191870959-6-7-2023-54-CC-KCHE-CSKSAM-20230607134234

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191870959
Report Date: 06/07/2023
Date Signed: 06/07/2023 01:43:09 PM

Document Has Been Signed on 06/07/2023 01:43 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:	PLAZA CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	191870959
ADMINISTRATOR:	CIRENIA BARRERA		FACILITY TYPE:	850
ADDRESS:	648 SOUTH INDIANA		TELEPHONE:	(323) 268-9640
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90023
CAPACITY:	110	CENSUS: 35	DATE:	06/07/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Denisse Calderon, Site Supervisor		TIME COMPLETED:	12:30 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	On 06/07/2023 at 9:10 AM an unannounced Required – 1 Year Inspection was conducted by Licensing Program Analyst (LPA) Katrina Chicote. Facility is currently licensed for a capacity of 110. Licensing staff announced purpose of visit and met with Denisse Calderon, Site Supervisor, who granted entry to facility. The program currently operates a Monday thru Friday 6:30 AM to 6:00 PM. LPA was taken on a guided tour of the facility of both indoors and outdoors. Facility consists of three rooms (Toddler Room (2 to 3 year olds), Preschool 1 (older preschool), Preschool 2, Preschool 3 (younger preschool), and two outside play yards for preschool program. There is an Infant License (#198019192) on same facility which LPA observed each program to have separate entrances and play areas. LPA observed required licensing postings in facility lobby and posted in all classrooms. At the initial start of the site visit, LPA observed Toddler Room with eight children and two staff (S1 and S2), Preschool 1 with 14 children and two staff (S7 and S8), Preschool 2 with eight children and two staff (S3 and S4), and Preschool 3 with five children and two staff (S5 and S6), total census of 35 children and f nine staff present at time of inspection. Beginning at 9:20 AM, furniture and equipment were inspected for age appropriateness and good repair in each classroom. LPA observed carpets, and child size tables and chairs available for children well maintained and learning stations for dramatic play, math, art, and science with child appropriate toys free of loose and sharp parts. LPA observed a library area available for quiet play with soft seating. Telephone service, heating, lighting and ventilation were evaluated. There were cubbies observed as storage for children's belongings. LPA observed standard blue cots used for nap times stored in each classroom and were inspected. Per Site Supervisor, linens are provided by the facility with additional blankets brought from home which staff washes weekly. Availability of drinking water was reviewed. LPA observed water coolers available for children with paper cups in each classroom. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. LPA observed bathroom available in Toddler Room with two sinks and two toilets, Preschool 1 bathroom to be located outside of classroom in hallway with three toilets and three sinks, and Preschool 2 and 3 to share one bathroom available through Preschool 2 with three toilets and three sinks. Report Continues - Page 1 of 3

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023

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 7

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: PLAZA CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191870959
	VISIT DATE: 06/07/2023

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

LPA observed a first aid kit kept in a backpack hanging in each classroom. LPA tested carbon monoxide detectors in each classroom and observed to be operable. LPA observed smoke detectors and fire extinguishers are present in the facility. Disaster drill log was observed posted and last drill conducted on 05/30/2023. Per Site Supervisor, isolation area for sick children is in designated area of classroom. Hazardous items including poisonous cleaning compounds were stored inaccessible to children. LPA observed these items stored in high cabinets which have a lock at time of inspection. LPA observed medication for C1 in Preschool 1 to be stored accessible to staff but off limits to children. LPA discussed proper labeling of medications at time of inspection.

Snack/lunch menus were reviewed and observed posted at time of inspection in each classroom. At 9:36 AM, food preparation areas were toured for safety, cleanliness and proper equipment. LPA observed two staff preparing food to be wearing proper equipment during inspection. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Facility provides breakfast, lunch, and PM snack.

Beginning at 9:38 AM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. LPA observed two outdoor play areas available for preschool program each having a multi-level play structure with slides and climbing steps that has cushioning material below that are all well maintained at time of inspection. Required shade and fencing were inspected. LPA observed both play areas to have shade and separately fenced from each other. LPA observed toy carts available with child appropriate toys and child size tricycles with bike path available that are all well maintained. LPA advised that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. LPA observed the children have access to water coolers and paper cups for drinking water. LPA observed drinking fountains also available, per Site Supervisor the children do not use drinking fountains. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed.

Teacher-child ratios were observed and staff names recorded. Staff present did have proof of criminal record clearance at time of inspection. Criminal record clearances and transfers for staff present were discussed with Site Supervisor. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. LPA observed all children present signed in at time of inspection. Personal Rights of children were observed by LPA.

Report Continues - Page 2 of 3

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: PLAZA CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191870959
	VISIT DATE: 06/07/2023

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

Beginning at 10:30 AM, staff and children’s records were reviewed. Children’s Records were reviewed for completeness. Inspection of required forms for children was made and documented on the LIC 857. The review of Staff records was documented on the LIC 859. All staff present had proof of AB1207 Mandated Reporter on file at time of inspection. There is at least one staff member trained in CPR and Pediatric First Aid present during this inspection. CPR card expires on 09/24/2024 for S9.

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

Licensee (or facility representative) was reminded that all adults 18 and over in the facility, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed facility. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location. LPA advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.

Based on this information, the following deficiencies on the attached LIC 809D 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.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted and report was reviewed with the Facility Representative, Denisse Calderon.
Report Ends - Page 3 of 3

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023

LIC809 (FAS) - (06/04)

Page: 3 of 7

Document Has Been Signed on 06/07/2023 01:43 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: PLAZA CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191870959
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101226(e)(3)(A)

Health-Related Services

(3) Prescription medications may be administered if all of the following conditions are met: (A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA record review and observation, medication observed for C1 did not have label and not in original packaging. LPA record review of physician report does not indicate C1 has prescription for this medication. Site Supervisor states Authorized Rep did not provide prescription at time of inspection. This poses a potential health, safety, and personal rights risk to children in care.
	POC Due Date: 07/07/2023
	Plan of Correction
1 2 3 4	Facility Representative states she will communicate with parent and provide photo proof of Physician's prescription and medicine properly labeled via email by POC date.

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: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023

LIC809 (FAS) - (06/04)

Page: 4 of 7