191871609-1-22-2020-30-CC-EHIL-BL3UEL-20200122143120

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191871609
Report Date: 01/22/2020
Date Signed: 01/22/2020 02:31:34 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	JIM GILLIAM CHILD CARE CENTER		FACILITY NUMBER:	191871609
ADMINISTRATOR:	CATHERINE HILLIARD		FACILITY TYPE:	850
ADDRESS:	4000 SO. LA BREA AVE.		TELEPHONE:	(323) 291-5929
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90008
CAPACITY:	45	CENSUS: 20	DATE:	01/22/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Director, Catherine Hilliard		TIME COMPLETED:	02:35 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 01/22/2020 at 1:00pm, Licensing Program Analysts (LPA’s), Lourdes Castellanos and Ericka Hill conducted an Unannounced Annual Random Inspection Visit. LPA's met with the Director, Catherine Hilliard and informed the Director of the purpose of todays visit. LPA's observed two classrooms, the Blue and Gold Classroom. LPA's observed 13 children supervised by 2 qualified teachers in Blue Classroom (4 - 5 year olds) and 7 children supervised by the 2 qualified teachers in the Gold Classroom (21/2 - 4 year olds). The facility is licensed for the capacity of 45. Care and Supervision. LPA's observed a total of 20 children being care and supervised for by 4 teachers in the entire facility; 13 children were present in the Blue classroom and 7 children were present in the Gold classroom. The facility has age-appropriate indoor furniture, materials, toys, equipment, cots, bedding, and uncontaminated water fountain in both classrooms. The classrooms were also observed to be clean, safe, and free of any Health or Safety hazards. Children bring their lunches from the home and breakfast and snacks are provided by the facility. Adequate heating, lighting, and ventilation was observed in each of the classrooms. Children's belongings are kept in cubbies shelves along the classroom walls. Classrooms have up-to-date fire extinguishers, working combination carbon monoxide/smoke detectors, and well equipped inventory of first-aid kits were met in both classrooms as well as in the staff bathroom and in the Directors Office. All classrooms has locked cabinets making toxins and hazards inaccessible for children. Outdoor Play area. Equipment was inspected for health, safety, good repair, and age appropriateness. Center utilizes a gated outdoor play area that is cushioned with foam matting absorbing the falls of the children. LPA's observed a swing area, a play house, and climbing structures. All equipment was anchored securely and there is sufficient shade available for the children. There are also two tables available for the children to eat their meals outdoors. LPA’s observed a locked shed and it was inaccessible to the children. The children are escorted from the classrooms to the yard. The outdoor area was observed to be free of debris, hazards, and loose/sharp items.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2020

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 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: JIM GILLIAM CHILD CARE CENTER	FACILITY NUMBER: 191871609
	VISIT DATE: 01/22/2020

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

Bathrooms. There are two children’s bathrooms located in the hallway of the facility. The boy’s bathroom contained 2 sinks, 1 urinal, and 1 toilet. The girl’s bathroom contained 2 sinks and 2 toilets. The bathrooms were observed to be clean, safe, sanitary, and age-appropriate for preschool children’s use.

Staff Area. The office area, teacher desks (located in each classroom), storage areas, and staff bathroom were observed to be clean, free of litter, rodents, and other vermin.

Ratio. Teachers children’s ratios were observed, and names were recorded. LPA’s observed a main parent board in the facility hallway and parent boards in both classrooms with all the required documents, according to Title 22, were posted.

Records. A sampling of children's records was reviewed as part of this inspection and were complete including current/required immunization's. Sign in and out sheets were also inspected and contain authorized representative signatures for the children present today on 01/22/2020. Staff records were also reviewed and contained the required documents and immunization's according to Title 22 regulations. Copies of Facility Staff Roster, classroom sign-in/out sheets, and Personnel Report (LIC500) was provided to the LPA's.

