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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870890
Report Date: 01/07/2020
Date Signed: 01/07/2020 01:30:54 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:NINETY SEVENTH STREET EARLY EDUCATION CENTERFACILITY NUMBER:
191870890
ADMINISTRATOR:CELESTINE PEARMANFACILITY TYPE:
850
ADDRESS:430 WEST COLDEN AVENUETELEPHONE:
(323) 777-1233
CITY:LOS ANGELESSTATE: CAZIP CODE:
90003
CAPACITY:114CENSUS: 30DATE:
01/07/2020
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Lynette Lee, TeacherTIME COMPLETED:
01:40 PM
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Licensing Program Analysts (LPAs) Rita Ramos and Jennifer Anguiano conducted an unannounced 3 year required inspection to the above facility. Upon arrival, LPAs were informed that neither the Principal or Head Teacher were available to tour the facility with LPAs. The next designated Teacher, Lynette Lee, was not able to tour with LPAs due to teacher-child ratios that the facility needed to maintain. This is a preschool program which consists of 3 classrooms; Room 1, Room 2, and Room 3. LPAs toured Room 1 with Staff # 1, Room 2 was toured with Staff #3, and Room 3 was toured with Staff #5. Facility operation hours are Monday to Friday from 7:00 AM to 5:30 PM.

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 10 preschoolers; Room 2: Staff #3 and #4 with 16 preschoolers; and Room 3: Staff #5 and #6 with 4 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 district contracts. Napping equipment (cots) were observed in storage closets. LPAs advised Staff #3 to make sure that the sheets and blankets are not coming into contact with one another. The isolation area is located in the office. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms, however, upon inspecting Room 3, LPAs observed that one of the toilet stalls has a sign that reads, "Out of Order," Staff could not recall how long the toilet has been broken. General sanitation was observed. Availability of indoor drinking water was observed in classrooms.


Disinfectants, cleaning solutions, and other items that are dangerous to children, were observed to be accessible to children in Room 3 (pictures were taken). LPAs observed that there were 2 open Ajax cleaners under the unlocked sink cabinet. LPAs further observed 3 containers of disinfecting cleaning wipes (pictures were taken) in unlocked closets stored low. ---------------Page 1 of 4
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2020
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 7
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: NINETY SEVENTH STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191870890
VISIT DATE: 01/07/2020
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Disinfectants, cleaning solutions, and other items that are dangerous to children were also observed to accessible via the hallway directly outside of Rooms 1 and 2 due to the "Janitor's Room" being unlocked (pictures were taken). The "Janitor's Room" has a second sign on the door that reads "Danger." Upon walking down the hallway, LPAs further observed that the door that leads to the roof that reads "Roof Access" was also unlocked (pictures were taken). LPAs opened the "Roof Access" door with ease and observed that it leads directly to stairs to the roof. LPAs informed the Office Manager in regards to the door leading to the roof and the Janitor's Closet being unlocked and advised that they be locked at all times when children are in care. The "Roof Access" door was not locked until after 10AM. LPA Ramos had to ask the custodian if they could lock the door that leads to the roof.

LPAs asked the Office Manager to accompany LPAs to tour the kitchen area and outdoor area. LPAs observed that the 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 or solid waste bags shall be discarded immediately after each meal.

When inspecting the outdoor playground equipment LPAs observed that there are 4 bicycles with missing handle bars (pictures were taken). In addition, there is a door that was unlocked that leads directly to the staff parking lot (pictures were taken). All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. 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 and documented on the LIC 857. LPAs observed that Child #3 and #9 do not have a Physician's Report on file. LPAs also reviewed staff records. The review of Staff records was documented on the LIC 859. Staff present did have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present did not have proof against measles, pertussis, and influenza. ---------Page 2 of 4

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

DATE: 01/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2020
LIC809 (FAS) - (06/04)
Page: 2 of 7
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: NINETY SEVENTH STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191870890
VISIT DATE: 01/07/2020
NARRATIVE
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Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in. Disaster drill log was available, last drill was conducted on 10/17/19.

Menus are posted one month in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. Snacks were reviewed for availability, quantity and appropriateness to children in care. All meals and snacks are provided by the Los Angeles Unified School District.

First Aid supplies were observed in the classrooms in first-aid kits and stored in storage closets. The Office Manager directed LPAs to the location of where medications are stored (staff lounge). LPAs observed that all the medications were accompanied with a doctor's note. In review of the medications, LPAs observed that the facility had 4 expired medications from 4 different children. Three of the four medications are for children who are no longer enrolled at the facility. Child #1 is still attending and was present during the inspection and had expired medication. The Office Manager called the parent of Child #1 in an attempt to have the medication replenished and parent stated that the child no longer requires the medication. The Office Manager asked the parent of Child #1 to sign a form that child no longer requires the medication upon picking -up their child.

This facility provides Incidental Medical Services – IMS. LPAs 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

LPAs advised the Teacher to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. LPAs also provided 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. -------------Page 3 of 4

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

DATE: 01/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2020
LIC809 (FAS) - (06/04)
Page: 3 of 7
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: NINETY SEVENTH STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191870890
VISIT DATE: 01/07/2020
NARRATIVE
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A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Teacher Lynette Lee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.

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 Lynette Lee, Teacher, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

---------------Page 4 of 4

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

DATE: 01/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2020
LIC809 (FAS) - (06/04)
Page: 4 of 7
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: NINETY SEVENTH STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191870890
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/07/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/08/2020
Section Cited

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Buildings and Grounds

Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced
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by LPAs observing that the "Janitor's Room" was unlocked and there were disinfectant cleaning wipes and Ajax cleaners in unlocked and accessible areas in Room 3. This poses an immediate health and safety risk to children in care.
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Type A
01/08/2020
Section Cited

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Buildings and Grounds

The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirment is not met as evidenced by
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LPAs observing that the door that leads to the roof and is labeled "Roof Access" was unlocked while children were in care. In addition, the door that leads to the staff parking lot was also unlocked and it is accessible to chidlren via the palygorund. This poses an immediate 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: 01/07/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/07/2020
LIC809 (FAS) - (06/04)
Page: 5 of 7
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: NINETY SEVENTH STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191870890
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/07/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/22/2020
Section Cited

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Fixtures, Furniture, Equipment and Supplies

All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition.

This requirement is not met as evidenced by
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LPAs observing that the restroom in Room 3 is not operable and has a sign that reads, "Out of Order," this poses a potential health and safety risk to children in care.
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Type B
01/22/2020
Section Cited

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Health-Related Services

When no longer needed by the child, or when the child withdraws from the center, all medications shall be returned to the child's authorized representative or disposed of after an attempt to reach the authorized representative.
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This requirement is not met as evidenced by LPAs observing that the facility had 4 expired medications in which 3 are for children no longer enrolled and Child #1 no longer requires the medication. 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: 01/07/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/07/2020
LIC809 (FAS) - (06/04)
Page: 6 of 7
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: NINETY SEVENTH STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191870890
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/07/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/22/2020
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 record
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that is maintained by the day care center.

This requirement is not met as evidenced by LPAs observing that the facility does not have immunization records for Staff #1, #2, #3, and #5. 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: 01/07/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/07/2020
LIC809 (FAS) - (06/04)
Page: 7 of 7