191871609-10-1-2024-58-CC-SGAN-D9MSGA-20241001135139

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191871609
Report Date: 10/01/2024
Date Signed: 10/01/2024 01:51:46 PM

Document Has Been Signed on 10/01/2024 01:51 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
EL SEGUNDO CC NORTH, 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: 11	DATE:	10/01/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Catherine Hilliard, Director		TIME COMPLETED:	02:00 PM

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Licensing Program Analyst (LPA) Silva Garibyan conducted an unannounced Required 3 year inspection. LPA met with Catherine Hilliard, Director who guided analyst on a tour of the facility. This is a preschool program serving up to 45 children. The facility operates Monday – Friday from 7:00 AM – 6:00 PM. The entrance to the facility is locked and parents enter using a call system. A review of the sign in/out sheet was conducted to verify the current census of children. LPA observed two classrooms, the Blue and Gold Classroom. LPA observed six children supervised by one qualified teacher in the Blue Classroom (4 - 5 year olds) and five children supervised by one qualified teacher in the Gold Classroom (2 1/2 - 4 year olds). LPA observed teacher child ratios in compliance and staff have the required background clearances at this time. The facility consists of a total of two classrooms, a Director's office, staff bathroom in Director's office, kitchen, and two children's bathrooms. There are no bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. A walk through of the classrooms was conducted. The classrooms were found to be clean and free from any potential hazards. Furniture was found to be in good repair and age appropriate. There is adequate heating, lighting and ventilation. Isolation area for sick students is in the Director’s office. LPA observed adequate arrangements for isolation and care of ill children.

LPA observed the following postings in each classroom: License, LIC 613A, the PUB 393, Child Care Center Notification of Parents' Rights Poster, LIC 610 Emergency Disaster Plan with the telephone number of the local health department, information on child passenger restraint systems (PUB269). Children bring their lunches from home and breakfast and snacks are provided by the facility. Breakfast and Snack menus were observed to be in writing and posted. The facility is equipped with a working smoke detectors and Carbon Monoxide detectors. LPA observed three fire extinguishers (2A 10BC) located throughout the facility with service date of 03/21/2024. First Aid Kit was observed to be complete. There are first aid supplies in each classroom and in the office. Fire Drill log was observed to be complete and current. Trash cans were observed with appropriate lids.

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SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: JIM GILLIAM CHILD CARE CENTER	FACILITY NUMBER: 191871609
	VISIT DATE: 10/01/2024

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The facility utilizes an outdoor play area that is cushioned with foam matting, absorbing the falls of the children. Equipment was inspected for health, safety, good repair, and age appropriateness. LPA 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 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. Drinking water is available in the form of water fountain. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. There is wrought iron fence around the playgrounds.

The facility has sufficient cots for napping. Each cot is occupied by only one child at time. The parents provide blankets and the facility provides sheets and laundered weekly or more often if needed. All classrooms has locked cabinets making toxins and hazards inaccessible for children. Children have adequate cubby storage for their belongings in each classroom. Children are inspected for illnesses as they arrive. A review of medication policy indicated that Medication is administered by the director or teachers, who documents the date, time and dosage onto a log. Medications are stored securely and inaccessible to children. There is a clean, fully equipped kitchen with stove, two refrigerators, and microwave oven. The facility provides breakfast and snack. Menus and allergy lists are posted in the kitchen and classrooms. An appropriate amount of food and snacks were observed. There is hot and cold running water in the kitchen/food preparation area. Refrigerator is clean and operating at the proper temperatures. The chemicals are kept separate from the food.

There are two children’s bathrooms located in the hallway of the facility. The bathrooms contain two sinks and two toilets each. Age appropriate restrooms, sinks and toilets were inspected for good repair, water temperature, toilet paper, safety and sanitation. All available toilets and sinks are in operable condition.

A sampling of children's records was reviewed as part of this inspection and were complete. Sign in and out sheets were also reviewed and contain authorized representative signatures for the children present today. Staff records were also reviewed and contained the required documents and immunization records according to Title 22 regulations. CPR, Pediatric First Aid and Mandated Reporter Training certificates were observed to be current. The name of the child care center director or fully qualified teacher designated to act in the director’s absence has been reported to the Department.
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SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: JIM GILLIAM CHILD CARE CENTER	FACILITY NUMBER: 191871609
	VISIT DATE: 10/01/2024

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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.
Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Catherine Hilliard, Director

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SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024

LIC809 (FAS) - (06/04)

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