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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191806528
Report Date: 12/17/2019
Date Signed: 12/17/2019 04:58:20 PM

COMPREHENSIVE INSPECTION
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:CHILDREN'S HOSPITAL CHILD DEVELOPMENT CENTER (PS)FACILITY NUMBER:
191806528
ADMINISTRATOR:VERONICA MONTANO SANCHEZFACILITY TYPE:
850
ADDRESS:4601 SUNSET BOULEVARDTELEPHONE:
(323) 361-4601
CITY:LOS ANGELESSTATE: CAZIP CODE:
90027
CAPACITY:89CENSUS: 63DATE:
12/17/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Laura HernandezTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Janeth Chavez conducted an unannounced Annual Required inspection. LPA met with designated facility Director, Laura Hernandez, who guided LPA on a tour of the facility indoors and outdoors. This facility operates Monday-Friday from 6:30am-8:00pm. This facility has 71 preschoolers and 18 toddlers. This facility has a capacity of 89 children. There are 63 children present and 11 staff in the playground. Teacher-child ratio is met. There is also an infant center on site with license # 191806530. All adults present have obtained a criminal record clearance or exemption on file. Per the Director there are 63 children enrolled.

All areas used by the children were inspected. This program consists of 5 classrooms: Toddler 1, Toddler 2, Preschool 1, Preschool 2 and Pre-K. Upon arrival, LPA observed 12 toddlers with 5 staff in the toddler playground; 51 preschoolers with 7 staff in the preschoolers’ playground. Please note that all playgrounds are physically separate by a fence from the toddler’s playground. Teacher-child ratios were observed to be in accordance with Title 22 regulations. Staff names were recorded. All children were observed to be under visual supervision of a teacher at all times.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. The floors in each classroom were observed to be clean. Napping equipment was inspected for good condition, appropriate storage and cleanliness. The children sleep in mats in their designated rooms. Sufficient storage for children's belongings were observed. As per Director, the office is used as an isolation area.

Toys were observed to be clean. Director stated that the facility provides breakfast, hot lunch, AM & PM snacks, and a dinner snack for the children enrolled in the program. LPA observed the toilets and sinks in operable condition, clean and sanitary in each classroom. Snack and lunch menus were observed to be posted. LPA observed indoor drinking water available via water jugs in each classroom. LPA also observed outdoor drinking water via water jugs and Dixie cups available for children to drink freely as they wish. 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.

REPORT CONTINUES ON NEXT PAGE
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3417
LICENSING EVALUATOR NAME: Janeth ChavezTELEPHONE: (323) 981-3376
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CHILDREN'S HOSPITAL CHILD DEVELOPMENT CENTER (PS)
FACILITY NUMBER: 191806528
VISIT DATE: 12/17/2019
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Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. The licensee takes measures to keep the facility free of flies, other insects and rodents. LPA observed the outdoor play equipment to be in good condition, free of sharp, lose or pointed parts. LPA observed the playground cushioned with rubber to absorb a fall. LPA did not observe any bodies of water or weapons in the facility. The Director stated there are no bodies of water or weapons in the facility.

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. All children were observed to be signed in. Staff records were reviewed to ensure they are complete. Staff present have the Acknowledgement to Report Child Abuse (LIC 9108) form on file. Staff present have proof of the required infant/toddler units on file. A random sample of Children’s Records were reviewed to ensure that they are complete. Criminal Record Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed. Staff present has proof of AB1207 Mandated Child Abuse Reporting and have met SB792 Immunization requirement and is on file.



Incidental Medical Services (IMS) policy was discussed. Per Director, there are currently no children on medication. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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.

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 licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

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.



Exit interview was conducted with Director, Laura Hernandez. Appeal Rights and Procedures explained and provided.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3417
LICENSING EVALUATOR NAME: Janeth ChavezTELEPHONE: (323) 981-3376
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019
LIC809 (FAS) - (06/04)
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