<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191606802
Report Date: 10/08/2024
Date Signed: 10/08/2024 05:00:29 PM


Document Has Been Signed on 10/08/2024 05:00 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:CHILD LANEFACILITY NUMBER:
191606802
ADMINISTRATOR:AOLELANI LUTUFACILITY TYPE:
850
ADDRESS:769 W. 3RD STREETTELEPHONE:
(310) 514-4999
CITY:SAN PEDROSTATE: CAZIP CODE:
90731
CAPACITY:62CENSUS: 40DATE:
10/08/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Aolelani LutuTIME COMPLETED:
05:15 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 10/08/2024 Licensing Program Analyst (LPA) Tyra Chavies, conducted an unannounced year Annual/ Required visit at Child Lane Preschool. LPAs met with Director, Aolelani Lutu and toured the facility indoors and outdoors. Days and hours of operation are Monday through Friday 7:00 AM to 5:45 PM. LPA Chavies confirmed the phone number is: (310) 514-4999. There were 40 children in care being supervised by 9 Staff members. PM snacks are provided by the center as well as breakfast and lunch.  There are no bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. All poisons are kept in a locked storage area. 

Indoor furniture and equipment are in good condition, free of sharp, loose and/or pointed parts. The facility floors, bathroom and classrooms meet Title 22 Health and Safety regulations. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. LPAs inspected and verified that there is a fire system connected throughout the facility. The facility does have a fire extinguisher which has an inspection date of Jan. 2023 on the premises. Facility has one or more functioning carbon monoxide detectors.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Tyra ChaviesTELEPHONE: 424-301-3204
LICENSING EVALUATOR SIGNATURE:
DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CHILD LANE
FACILITY NUMBER: 191606802
VISIT DATE: 10/08/2024
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
26
27
28
29
30
31
32
Drinking water is available both indoors and outdoors. Areas around climbing equipment have cushioning material to absorb falls.  All materials and surfaces accessible to children are toxic free. The facility is free of flies and insects.

CHILDREN'S RECORDS: LPA Chavies reviewed 6 children's files. All files are up to date and are in good condition

STAFF'S RECORDS: LPA Chavies reviewed 6 staff files. All staff records are update and in good condition.

The following were also discussed with the licensing:
  •  The licensee is to provide to parents/guardians accepting services and to new parents/guardians the following for 12 months: A copy of any licensing reports that document a Type A citation. The licensee shall post citation for 30 days and during daycare hours.
  • Individuals who are 18 years of age or older must obtain a criminal record clearance.  Individuals within one month of their 18th birthday must be fingerprinted immediately. Failure to obtain a criminal record background check clearances prior to initial presence in the facility will result in an immediate $500.00 dollar civil penalty and $100.00 more per day until licensee is in compliance
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Tyra ChaviesTELEPHONE: 424-301-3204
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CHILD LANE
FACILITY NUMBER: 191606802
VISIT DATE: 10/08/2024
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
26
27
28
29
30
31
32
  •  Commencing September 1st, 2016, prohibits a person from being employed or volunteering at a childcare facility or family day care if he or she has not been immunized against influenza, pertussis and measles.
  • New Immunization Requirement: Law enacted by SB 277, beginning January 1st, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into childcare or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.
  • New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment.
When regulations are approved/changed/updated, providers will be notified through Provider Information Notice (PIN). 

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, there are no deficiencies being cited.

An exit interview was conducted with Director, Aolelani Lutu.

A copy of this report was read and given to Director as well as LIC 9213 (Notice of Site Visit form.) LIC 9213 is required to be posted for 30 days.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Tyra ChaviesTELEPHONE: 424-301-3204
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3