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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408599
Report Date: 08/15/2019
Date Signed: 08/15/2019 02:07:41 PM

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:TOWN AND COUNTRY NURSERY SCHOOL, INC.FACILITY NUMBER:
197408599
ADMINISTRATOR:ANTONIA GRAEBERFACILITY TYPE:
850
ADDRESS:2200 VIA ROSATELEPHONE:
(310) 375-2829
CITY:PALOS VERDES ESTATESSTATE: CAZIP CODE:
90274
CAPACITY:105CENSUS: 103DATE:
08/15/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Antonia GraeberTIME COMPLETED:
02:45 PM
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On August 15, 2019 at 8:45 AM, Licensing Program Analysts (LPAs) Miriam Cohen and Delicia Adkins met with Preschool Director, Antonia Graeber, of Town and Country Nursery School, 197408599 located at 2200 Via Rosa Palos Verdes Estate, CA 90274 for the purpose of conducting a required annual inspection utilizing KIT 1 guidelines. LPA Cohen toured and inspected classrooms one through 10 (room three was the library/ELA), interior and exterior, as identified in the facility sketch. Sign In/Out sheet was observed with full legal signatures and record of time of day. The preschool hours are from 8:00 AM to 3:00 PM, Monday through Friday. Facility is operating within capacity limitations.

Upon arriving at the preschool, LPAs observed 105 children being supervised by 25 adults.
LPAs observed care provided in nine classrooms:
Classroom One with a ratio of three adults (one teacher and two assistants) to eight children
Classroom Two with a ratio of three teachers to nine children
Classroom Four with a ratio of two adults (one teacher and one assistant) to nine children
Classroom Five with a ratio of three teachers to 13 children
Classroom Six with a ratio of two teachers to 11 children
Classroom Seven with a ratio of four teachers to 11 children
Classroom Eight with a ratio of three teachers to 16 children
Classroom Nine with a ratio of three adults (one teacher and two assistants) to 10 children
Classroom 10 with a ratio of two teachers to 10 children

LPAs inspected above classrooms and found them to be clean and free from any potential hazards. The floors of each classrooms were observed clean and safe. LPAs observed the classrooms to have age appropriate material and equipment. Furniture in the classrooms is found to be in good repair and age appropriate. Disinfectants, cleaning solutions, and poisons are inaccessible to children.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019
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: TOWN AND COUNTRY NURSERY SCHOOL, INC.
FACILITY NUMBER: 197408599
VISIT DATE: 08/15/2019
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Storage areas for poisons are inaccessible to children in care. Medications are kept in a safe place in the director’s office. LPAs observed all toilets and handwashing facilities in safe and sanitary operating condition. All kitchen, food-preparation and storage areas are kept clean, free of litter, rubbish, and free of rodents and other vermin. Food snacks were observed protected against contamination. A menu was observed in a place visible by the child’s authorized representative. Storage containers for solid waste, including moveable bins were observed with tight-fitting covers that are kept on, and in good repair. Uncontaminated drinking water was readily available both indoors and out. Inspection of the outdoor play area was conducted. Playground equipment were observed in safe to be in good condition, free of sharp, loose, or pointed objects. The surface of the outdoor activity space is maintained in a safe condition and free of hazards. LPAs observed climbing structures, swings, slides, and other large play equipment securely anchored with adequate cushioning material underneath and around the perimeter that absorbs a fall. Materials and surfaces accessible to children appeared to be toxic free. The facility is free of flies, and other insects, and rodents. Playground is free from miscellaneous debris such as tree branches, trash, leaves, etc.

The above facility provides IMS. A review of medication policy, including administering, labeling, storage, and records was made. Children’s record was reviewed for Emergency Identification form including name of authorized representative who can assume responsibility for the child if the authorized representative cannot be reached when necessary. Children’s record was reviewed for medical assessment. Staff records were reviewed during inspection for completeness including but not limited to Criminal Record Clearances for adult and health screening including immunization records. LPAs observed CPR/First Aid expires 04/2020. LPAs advised the director that records for all children and staff must be maintained for three years after separation from the facility. A record of teachers and teacher’s assistants’ names was check against current facility roster. The name of the director or fully qualified teacher designated to act in the director’s absence is observed posted (LIC 308 form).

The following requirements were discussed with the licensee:


Mandatory forms for the children and provider’s files; requirements for fire drills, earthquake drills, and documentation for both; role and responsibilities of being a mandated reporter. The licensee was advised on how to access forms and Regulations for Child Care Center online at www.ccld.ca.gov .
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019
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: TOWN AND COUNTRY NURSERY SCHOOL, INC.
FACILITY NUMBER: 197408599
VISIT DATE: 08/15/2019
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AB 1207: Beginning on January 1, 2018, this law 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. Website: www.mandatedreporterca.com
Senate Bill 792: this bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the visit.
New Immunization Requirement: Law enacted by SB 277, beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.
New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment. Appeal may be submitted and mailed to the following address:
300 North Continental Boulevard, 290 A, MS 29-13
El Segundo, CA, 90245

The licensee was advised that 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, 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. Copies of the reports must also be provided to each parent when a serious deficiency, Type A, is cited (LIC9224).

The facility was found to be in compliance per Title 22 regulations,
There shall be NO Type A and B deficiencies cited today, 08/15/19.

A copy of this report along with a Notice of Site Visit were issued and explained to the licensee.
An exit interview was discussed and conducted with preschool director, Antonia Graeber, including, but not limited to: Provider Rights, Appeal Procedures and Agency's Consultative Role.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4
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: TOWN AND COUNTRY NURSERY SCHOOL, INC.
FACILITY NUMBER: 197408599
VISIT DATE: 08/15/2019
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Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. The licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified. Regulation prohibits the smoking of tobacco on the premises.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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
The ADA requires that child care providers not discriminate against persons with disabilities on the basis of disability, that is, that they provide children and parents with disabilities with an equal opportunity to participate in the child care center's programs and services.
Requirements for fingerprint clearances and associations were discussed with the licensee. Licensee can be cited a civil penalty of $100 per day, up to $500.00 (5 days) for the 1st offense and up to $3000.00 for the 2nd offense within a 12-month period. The licensee was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and licensing within the time frame specified by the regulation. The "Notification of Parent's Rights" (PUB394) poster must be posted in an area accessible to parents. The information regarding new legislation with regards to exemptions and Parent’s Rights was also discussed.

The licensee was informed of The Child Care Advocate Program (CCAP) that is available 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


Email Address: childcareadvocatesprogram@dss.ca.gov
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4