plan of Operation 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
Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag.

Licensee was reminded it is the licensee’s responsibility to know the regulations as well as anyone who assists in providing care. Licensee was also advised on how to log into the Child Care website at www.ccld.ca.gov and sign up to receive Quarterly Updates and Provider Information Notices (PINS) by entering their personal email to receive Important Updates.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

An exit interview was conducted with Andrea Penn. A copy of this report along with a Notice of Site Visit issued. The facility was made aware that all other Licensing Reports must be made available to the public for 3 years.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

LIC809 (FAS) - (06/04)

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