The following Information was Discussed with the Director:
Licensing Forms. Licensing forms are located on the Community Care Licensing Website under the Forms/Brochure webpage. Follow the link to locate the main Community Care Licensing Website www.cdss.ca.gov

Parent’s Rights Notification. The "Notification of Parent's Rights" (PUB394) was discussed with the licensee and the licensee was advised that it must be posted in an area of the home accessible to parents. Title 22 102419.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2020

LIC809 (FAS) - (06/04)

Page: 2 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: JIM GILLIAM CHILD CARE CENTER	FACILITY NUMBER: 191871609
	VISIT DATE: 01/22/2020

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

Child Care Advocate Program Awareness. Licensee was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541; Email Address: childcareadvocatesprogram@dss.ca.gov

Immunizations Required. Licensee was made aware of SB 792, commencing September 1, 2016, prohibiting a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. Exemption were also discussed. Health & Safety Code 1596.7995.

Mandated Reporter Required. Licensee was made aware of AB 1207, commencing January 1, 2018, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com Health & Safety Code 1596.8662.

Incidental Medical Services Awareness. 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 Centers and the ADA, Website: www.ada.gov/childqanda.htm
Facilities that provide Incidental Medical Services (IMS) must identify those services in their facility’s Plan of Operation and submit an updated Plan of Operation to the Department. Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2020

LIC809 (FAS) - (06/04)

Page: 3 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: JIM GILLIAM CHILD CARE CENTER	FACILITY NUMBER: 191871609
	VISIT DATE: 01/22/2020

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

Lead Bill - Health & Safety Code 1596.7996. Licensee was made aware of AB 2370, requiring a licensed child day care center located in a building constructed before January 1, 2010, to have its drinking water tested for lead contamination and to let parents or legal guardians of children enrolled about the requirement to test and result of the tests.

New Immunization Requirement: Licensee was made aware of SB 277, commencing January 1, 2016, stating personal belief exemptions are no longer an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment.

Nutrition Requirement. Licensee was made aware of AB 290, commencing January 1, 2016, requiring at least one director or teacher at each child care center or family child care home to have at least one hour of training in the importance of childhood nutrition. This applies to anyone submitting a new application, relocating their facility, selling their facility or transferring their license. Please note this training cannot be completed online or by home study programs. The training must be taken from an Emergency Medical Services Authority (EMSA) approved training program OR an accredited college or university. Health & Safety Code 1596.8661.

Licensing Reports Given to Parents Required. Upon receipt by the licensee, licensees are to provide to parents/guardians the following: Copies of any licensing reports that document a Type A citation- this includes facility visits and substantiated complaint investigations; copy of licensing documents pertaining to a conference conducted by a local licensing agency management representative and the licensee of this family child care home in which issues of noncompliance are discussed or copies of a summary of an accusation indicating the Department's intent to revoke the facility's license. Copies of any of the above licensing documents the licensee has received in the prior 12 months shall be provided to parents/guardians of newly enrolled child at the facility. Assembly Bill 633.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2020

LIC809 (FAS) - (06/04)

Page: 4 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: JIM GILLIAM CHILD CARE CENTER	FACILITY NUMBER: 191871609
	VISIT DATE: 01/22/2020

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

Health Beverages in Child Care: Commencing in 2010, legislation was established regarding nutrition standards for beverages served in licensed child care centers and home. Only unflavored, unsweetened, nonfat (fat free, skim, 0%) or low-fat (1%) milk can be served to children over two years of age. No beverages with added sweeteners, natural or artificial, can be served, including sodas, sweet teas, juice drinks with added sugars, flavored milks and diet drinks. A maximum of one serving (4 to 6 oz. for 1 to 6 years old) of 100% juice will be allowed per day. Clean and safe drinking water must always be available, including meals and snacks. Assembly Bill (AB) 2084.

The care and supervision of the children was observed to be in compliance with Tittle 22 regulations. No deficiencies were observed or noted and no citation were provided during this visit.

An exit interview was conducted with facility Director, Catherine Hilliard, and a copy of the LIC809 and Notice of Site Visit was provided to the Director.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2020

LIC809 (FAS) - (06/04)

Page: 5 of 5