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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870758
Report Date: 12/19/2019
Date Signed: 12/19/2019 12:33:36 PM

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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ONE HUNDRED SECOND STREET EARLY EDUCATION CENTERFACILITY NUMBER:
191870758
ADMINISTRATOR:TRACEY WASHINGTONFACILITY TYPE:
850
ADDRESS:1925 EAST 102ND STREETTELEPHONE:
(323) 569-8159
CITY:LOS ANGELESSTATE: CAZIP CODE:
90002
CAPACITY:112CENSUS: 34DATE:
12/19/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Yvette Monteilh, PrincipalTIME COMPLETED:
12:50 PM
NARRATIVE
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Licensing Program Analyst (LPA) Rita Ramos conducted an unannounced annual random inspection. LPA met with Yvette Monteilh, Principal, who guided analyst on a tour of the facility. This is a preschool program which consists of 3 classrooms; Room 1, Room 2, and Room 3. Facility operation hours are Monday through Friday from 7:00 AM to 5:30 PM. Upon entering the facility, LPA observed that there were parents present. Per staff and Principal the school was preparing for a holiday performance.

All areas identified on this report were inspected. Upon arrival, the following staff were present during this inspection: Room 1: Staff #1 and #2 with 7 preschoolers; Room 2: Staff #3, #4, #5, #6, #7, and #8 with 17 preschoolers; Room 3: Staff #9, #10, #11, and #12 with 10 preschoolers. The following was observed during the tour of the facility:

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Linens are washed weekly by a laundry service the school district provides. Napping equipment (cots) were observed in a separate storage closets. Per Principal, the isolation area is located by the front lobby, next to the office where a child's cot can be brought and placed if an ill child were to require to do so. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in Rooms 1 and 3, however, LPA did not observe any indoor drinking water in Room 2.


While inspecting Room 2 and Room 3, LPA observed that there were cans of shaving cream stored low. LPA advised the Principal to store the shaving cream in higher areas or in a manner that it is inaccessible to children in care due to the cans indicating a warning sign that reads: Keep Out of Reach to Children. Principal states that there are no poisons stored at the facility. -------Page 1 of 3
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2019
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 6
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ONE HUNDRED SECOND STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191870758
VISIT DATE: 12/19/2019
NARRATIVE
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All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids and solid waste bags were observed to be discarded after meals.

Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. When inspecting the outdoor surfaces, LPA observed that all areas around or under high climbing equipment, slides, and similar equipment are cushioned with blue rubber matting material that absorbs a fall, however, the blue rubber matting material has missing pieces, open sections, and holes (pictures were taken). Per Principal, trouble call was made in regards to the blue matting. LPA also observed that there was a large broken clear plastic bin surrounded by black trash bags and other wooden materials. Per Principal, the bags are full of sand. LPA advised that the items be removed or stored in an area that is not accessible to children in care. There is adequate shade in the play yard. Availability of outdoor drinking water was observed.

All individuals present have obtained a criminal record clearance or criminal record exemption as a condition of employment with the Los Angeles Unified School District. There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

Children’s Records were reviewed for completeness; Inspection of required forms was made. LPA issued the Children’s Record Review (LIC 857) to the Principal during this inspection. Upon reviewing children's files, LPA observed that Child #1 and Child #8 are missing a Physician's Report. Child #6 has an incomplete Physician's Report in their file.

LPA also issued the Review of Staff records (LIC 859) to the licensee during this inspection. The LIC 857 and the LIC 859 documents the staff and children’s files that were reviewed during this inspection. In review of staff files, Staff #7, #10, and #11 did not have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present did not have proof against measles, pertussis, and influenza.

Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in. When requesting a disaster drill log, Principal stated that there is no log available. Menus are posted one month in advance where it is visible by the child's authorized representative. ---Page 2 of 3

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2019
LIC809 (FAS) - (06/04)
Page: 2 of 6
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ONE HUNDRED SECOND STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191870758
VISIT DATE: 12/19/2019
NARRATIVE
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Menus for the past 30 days are available upon request. LPA observed that there was a lunch and breakfast menu, but did not observe a snack menu. All meals and snacks are provided by the Los Angeles Unified School District. While inspecting the menus, LPA further observed that the facility did not have all the required documents to be posted, posted. LPA advised the Principal in regards to having all forms posted where it is visible by a child authorized representative or parent.

First Aid supplies were observed in the classrooms in a backpack in each classroom. According to the Principal, medication is only administered to a child when accompanied with a doctor's note and is stored in a closet next to the office. In review of stored medication, LPA observed that Child #1 had expired medication. Due to parents being present at the facility for a performance, Parent of Child #1 was provided with the expired medication. LPA advised the Principal to ensure that all medication is dated, labeled, and stored where it is inaccessible to children in care.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

LPA advised the Principal to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. UPDATE: Parent’s Rights Poster (with complaint Hotline) was provided, to the licensee during this inspection. LPA advised licensee of the Mandated Reporter Child Care Training that became in effect January 1, 2018, and to maintain a copy of the certificate on file for each staff. LPA provided the following documents about SIDS: A Child Care Provider’s Guide to Safe Sleep from the American Academy of Pediatrics. LPA provided the Principal with a copy of the Effects of Lead Exposure form during the inspection.

The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22. 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. Exit interview was conducted with Yvette Monteilh, Principal, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role. -----------Page 3 of 3

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2019
LIC809 (FAS) - (06/04)
Page: 3 of 6
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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ONE HUNDRED SECOND STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191870758
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/09/2020
Section Cited

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Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion. Current proof of completion for each licensed child care provider
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or applicant for that license, administrator, and employee of a licensed child day care facility shall be submitted to the department upon inspection of the child day care or upon request by the department. This requirement is not met as evidenced by LPA observing that Staff #7, #10, and #11 do not have proof of the certificate on file. This poses a potential health and safety risk to children in care.
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Type B
01/16/2020
Section Cited

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Employees or volunteers at day care center; immunization requirements; records; exemptions

The day care center shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's
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personnel record that is maintained by the day care center. This requirement is not met as evidenced by LPA observing that staff present do not have immunization records on file. This poses a potential health and safety risk to children in care.
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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: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2019
LIC809 (FAS) - (06/04)
Page: 4 of 6
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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ONE HUNDRED SECOND STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191870758
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/09/2020
Section Cited

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Child's Records

Medical assessment, including ambulatory status as specified in Section 101220.

This requirement is not met as evidenced by LPA observing that Child #1 & 8 do not have a Physician's Report on file and Child #6's
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Physician's Report is incomplete. This poses a potential health and safety risk to children in care.
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Type B
01/09/2020
Section Cited

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Drinking Water

Drinking water from a noncontaminating fixture or container shall be readily available both indoors and in the outdoor activity area.

This requirement is not met as evidenced by LPA observing that there is not drinking
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faucet, no pitcher, no cups for indoor drinking water in Room 2. This poses a potential health and safety risk to children in care.
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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: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2019
LIC809 (FAS) - (06/04)
Page: 5 of 6
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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ONE HUNDRED SECOND STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191870758
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/09/2020
Section Cited

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Disaster and Mass Casualty Plan

The drills shall be documented. This documentation shall be kept in the child care center for at least one year.

This requirement is not met as evidenced by LPA not being provided with proof or
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documentation to show that the drills have been conducted. This poses a potential health and safety risk to children in care.
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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: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2019
LIC809 (FAS) - (06/04)
Page: 6 of 6