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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191871007
Report Date: 06/09/2022
Date Signed: 06/10/2022 08:02:40 AM


Document Has Been Signed on 06/10/2022 08:02 AM - It Cannot Be Edited

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:CHILDREN'S COLLECTIVE, INC. THEFACILITY NUMBER:
191871007
ADMINISTRATOR:CHENIEKA MORGAN-MILLFACILITY TYPE:
850
ADDRESS:3817 S. SAN PEDRO ST.TELEPHONE:
(323) 231-1367
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY:48CENSUS: 27DATE:
06/09/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:48 PM
MET WITH:Tameka DeVine, Site SupervisorTIME COMPLETED:
04:16 PM
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On Thursday, June 9, 2022 at 1:48 p.m. Licensing Program Analyst Mayra Rivera conducted an annual inspection and met with Site Supervisor Tameka DevVne who guided LPA Rivera on a tour of the facility.

This is a full day preschool program which consists of two classrooms (room 1 and 2 and outdoor play yard). This preschool program operates from 7:30 a.m. to 5:30 p.m. All areas identified on the facility sketch were inspected both indoors and outdoors. LPA observed the children roster and the sign in/out sheets to be completed and up to date.



At approximately 2:15 p.m. LPA entered classroom 1 and observed a total of 21 preschool children. Some children were napping, reading a book or just laying down on their cot. LPA Rivera observed 3 staff members present and within ratio. LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. LPA observed individual personal bin containers with children names inside their cubbies with their personal items. LPA observed cleaning solutions stored inside the top storage cabinet out of reach making it inaccessible for children to reach or open the cabinet door. LPA Rivera observed a step trash bin with a tight-fitting lid.

At approximately 2:25 p.m. LPA entered classroom 2 and observed a total of 6 preschool children napping with 2 staff members present and within ratio. LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. LPA observed individual personal bin containers with children names inside their cubbies with their personal items. LPA observed cleaning solutions stored inside the top storage cabinet out of reach making it inaccessible for children to reach or open the cabinet door. LPA Rivera observed a step trash bin with a tight-fitting lid.

At approximately 2:34 p.m LPA Rivera observed the bathrooms (one located inside classroom 1 and the other in the hallway) to be in good condition with working toilets, sinks, hand soap dispenser, and paper towels.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:
DATE: 06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/09/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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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: CHILDREN'S COLLECTIVE, INC. THE
FACILITY NUMBER: 191871007
VISIT DATE: 06/09/2022
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LPA observed a total of 6 toilets and 6 sinks. Ill/isolation area children utilize staff restroom located by the copier room.

At approximately 2:40 p.m. LPA Rivera entered the outdoor playground to conduct an inspection. LPA observed the equipment to be age appropriate and in safe condition, free of sharp, no loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under climbing equipment, are cushioned with cushion padding that absorbs a fall. For outdoor drinking water, the water jugs are available along with disposable water cups. For adequate shade, LPA observed a sun sail triangle. LPA Rivera observed a step trash bin with a tight-fitting lid.

Heating lighting and ventilation were evaluated by LPA Rivera. LPA observed central AC/heater and vents located on the ceiling wall. LPA observed the thermostat located in the hallway and the current room temperature to be at 73 degrees. LPA observed the fire extinguishers located inside the classrooms and kitchen and the valve on the required 2A10BC fire extinguishers indicating fully charged and serviced on 5/242022. LPA Rivera observed the pull-down alarm station. LPA did not want to activate the alarm therefore the alarms were not tested.

LPA did observe napping equipment during nap time. For ill/isolation area children utilize the director's office and a cot is available for children to rest if needed. At approximately 3:00 p.m. LPA Rivera reviewed staff and children files. Children and staff files are up to date and complete.

This program provides breakfast, lunch, and p.m. snack. The meals are provided by a vendor. Weekly menu is available and posted in each classroom. For water drinking LPA observed disposable water cups and water pitcher in each classroom. LPA observed the food preparation area to be clean and free of litter, rubbish, rodents, and/or any other vermin and storage containers for solid waste, including moveable bins with tight-fitting covers that are kept on, and in good repair. The facility was observed to be free of flies, other insects and rodents.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2022
LIC809 (FAS) - (06/04)
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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: CHILDREN'S COLLECTIVE, INC. THE
FACILITY NUMBER: 191871007
VISIT DATE: 06/09/2022
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Facility administers medication. Before administrating medication, parents sign a medication consent form, provides the medication in original container with Dr's prescription. At this time, the facility does not have any children with medication.

Site Supervisor Tameka DeVine has proof of pediatric First Aid/CPR certification expires 8/31/23, child abused mandated certification (AB 1207) dated 7/9/20 and immunization against pertussis, and measles, and influenza declination. Site Supervisor has been informed mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

Incidental Medical Services (IMS)

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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



Criminal Record Statement
Site Supervisor Tameka DeVine was informed that all adults 18 and over, 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 Child Care Center. 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.


Notice of Site Visit

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

Exit Interview

Exit interview conducted and report was reviewed with Site Supervisor Tameka DeVine/.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2022
LIC809 (FAS) - (06/04)
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