197405896-2-13-2020-30-CC-HESA-BLRNM2-20200213093425

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197405896
Report Date: 02/13/2020
Date Signed: 02/13/2020 09:34:36 AM

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:	LAWNDALE SCHOOL DISTRICT-WILLIAM GREEN PRESCHOOL		FACILITY NUMBER:	197405896
ADMINISTRATOR:	STEVE MCCRAY		FACILITY TYPE:	850
ADDRESS:	4520 W. 168TH STREET		TELEPHONE:	(310) 370-6345
CITY:	LAWNDALE	STATE: CA	ZIP CODE:	90260
CAPACITY:	47	CENSUS: 42	DATE:	02/13/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Teacher TIna Paek		TIME COMPLETED:	09:45 AM

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 2/13/2020, Licensing Program Analyst (LPA) Helen Estrella conducted an unannounced visit to the facility to conduct a 1-year required inspection. Upon arrival, LPA met with the Teacher Tina Paek and informed the nature of the visit. The Director arrived 30 minutes later. LPA confirmed with the Director that all adults present at the facility have obtained a criminal record clearance and/or exemption and appear to be associated to the facility. LPA was guided on a tour of the facility (inside and outside). The facility is housed within William Green Elementary. The faciilty utilizes two preschool classrooms and operates an AM program from 8:00 AM to 11:00 AM. LPA observed a census of 42 preschool children being supervised by a total of 6 staff. The following supervision of child to adult ratios were observed: "P1 room: 20 children with 3 staff; P2 room: 20 children with 3 staff. LPA observed each classroom equipped for learning, games and activities. Furniture and equipment was inspected for age appropriateness and good repair. The telephone service, heating, lighting, and ventilation is adequate in each classroom. There is drinking water in the classroom. Cubbies were observed for children's belongings. There is a first aid kits in each classroom. There are equipped 2A10BC fire extinguishers in each classroom. LPA observed several age appropriate games, toys and balls for outside play. There is a separate area for isolation and care of ill children in the library area of the classroom. The bathrooms are located inside the classrooms. The toilets and faucets were inspected and are functioning properly and are age appropriate. The water temperature is appropriate. LPA observed a refrigerator and a microwave oven. The facility provides a morning breakfast only, all meals are delivered by Lawndale School District. Menus are posted. The chemicals and cleaning supplies are kept high above the sink and inaccessible to children in care. Inspection of the outdoor play area was conducted. Climbing structures, swings, slides and other large play equipment is found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter. Drinking water is readily available on the play yard. The is adequate shade for the children in care. Fencing around the perimeter of the play area is at least 4 feet high. Playground is free from miscellaneous debris such as tree branches, trash, leaves, etc. (Page 1)

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen Estrella	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

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

FACILITY NAME: LAWNDALE SCHOOL DISTRICT-WILLIAM GREEN PRESCHOOL	FACILITY NUMBER: 197405896
	VISIT DATE: 02/13/2020

NARRATIVE

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LPA reviewed children's records and were observed complete with CCLD forms. The facility roster was up to date and at least one staff is currently certified with Pediatric CPR/First Aid that expires on 09/2020.

The facility provides Incidental Medical Services (IMS) at this time. LPA reviewed medication list and allergy plans for children and it was observed that each medicine is appropriately stored and labeled.

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. 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 Carrying out medical orders when the child’s physician has determined that a layperson can be trained and safely carry out the orders.

The facility was informed of the following during today's inspection:
Mandated Reporter: Beginning on January 1, 2018, AB 1207, 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. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/.

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 in order 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 childcareadvocatesprogram@dss.ca.gov

The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot line at 1-800-540-4000. Also call the CCL office within 24 hours of the Unusual Incident and follow up with a written Unusual Incident/Injury Report (LIC 624B) within 7 business days.
(Page 2)

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen Estrella	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: LAWNDALE SCHOOL DISTRICT-WILLIAM GREEN PRESCHOOL	FACILITY NUMBER: 197405896
	VISIT DATE: 02/13/2020

NARRATIVE

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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.

The licensee was informed how to obtain quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. Licensee was also encouraged to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations. Licensee encourage to inform staff of viewing child care videos that explain licensing topics relevant to families and child care providers at: https://ccld.childcarevideos.org

The licensee was advised that, once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, (Type A violation), a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. The applicant was made aware that a licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment.

The facility appears to be operating within substantial compliance. A copy of this report and a Notice of Site Visit was provided to the Director and an exit interview conducted.
(Page 3)

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen Estrella	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

LIC809 (FAS) - (06/04)

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