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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870883
Report Date: 04/24/2023
Date Signed: 04/24/2023 02:27:31 PM


Document Has Been Signed on 04/24/2023 02:27 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:MILES AVENUE EARLY EDUCATION CENTERFACILITY NUMBER:
191870883
ADMINISTRATOR:CHRISTINA PARKFACILITY TYPE:
850
ADDRESS:2855 SATURN AVE.TELEPHONE:
(323) 581-2410
CITY:HUNTINGTON PARKSTATE: CAZIP CODE:
90255
CAPACITY:164CENSUS: 75DATE:
04/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Christiana Park, Facility RepresentativeTIME COMPLETED:
02:45 PM
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Licensing Program Analyst (LPAs) Denise Gibbs and Rosaura Valenzuela conducted an unannounced annual required inspection at the above facility on 4/24/23 at 12:00 PM. LPAs met with Christiana Park, Facility Representative (FR) who guided analysts on a tour of the facility.

This is a preschool program that operates Monday-Friday from 6:45 AM - 5:15 PM.

There were 75 children and 16 staff present when LPA arrived. Facility is in compliance with license capacity and Title Five ratio guidelines. 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.

LPAs toured Classrooms #1A/B, 2A/B, 3PCC/Gen Ed, 4, and 5. Rooms 4 and 5 are located in a detached building. All classrooms had furniture in good condition, free of loose, sharp and/or pointed parts. One carpet in Room #1 and one carpet in Room#4 were observed to have dark spots on sections of the carpets. Per FR the carpets were just deep cleaned two weeks ago and they are cleaned once a year. FR also stated she has purchased new carpets. Carpets were observed to be flat on the ground to avoid tripping hazards. Water is made readily available via operable water fountains in each classroom and water bottles brought from home by children. Per FR, There are currently children with medication and ointments. Children's medication is stored in the first aid cabinet in the main office, inaccessible to children. Children have cubbies to store personal belongings separate from each other. LPAs observed napping cots to be stored in a closet in each classroom. LPAs also observed individual bedding bags designated for each child. Bedding is provided by facility and washed weekly by laundry service every Tuesday. There is extra bedding on hand to change as needed. Facility has completed required water lead testing with no Action Level Exceedance (ALE) found. LPAs observed posted results visible to parents.

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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 04/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/24/2023
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 5


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: MILES AVENUE EARLY EDUCATION CENTER
FACILITY NUMBER: 191870883
VISIT DATE: 04/24/2023
NARRATIVE
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LPAs toured the children’s restrooms. Restrooms for rooms #1 and #2 are located right outside of their classroom. Restroom's for Room#3 are located inside the classroom. Room's 4 and 5 share a restroom that combines their classrooms. Restrooms were observed to be safe and sanitary with operable sinks and toilets.

LPAs toured outdoor play area. Outdoor area was observed to have age appropriate toys and material for children, free of loose, sharp, and/or pointed parts. LPA observed required cushioning under climbing structures to absorb a fall. Shade was observed throughout the outdoor area. Water is readily available via operable water fountains. Water bottles are also taken outdoor for children.

LPAs reviewed Sign In/Out sheets located in each classroom. All children present were signed in with date, time and full signature of the child's guardian receives the child.

LPAs reviewed required posted documentation in the main entrance hallway and on the outside parent board, which included, Facility License, Publication (PUB) 393- Notification of Parent Rights, Licensing Form (LIC) 610- Facility Disaster Plan, PUB 269- Child Passenger Restraint System, LIC 613A- Notification of Personal Rights and Lunch/Snack Menu. All items were observed.

Facility records were reviewed for LIC 9040- Facility Roster, 9148- Earthquake Preparedness form, Daily schedules and Disaster drill log, last drill conducted on 4/12/23. All items were observed.

LPAs toured the kitchen on site. Facility provides breakfast, lunch and snack. Food is not cooked at the facility. Prepackaged food is brought from the neighboring, elementary school. Food is not stored in the kitchen. Extra food is taken back to elementary school. Kitchen was observed to be clean, free of litter, insects and rodents. Trash cans for solid waste have tight fitting lids. Cleaning supplies are stored separate from the food. LPAs observed external carbon monoxide detector located in Room#2. Carbon Monoxide detector was tested and is operable.

Children’s records were reviewed for Emergency Card, Immunization Records, Licensing Form (LIC) 627- Consent for Medical Treatment, LIC 995 Notification of Parents’ Rights, LIC 701- Physician’s Report, LIC 613A- Personal Rights, Signed consent for medication, medication expiration dates, and signed Admissions Agreement. All documents were complete. -------------------PAGE 2
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2023
LIC809 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: MILES AVENUE EARLY EDUCATION CENTER
FACILITY NUMBER: 191870883
VISIT DATE: 04/24/2023
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Staff records were reviewed for approved Pediatric First Aid and CPR certification, LIC 9052- Employee Rights, Proof of immunization against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse, Transcripts or Permit and current Mandated Reporter Training Certificate. All documents were observed.

During inspection all children were observed to be treated with dignity and respect, they were observed to be receiving safe, healthful and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment.

Incidental Medical Services (IMS):
This facility provides Incidental Medical Services- IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personal, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted, appeal rights provided and report was reviewed with the Principal Christiana Park.


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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2023
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 04/24/2023 02:27 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: MILES AVENUE EARLY EDUCATION CENTER
FACILITY NUMBER: 191870883

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.3(b)
Indoor Activity Space
(b) The floors of all rooms shall have a surface that is safe and clean.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above. Two carpets were observed to be unsanitary, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/24/2023
Plan of Correction
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Per FR, she has ordered two new carpets from Lakeshore and they will be at the facility soon. FR will take a picture of new carpets and email it to LPA by POC date, 5/24/23.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 04/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/24/2023
LIC809 (FAS) - (06/04)
Page: 5 of 5