197401861-12-2-2021-54-CC-DGIS-C9C2EG-20211202161956

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197401861
Report Date: 12/02/2021
Date Signed: 12/02/2021 04:20:06 PM

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 CENTER		FACILITY NUMBER:	197401861
ADMINISTRATOR:	LATRYCE JACKSON		FACILITY TYPE:	850
ADDRESS:	1156 E. VERNON AVE.		TELEPHONE:	(323) 234-1428
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90011
CAPACITY:	103	CENSUS: 27	DATE:	12/02/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Latryce Jackson, Facility Representative		TIME COMPLETED:	04:30 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 Analysts (LPA) Denise Gibbs conducted an unannounced annual required inspection at the above facility on 12/2/21 at 12:30 PM. LPA met with Latryce Jackson, Facility Representative (FR) who guided analyst on a tour of the facility. There were 27 children and nine staff present when LPA arrived. This is a preschool program that operates that operates Monday through Friday 7:30 AM to 4:30 PM. Facility has four classrooms, with three currently in use. 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. At 12:40 PM LPA observed required posted documentation located in the front entrance and outdoor drop off/pick up location, which included, Facility License, Publication (PUB) 393- Notification of Parent Rights, Licensing Form (LIC) 610- Facility Disaster Plan, PUB 269- Child Passenger Restraint System and LIC 613A- Notification of Parent’s Rights, and snack/lunch menu. At 12:45 PM Facility records were reviewed for LIC 9040- Facility Roster, 9148- Earthquake Preparedness form, Daily schedule and Disaster drill log, last drill conducted on 10/21/2021. At 12:50 PM LPA toured Classrooms One, Three and Four. LPA observed that furniture and equipment is maintained in good condition, free of loose, sharp and/or pointed parts. The floors of the classroom have surfaces that are safe and clean. Drinking water is made readily available for the children via individual water bottles provided by the center. Per FR, cleaning products are store outdoors in a locked cabinet for the janitors to access, inaccessible to children. LPA observed required Carbon Monoxide detector that is operable. Facility has smoke detectors and fire extinguishers that are routinely serviced by the fire department. Per FR, there is currently one child with medication, that was not present during inspection. LPA observed that medication is stored in the office with prescription and label. ---------PAGE 1

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 12/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2021

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: DAVID ROBERTI EARLY EDUCATION CENTER	FACILITY NUMBER: 197401861
	VISIT DATE: 12/02/2021

NARRATIVE

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LPA inspected the children’s restroom located in the classrooms. Restrooms were observed to be sanitary and free of hazards.

At 1:30 PM LPA toured the outdoor play area. The outdoor space is free of hazards. There is cushioned material under climbing structure to absorb fall. Outdoor space has various areas of shade for children to play. Water is readily available to children via individual water bottles. There are no pools, spas, or other bodies of water on school grounds. There are no firearms or weapons stored at the facility. LPA observed a cart, a wooden item and a non-operational sink in an area off to the side. Per FR, that area is off limits to children and the cart and wooden item area going to picked up by salvage. FR stated that, she has asked the district assist with the sink but it takes a while. LPA advised FR to put a tarp over the sink or put cones blocking the small walkway that makes area accessible to children. FR corrected during inspection.

At 1:50 PM LPA toured the kitchen. All kitchen 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.

Children’s records were reviewed at 2:10 PM for Emergency Card, Immunization Records, LIC 995 Notification of Parents’ Rights, LIC 701- Physician’s Report, LIC 613A- Personal Rights, and signed Admissions Agreement. All children's records were complete.

Staff records were reviewed at 3:00 PM for approved Pediatric First Aid and CPR certification, LIC 9052- Employee Rights, Proof of immunization's 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 Mandated Reporter Training (AB1207) is expired and has to be renewed for 9 out 10 staff.

At 3:30PM LPA reviewed Sign In/Out sheets located at the front entrance of the school. Due to COVID-19 precautions parents do not enter the facility. All children present were signed in and out with date, time and full signature of guardian.

LPA observed that facility is implementing COVID-19 precautions and procedures. ------------------------PAGE 2

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 12/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2021

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: DAVID ROBERTI EARLY EDUCATION CENTER	FACILITY NUMBER: 197401861
	VISIT DATE: 12/02/2021

NARRATIVE

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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 no deficiencies will be cited today 12/2/2021.

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, Latryce Jackson.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 12/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2021

LIC809 (FAS) - (06/04)

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