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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197407865
Report Date: 06/08/2023
Date Signed: 06/09/2023 03:44:41 PM

Document Has Been Signed on 06/09/2023 03:44 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:PLAYHOUSE PRESCHOOL KINDERGARTENFACILITY NUMBER:
197407865
ADMINISTRATOR:SHIRANI PERERAFACILITY TYPE:
850
ADDRESS:526 SOUTH IRENATELEPHONE:
(310) 316-8449
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90277
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 20DATE:
06/08/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:Dimuthu RatnasekareTIME COMPLETED:
12:15 PM
NARRATIVE
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On 6/8/2023 Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced case management inspection for the purpose of ensuring the standards are being met in accordance to California Tittle 22 Regulations and California Health and Safety Codes.

LPA met with Dimuthu Ratnasekare and toured the facility indoors and outdoors. During today’s inspections there was 20 children and 4 adults including D. Ratnaskare providing care and supervision.

Based on observations and document review facility is being cited, please see LIC 9099D.

LPA completed a file review and is recommending facility to The Technical Support Program (TSP). TSP is a non-enforcement program of the Community Care Licensing Division and provides services and products to help providers meet licensing requirements.

LPA’s provided facility director a copy of the TSP Program.

Copy of this report was provided with Notice of Site Visit.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/08/2023
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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Document Has Been Signed on 06/09/2023 03:44 PM - It Cannot Be Edited


Created By: Judy Laureano On 06/08/2023 at 10:34 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PLAYHOUSE PRESCHOOL KINDERGARTEN
FACILITY NUMBER: 197407865

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/08/2023
Section Cited
CCR
101226(a)

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101226 Health-Related Services
(a) The licensee shall immediately notify the child's authorized representative if the child...or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken.
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Facility agrees to discuss reporting requierment with staff to ensure staff is following requiered staff and modify "ouchie report" to add date/time called. Facility will email a statement of talking points and staff who were present by 6/30/2023
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This requierment was not met as evidence of parent interviews stating that they were not called when child sustained a head injury. This is a potential health and safety risk to the children in care.
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Type B
06/08/2023
Section Cited
CCR101238(a)

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101238 Building and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well being of children, employees and visitors.
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Facility agrees to make the necessary corrections and submit pictures to LPA by 6/30/2023.
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This requierment was not met as evidence by: LPAs observation of 2 metal poles not having a soft cushioning,hanging branch under the slide and outdoor mats curling. This is a pontential health and safety rish to the children in care.
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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:Claudia Escobedo
LICENSING EVALUATOR NAME:Judy Laureano
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2023


LIC809 (FAS) - (06/04)
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