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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401861
Report Date: 11/21/2019
Date Signed: 11/21/2019 01:05:23 PM

COMPREHENSIVE INSPECTION
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:DAVID ROBERTI EARLY EDUCATION CENTERFACILITY NUMBER:
197401861
ADMINISTRATOR:CELESTINE PEARMANFACILITY TYPE:
850
ADDRESS:1156 E. VERNON AVE.TELEPHONE:
(323) 234-1428
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY:103CENSUS: 72DATE:
11/21/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Dr. Gloria Cole, Interim PrincipalTIME COMPLETED:
01:30 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Rita Ramos and Monique Ayala conducted an unannounced required annual inspection. LPAs met with Dr. Gloria Cole, Interim Principal, who guided analysts on a tour of the facility. This is a preschool program which consists of 4 classrooms; Room 1, Room 2, Rooms 3, and Room 4. Facility operation hours are Monday through Friday from 7:00 AM to 5:30 PM.

All areas identified on this report were inspected. Upon arrival, the following staff were present during this inspection: Room 1: Staff #1, #2 and #3 with 18 preschoolers; Room 2: Staff #4, #5, #6 and #7 with 18 preschoolers; Room 3: Staff #8, #9, and #10 with 19 preschoolers; and Room 4: Staff # 11, #12, and #13 with 17 preschoolers. The following was observed during the tour of the facility.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Linens are washed weekly by a laundry service provided by the school district. Napping equipment (mats) were observed in separate storage areas. Per Interim Principal, the facility does not have a large isolation area. Children are asked to stay in a corner of the classroom but can also go in the office while they wait for their parent or guardian. Upon inspecting Room 3, LPAs observed that all the sinks in the classroom were completely covered and children were not able to use them. LPAs observed as Staff #8 poured water from buckets over children's hands in order for children to wash their hands (pictures were taken). General sanitation was observed. Availability of indoor drinking water was observed in classrooms. This facility does not have a carbon monoxide detector.


Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. There are no poisons stored at the facility.

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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2019
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: DAVID ROBERTI EARLY EDUCATION CENTER
FACILITY NUMBER: 197401861
VISIT DATE: 11/21/2019
NARRATIVE
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All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste-have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids.

When inspecting the outdoor area, LPAs observed that half of the outdoor yard is sealed off. Per Interim Principal, the district is working on getting it fixed. LPA Ramos informed Interim Principal that the facility was cited on 09/19/18 for the outdoor yard being blocked off and under construction. Therefore, it has been over a year and the outdoor yard is still not fixed. The facility is using a rotating schedule to allow children to play in the front half of the yard to avoid over crowding. LPAs did observe that there is adequate shade in the play yard. Availability of outdoor drinking water was observed.

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. There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

Children’s Records were reviewed for completeness; Inspection of required forms was made. LPAs issued the Children’s Record Review (LIC 857) to the Interim Principal during this inspection. LPAs also issued the Review of Staff records (LIC 859) to the licensee during this inspection. The LIC 857 and the LIC 859 documents the staff and children’s files that were reviewed during this inspection. Staff #2 and #7 did not have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff #3, #12, #13 did not have proof against measles, pertussis, and influenza.

Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in. Disaster drill log was available, last drill was conducted on 11/21/19.

Menus are posted one month in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. Snacks were reviewed for availability, quantity and appropriateness to children in care. Preschoolers are provided with a breakfast, lunch, and snack. All meals and snacks are provided by the Los Angeles Unified School District.

First Aid supplies were observed in the classroom in a red first aid box. According to the Interim Principal, medication is only administered to a child when accompanied with a doctor's note and is stored in the office.---Page 2 of 3

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2019
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: DAVID ROBERTI EARLY EDUCATION CENTER
FACILITY NUMBER: 197401861
VISIT DATE: 11/21/2019
NARRATIVE
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The facility currently does not have any children on medication.

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

LPAs advised the Interim Principal to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. UPDATE: LPAs provided the Interim Principal with a copy of the Effects of Lead Exposure form.

The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Exit interview was conducted with Dr. Gloria Cole, Interim Principal, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2019
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: DAVID ROBERTI EARLY EDUCATION CENTER
FACILITY NUMBER: 197401861
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/21/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/05/2019
Section Cited

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Fixtures, Furniture, Equipment and Supplies

All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition.

This requirement is not met as evidenced
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by LPAs observing that all the sinks in Room 3 were covered and not working. LPAs observed staff using buckets of water to wash children's hands. This poses a potential health and safety risk to children in care.
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Type B
12/05/2019
Section Cited

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Carbon monoxide detectors required; inspection

Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards
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This requirement is not met as evidenced by LPAs observing that there is no carbon monoxide detector.
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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: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:
DATE: 11/21/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2019
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: DAVID ROBERTI EARLY EDUCATION CENTER
FACILITY NUMBER: 197401861
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/21/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/05/2019
Section Cited

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Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion Current proof of completion for each licensed child care provider or applicant for that
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license, administrator, and employee of a licensed child day care facility shall be submitted to the department upon inspection of the child day care or upon request by the department. This requirement is not met as evidenced by LPAs observing that Staff #2 and #7 did not have proof of the training or certificate in their file .
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Type B
12/05/2019
Section Cited

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Employees or volunteers at day care center; immunization requirements; records; exemptions

The day care center shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section,
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in the person’s personnel record that is maintained by the day care center. This requirement is not met as evidenced by LPAs observing that Staff #3, #12, and #13 did not have proof of immunization records on file.
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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: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:
DATE: 11/21/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2019
LIC809 (FAS) - (06/04)
Page: 5 of 5