191870920-5-1-2023-54-CC-DGIS-CRESZL-20230501141920

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191870920
Report Date: 05/01/2023
Date Signed: 05/01/2023 02:19:37 PM

Document Has Been Signed on 05/01/2023 02:19 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:	THIRTY SIXTH STREET EARLY EDUCATION CENTER		FACILITY NUMBER:	191870920
ADMINISTRATOR:	VERONICA MURPHY		FACILITY TYPE:	850
ADDRESS:	3556 SOUTH ST. ANDREWS PLACE		TELEPHONE:	(323) 734-3644
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90018
CAPACITY:	116	CENSUS: 53	DATE:	05/01/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Rosa Preston, Facility Representative		TIME COMPLETED:	02:30 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	Licensing Program Analysts (LPAs) Denise Gibbs and Rosaura Valenzuela conducted an unannounced annual required inspection at the above facility on 5/1/23 at 11:30 AM. LPA met with Rosa Preston, Facility Representative, who guided analysts on a tour of the facility. This is a preschool program that operates Monday-Friday from 7:00AM - 5:30PM. There were 33children and 13 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. Facility has three classrooms. During inspection classrooms #1 and #2 were being used. LPAs observed that Room#3 (Gereral Ed.and PCC) is closed and made inaccessible. Per FR, the floors are being replaced in the classroom and classroom will be reopened on 5/4/23. LPA discussed unusual incident reporting with FR. All classrooms had furniture in good condition, free of loose, sharp and/or pointed parts. The floors and surfaces in the classrooms were clean and safe. Rugs were observed to be flat on the ground to avoid tripping hazards. Water is made readily available via operable water fountain in Room#1 and water bottles and water jug in Room #2. There are currently children with medication. LPAs observed that medication is stored in a locked cabinet located in the main office, inaccessible to children. Children have cubbies to store personal belongings separate from each other. LPAs observed children using cots to nap. All cots were observed to have required bedding. Bedding is provided by facility and washed weekly by laundry service. There is extra bedding on hand to change as needed. LPAs toured the children’s restrooms. Restrooms were observed to be safe and sanitary with operable sinks and toilets. Facility has conducted required water lead testing with no Action Level Exceedance (ALE) found. LPA discussed posting for lead results with FR. LPAs toured outdoor play area. Due to the rain, the out door area was not set up for play. Outdoor area was ------------------(page 1 of 3)

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

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 8

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: THIRTY SIXTH STREET EARLY EDUCATION CENTER	FACILITY NUMBER: 191870920
	VISIT DATE: 05/01/2023

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

observed to have age appropriate toys and material for children, free of loose, sharp, and/or pointed parts. LPAs observed required cushioning under climbing structures to absorb fall. Shade was observed throughout the outdoor area. Water is made readily available via operable water fountains and children take water bottles outdoors.

LPAs observed required posted documentation in the hallway, the teachers lounge, throughout the main office, and in the main entrance. The postings include 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. Facility Disaster plan was discussed.

Facility records were reviewed for LIC 9040- Facility Roster, Daily schedules and Disaster drill log; last drill conducted on 4/11/23. 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. Extra food is taken back to elementary. Kitchen was observed to be clean, free of litter, insects and rodents. LPAs observed a trash can for solid waste to have a tight fitting lid. Cleaning supplies are stored separate from the food, in the hopper room and in a cabinet under the sink. LPAs informed that if the kitchen door remains open while children are in care, the cabinet under the sink will need to be locked. Carbon monxide detector is wired with fire and smoke alarm.

LPAs reviewed Sign In/Out sheets located at the drop off and pick up table. All children present were signed in with date, time and full signature of the child's guardian.

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 request for medication form, medication prescription and expiration date, and signed Admissions Agreement. LPAs observed C1 medication did not have a prescription label, instructions for medication was handwritten on a paper inside the bag with the medication. C3 is not in care today.

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 -------------------------(page 2 of 3)

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

LIC809 (FAS) - (06/04)

Page: 2 of 8

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: THIRTY SIXTH STREET EARLY EDUCATION CENTER	FACILITY NUMBER: 191870920
	VISIT DATE: 05/01/2023

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

or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse, Transcripts or Permit and current Mandated Reporter Training Certificate. Teachers permits were missing for 5 out 5 staff.

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 and report was reviewed with Facility Representative, Rosa Preston..

------------------------(page 3 of 3)

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

LIC809 (FAS) - (06/04)

Page: 3 of 8

Document Has Been Signed on 05/01/2023 02:19 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: THIRTY SIXTH STREET EARLY EDUCATION CENTER	FACILITY NUMBER: 191870920
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/01/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101226(e)(1)(B)

Health-Related Services

(e) In centers where the licensee chooses to handle medications: (1) All prescription and nonprescription medications shall be centrally stored in accordance with the requirements specified below: (B) Each container shall have an unaltered label. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in ONE OUT OF ONE CHILD'S MEDICATION. NO PRESCRIPTION OBSERVED, CHILD NOT IN CARE DURING INSPECTION, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/05/2023
	Plan of Correction
1 2 3 4	PER FACILTIY STAFF, PARENT WAS CALLED DURING INSPECTION AND WILL PICK UP MEDICATION WHEN CHILD COMES TO SCHOOL BECAUSE HE NO LONGER NEEDS IT.

Type B

Section Cited

CCR

101238(g)

Buildings and Grounds

(g) 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 by:
	Deficient Practice Statement
1 2 3 4	Based on Observation, the licensee did not comply with the section cited above. DOOR TO THE KITCHEN REMAINS OPEN, CLEANING SUPPLIES STORED IN LOW ACCESIBLE CABINET, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/05/2023
	Plan of Correction
1 2 3 4	PER FR, A CHILD LOCK WILL BE ADDED TO THE CABINET UNDER THE SINK AND EMAIL A PICTURE TO LPA BY POC DATE 5/5/23

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 Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

LIC809 (FAS) - (06/04)

Page: 4 of 8

Document Has Been Signed on 05/01/2023 02:19 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: THIRTY SIXTH STREET EARLY EDUCATION CENTER	FACILITY NUMBER: 191870920
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/01/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216.1(g)

Teacher Qualifications and Duties

(g) A photocopy of the teacher's Child Development Permit as specified in (c)(3) above, or a photocopy of the teacher's transcript(s) documenting successful completion of required course work, shall be maintained at the center. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in FOUR OUT OF FOUR TEACHERS FILES, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/05/2023
	Plan of Correction
1 2 3 4	PER FR, THEY WILL PRINT OUT ALL PERMIT AND PUT THEM IN THE LICENSING BINDER AND EMIAL A COPY TO LPA BY POC DATE 5/5/23.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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 Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

LIC809 (FAS) - (06/04)

Page: 5 of 8