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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197407292
Report Date: 12/05/2024
Date Signed: 12/05/2024 11:39:37 AM

Document Has Been Signed on 12/05/2024 11:39 AM - 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:ST. PATRICK'S SCHOOLFACILITY NUMBER:
197407292
ADMINISTRATOR/
DIRECTOR:		KIMBERLY HERNANDEZFACILITY TYPE:
850
ADDRESS:10626 ERWIN STREETTELEPHONE:
(818) 763-6473
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY: 50TOTAL ENROLLED CHILDREN: 28CENSUS: 19DATE:
12/05/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:30 AM
MET WITH:Karen Nunez, DirectorTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Silva Garibyan conducted an unannounced Required - 3 year inspection. LPA met with Karen Nunez, Director, who guided analyst on a tour of the facility. This is a preschool program serving up to 50 children. The facility operates Monday through Friday, from 7 AM to 6 PM. All children are under supervision, including visual supervision of a teacher at all times. A review of the sign in/out sheets was conducted to verify the current census of children. Facility is operating within capacity limitations. The facility consists of 2 classrooms located on the premises of St. Patrick's School; a private school for grades Kindergarten through 8. Preschool children are walked to the preschool room by their parents. There are classes for grades K-3 in the same building as the preschool. There is a waiver on file for the shared use of the yard on an alternating schedule between the preschool and school age children. LPA observed five children in Preschool classroom being supervised by two teachers, and 14 children in Pre-K room supervised by two teachers. LPA verified that all adults present in the facility have obtained criminal record clearances and are associated to the facility.
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). Furniture and equipment were inspected for age appropriateness and good repair. A walk through of the classrooms was conducted, 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. Classroom floors are clean and safe. Carpets are vacuumed daily and cleaned routinely, every 6 months or more frequently as needed.

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Betty BellTELEPHONE: (424) -301-3063
Silva GaribyanTELEPHONE: (424) 301-3062
DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2024
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: ST. PATRICK'S SCHOOL
FACILITY NUMBER: 197407292
VISIT DATE: 12/05/2024
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 Drinking water is readily available in each classroom. LPA observed water dispensers in the classrooms. Children bring their own water bottles from home. There are first aid supplies in each classroom and school Principle's/Main office. Children are inspected for illnesses as they arrive. A review of medication policy indicated that Medication is administered by the director, who documents the date, time and dosage onto a log. Medications are stored securely and inaccessible to children. There is a separate area for isolation and care of ill children in Principal's/Main office. There is a mat available for each ill child. An isolated toilet and sink are available for ill children. Napping equipment and bedding was inspected for good condition, appropriate storage and cleanliness. LPA observed cots available for each child. Cots are being sanitized once a week. Bedding is stored separately. Napping children are properly supervised within ratios.

Children's bathroom is accessible from Preschool classroom and consists of 4 toilets (2 in stalls and 2 side by side) and 3 sinks, all functioning properly. There is one sink available in each classroom to meet the requirement for the approved capacity .LPA observed toilet paper, soap and paper towels readily available.



Director states that parents provide lunch and snacks daily. Prepared lunch is available when parents sign up. Food is available in the event a child's lunch is forgotten in school's kitchen. The chemicals are kept separate from the food. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. Trash cans used for solid waste disposal contain a tight fitting lid. Trash cans for paper waste do not have lids.

The outdoor yard consists of an open yard that is also used by the Private school (waiver on file), fenced off play area for preschool only, and covered area with lunch benches. Outdoor play equipment, bicycles and toys were observed to be in good condition.
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SUPERVISOR'S NAME: Betty BellTELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
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: ST. PATRICK'S SCHOOL
FACILITY NUMBER: 197407292
VISIT DATE: 12/05/2024
NARRATIVE
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 LPA conducted a Children's Records Review for completeness and to ensure children have proper forms such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights on file. The children's roster was available and current. Staff Records were reviewed to ensure the following: Criminal record clearance or criminal record exemption, education credits required, current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination, Mandated Reporter training. Three staff do not have current Mandated Reporter Training Certificates and two staff do not have Health-Screening reports in staff files.

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 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.



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/. . Page 3
SUPERVISOR'S NAME: Betty BellTELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
LIC809 (FAS) - (06/04)
Page: 3 of 6
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: ST. PATRICK'S SCHOOL
FACILITY NUMBER: 197407292
VISIT DATE: 12/05/2024
NARRATIVE
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LPA referred Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Karen Nunez
SUPERVISOR'S NAME: Betty BellTELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
LIC809 (FAS) - (06/04)
Page: 4 of 6
Document Has Been Signed on 12/05/2024 11:39 AM - It Cannot Be Edited

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: ST. PATRICK'S SCHOOL
FACILITY NUMBER: 197407292

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA interview and record review, Licensee did not meet above requirement. Licensee did not have proof of lead testing requirement being completed at time of inspection. This poses a potential health, safety, and personal rights risk to children in care.
POC Due Date: 12/19/2024
Plan of Correction
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Director states they do not use water for drinking or food prep. Director states they only use Sparkletts water which is delivered. Directo states they will apply for a waiver and provide proof to LPA via email by POC date.
Section Cited
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in Director's and staff's mandated reporter training had expired in 2023, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/19/2024
Plan of Correction
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Director will ensure all staff have completed the mandated reporter training and provide proof of certificates to CCL by the POC due date. LPA provided the trainining website address. www.mandatedreporterca.com
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Betty BellTELEPHONE: (424) -301-3063
Silva GaribyanTELEPHONE: (424) 301-3062

DATE: 12/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2024

LIC809 (FAS) - (06/04)
Page: 5 of 6
Document Has Been Signed on 12/05/2024 11:39 AM - It Cannot Be Edited

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: ST. PATRICK'S SCHOOL
FACILITY NUMBER: 197407292

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Personnel Requirements
(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above. two staff did not have Health-screening reports on files,which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/19/2024
Plan of Correction
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Director will obtain records by POC due date of 12/19/2024.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Betty BellTELEPHONE: (424) -301-3063
Silva GaribyanTELEPHONE: (424) 301-3062

DATE: 12/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2024

LIC809 (FAS) - (06/04)
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