191871100-3-28-2023-54-CC-DGIS-CQCTBF-20230328143504

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191871100
Report Date: 03/28/2023
Date Signed: 03/28/2023 02:35:21 PM

Document Has Been Signed on 03/28/2023 02:35 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:	MIRAMONTE EARLY EDUCATION CENTER		FACILITY NUMBER:	191871100
ADMINISTRATOR:	CATHERINE IKEDIASHI		FACILITY TYPE:	850
ADDRESS:	1341 EAST SEVENTIETH STREET		TELEPHONE:	(323) 581-6223
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90001
CAPACITY:	144	CENSUS: 85	DATE:	03/28/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	De'Onna Phillips, Facility Representative		TIME COMPLETED:	02:45 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 Analyst (LPA) Denise Gibbs conducted an unannounced required one year inspection at the above facility on 3/28/23 at 11:00 AM. LPA was initially greeted by Rubi Marek, Facility Representative One(FR1) and was then met by De'onna Phillips, Facility Representative Two (FR2), acting administrator from Graham Early Education Center. This is a preschool program that operates Monday-Friday from 7:00 AM-5:30PM. There were 85 children and 14 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. LPA toured Classrooms #1A/B, #2 General Education and Preschool Collaborative (PCC), #3, and #4A/B. All classrooms had furniture in good condition, free of loose, sharp and/or pointed parts. Water is made readily available in classrooms #1, #2, and #4 via operable water fountains. LPA observed water fountain in Room#3 is not operable but all classroom have water bottles on hand for children to drink freely. Children also bring water bottles from home. LPA observed the owl carpet and one of the carpets with the colored squares in Room# 4 were stained with dark spots. Per FR2 carpets are cleaned once a year in the summer and as needed. LPA observed Clorox cleanser in Room#2 under the children's sink with the child lock unlatched and tubs of sanitizing wipes and alcohol wipes stored accessible to children next to the storage cabinets. LPA observed a spray bottle with a cleaning substance under the sink in Room#4 with no child lock. All items were removed during inspection. LPA observed children's cots to be stored and individually labeled. 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. Per FR1 there are currently no children with medication. Facility has conducted the required water lead testing with no Action Level Exceedance(ALE) found. ----------------PAGE 1

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

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

FACILITY NAME: MIRAMONTE EARLY EDUCATION CENTER	FACILITY NUMBER: 191871100
	VISIT DATE: 03/28/2023

NARRATIVE

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LPA toured the children’s restrooms. Rooms #1 and #2 share a restroom located in the hallway outside their classrooms. Rooms #3 and #4 have restrooms located inside each classroom. Restrooms were observed to be safe and sanitary with operable sinks and toilets.

LPA reviewed required posted documentation located on the parent board outside the main entrance, which includes, Facility License, Publication (PUB) 393- Notification of Parent Rights, Licensing Form (LIC) 610- Facility Disaster Plan, LIC 613A- Notification of Personal Rights. All documents were observed. LIC610 needs to be updated with current staff names. Lunch/Snack Menus were observed posted in each classroom.

Facility records were reviewed for LIC 9040- Facility Roster, 9148- Earthquake Preparedness form, Daily schedules and Disaster drill log last drill conducted on 2/17/23. All items were observed.

LPA toured the kitchen on site. Facility provides AM snack, PM snack and lunch. Food is not cooked at the facility. Prepackaged food is brought from the neighboring elementary school and distributed to children. Extra food is discarded. Food storage area 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. Carbon monoxide detector is wired with facility smoke and fire alarm.

LPA reviewed Sign In/Out sheets located in each classroom. All children present were signed in with date and full signature of child's representative. LPA observed that 63 children did not have times of sign in. LPA discussed the importance of sign in/out times with FR2.

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, and signed Admissions Agreement. All documents were complete.

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. LPA observed that two staff were missing immunization records and one staff was missing mandated reporter training.
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SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

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

FACILITY NAME: MIRAMONTE EARLY EDUCATION CENTER	FACILITY NUMBER: 191871100
	VISIT DATE: 03/28/2023

NARRATIVE

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LPA toured outdoor play area. Outdoor area was observed to wrap around the school. Outdoor areas were observed to have age appropriate equipment, toys and material for children. LPA observed required cushioning under climbing structures to absorb fall. Shade was observed throughout the outdoor area. LPA observed operable water fountains and fill station outdoors, accessible to children.

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):
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a plan for providing 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 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 the Facility Representative Two, De'Onna Phillips..

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SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/28/2023 02:35 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: MIRAMONTE EARLY EDUCATION CENTER	FACILITY NUMBER: 191871100
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/28/2023

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
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. CARPETS IN ROOM 4 ARE STAINED which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/28/2023
	Plan of Correction
1 2 3 4	PER FR2, CARPETS ARE CLEANED ONE TIME A YEAR, IN THE SUMMER. MAINTENANCE CAN REQUEST A CARPET CLEANER THROUGHOUT THE YEAR FOR NECESSARY CLEANING. A CARPET CLEANING REQUEST WILL BE MADE AND CARPETS WILL BE CLEANED WITHIN THE NEXT TWO WEEKS. FR2 WILL EMAIL A PICTURE TO LPA BY POC DATE 4/28/23.

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. Cleaning products and sanitizing produced were stored accessible to children, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/28/2023
	Plan of Correction
1 2 3 4	ITEMS WERE REMOVED DURING INSPECTION, PER FR2 REMINDERS WILL BE MADE DURING STAFF MEETING TO STORE CLEANING PRODUCTS INACCESSIBLE TO CHILDREN.

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: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

LIC809 (FAS) - (06/04)

Page: 4 of 6

Document Has Been Signed on 03/28/2023 02:35 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: MIRAMONTE EARLY EDUCATION CENTER	FACILITY NUMBER: 191871100
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/28/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. 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 2 OUT 5 STAFF FILES which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/28/2023
	Plan of Correction
1 2 3 4	PER FR2, SHE WILL GIVE STAFF THE TIME TO GET TRAINING DONE AND EMAIL PROOF TO LPA BY POC DATE 4/28/23.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. 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 1 OUT 5 STAFF FILES which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/28/2023
	Plan of Correction
1 2 3 4	PER FR2, SHE WILL GIVE STAFF A DEADLINE TO RETRIEVE MEDICAL DOCUMENTATION AND EMAIL PROOF TO LPA BY POC DATE 4/28/23

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: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

LIC809 (FAS) - (06/04)

Page: 5 of 6

Document Has Been Signed on 03/28/2023 02:35 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: MIRAMONTE EARLY EDUCATION CENTER	FACILITY NUMBER: 191871100
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/28/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101229.1(a)(1)

Sign In and Sign Out

(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. 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 63 OUT 85 CHILDREN DID NOT HAVE SIGN IN TIMES, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/29/2023
	Plan of Correction
1 2 3 4	PER FR2, TEACHERS ARE GOING TO WALK TO SIGN IN SHEETS TO PARENTS AND GIVE A FRIENDLY REMINDER TO DOCUMENT THE TIMES FOR SIGN IN AND OUT. FR2 WILL FOLLOW UP WITH A REMINDER TO PARENTS OF THE IMPORTANCE OF SIGN IN/OUT TIMES. FR1 WILL EMAIL PROOF TO LPA BY POC DATE 3/29/23

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: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

LIC809 (FAS) - (06/04)

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