197410520-9-6-2023-54-CC-KCHE-CVEUM9-20230906154158

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197410520
Report Date: 09/06/2023
Date Signed: 09/06/2023 03:42:10 PM

Document Has Been Signed on 09/06/2023 03:42 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	BILL CRUZ EARLY EDUCATION CENTER		FACILITY NUMBER:	197410520
ADMINISTRATOR:	EUGENIA MBATA		FACILITY TYPE:	850
ADDRESS:	1020 S. VALENCIA STREET		TELEPHONE:	(213) 388-6485
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90015
CAPACITY:	120	CENSUS: 42	DATE:	09/06/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Shameka Higgins, Facility Representative (FR)		TIME COMPLETED:	04:00 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	On 09/06/2023 at 12:35 PM an unannounced Required – 1 Year Inspection was conducted by Licensing Program Analyst (LPA) Katrina Chicote and Licensing Program Manager (LPM) Denise Gibbs. Facility is currently licensed for a capacity of 120. Licensing staff announced purpose of visit and initially met with Facility Representative (FR), Shameka Higgins, who granted entry to facility and provided Licensing Staff with a guided tour of the facility both indoors and outdoors. The program currently operates Monday thru Friday 7:00 AM to 5:30 PM. LPA observed required licensing postings on Parent Board upon entry and in each classroom. At the initial start of the site visit, there is a total census of 42 napping preschoolers and a total census of ten staff present. The facility is made up of five classrooms: RM-2, RM-3, RM-4, and RM-5. Per FR, RM-1 is currently not being used at this time. LPA observation confirms RM-1 not being used at time of inspection. Beginning at 12:45 PM, furniture and equipment were inspected for age appropriateness and good repair in each classroom. LPA observed surface of classrooms to be safe and clean, and child size tables and chairs available for children well maintained. LPA observed learning stations for dramatic play, math, and science with toys free of loose and sharp parts and a library area available for quiet play. Telephone service, heating, lighting and ventilation were evaluated. There were cubbies observed as storage for children's belongings. LPA observed children using standard blue cots in each classroom at time of inspection each with sheets and laid out as to not block walkways or hinder access to exits and entrances. Per FR, linens are provided by the facility and washed weekly by a laundry service. Availability of drinking water was reviewed. LPA observed drinking fountains and water bottles available for drinking water in each classroom. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. LPA observed bathroom available in each classroom that had three toilets and three sinks with two additional sinks available in the classroom. Report Continues - Page 1 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BILL CRUZ EARLY EDUCATION CENTER	FACILITY NUMBER: 197410520
	VISIT DATE: 09/06/2023

NARRATIVE

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Snack/lunch menus were reviewed and observed posted at time of inspection. All meals and snacks are provided by Los Angeles Unified School District and delivered from nearby Elementary school campus. Children are provided breakfast, lunch, and PM snack. Trash cans used to discard food have tight fitting lids at time of inspection.

A first aid kit is kept in high cupboard in each classroom. LPA observed fire extinguishers, carbon monoxide detectors, and smoke detectors present at the facility. LPA observed disaster drill log available, last drill conducted on 08/29/2023 . Disinfectants, cleaning solutions, medication and other items that are dangerous to children were inaccessible to children. LPA observed medicines stored in RM-3 for C4 and in RM-5 for C3 and C5. FR states isolation area for sick children is in office and LPA observed blue cot available in office for isolation.

Beginning at 1:15 PM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. Facility has three outdoor play areas, Outdoor Play Area 1 located right outside RM-2 and Outdoor Play Area 2 to be outside of RMs 3-5. There is an additional Outdoor Play Area 3 located outside RM-1 that is currently not being used. Required shade and fencing were inspected. LPA observed outdoor play areas separated by fencing. LPA observed easy up tents available in various areas of outdoor play area for shade. At 1:18 PM, LPA observed large wooden multi-level play structure in Outdoor Play Area 1 to be completely surrounded by caution tape. Per FR, they have submitted a work order for this play structure to be re-finished due to children getting splinters. LPA observed other wooden play structures in Outdoor Play Area 2 to have paint chipping off exposing splintered wood. LPA observed cushioning material below multi-level play structures to not be well maintained observing holes in multiple places at time of inspection. LPA observed bicycles, shed that has been repurposed for a playhouse, and other toys available for children to use outside that are well maintained. LPA advised that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. The children have access to drinking fountains and water fill station available for drinking water in outside play area. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed.

Teacher-child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. LPA observed all children present signed in at time of inspection. Personal Rights of children were observed by LPA.
Report Continues - Page 2 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023

LIC809 (FAS) - (06/04)

Page: 2 of 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BILL CRUZ EARLY EDUCATION CENTER	FACILITY NUMBER: 197410520
	VISIT DATE: 09/06/2023

NARRATIVE

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Beginning at 2:25 PM, staff and children’s records were reviewed. Children’s Records were reviewed for completeness. Inspection of required forms were made and documented on the LIC 857 and on the LIC 859. 1 out of 5 staff files reviewed did not have proof of the required AB 1207 Mandated Reporter Training certificate on file at time of inspection. 4 out of 5 staff files reviewed did not have proof of immunization for TdaP, MMR, and Influenza (or written declination for this only) at time of inspection. LPA observed Pediatric First Aid/CPR expires on 11/2023 for S6. LPA did not review confidential staff files (LIC 503 w TB and Employment Application) during the inspection due to the staff confidential files being stored at the administrative office. All staff and employees have obtained a criminal record clearance or criminal record exemption as a condition of employment with the Los Angeles Unified School District.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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

CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Licensee (or facility representative) was reminded that all adults 18 and over in the facility, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed facility.

Report Continues - Page 3 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023

LIC809 (FAS) - (06/04)

Page: 3 of 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BILL CRUZ EARLY EDUCATION CENTER	FACILITY NUMBER: 197410520
	VISIT DATE: 09/06/2023

NARRATIVE

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Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location. LPA advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.

Based on this information, the following deficiencies on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

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

Exit interview was conducted and report was reviewed with the Facility Representative, Shameka Higgins.

Report Ends - Page 4 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023

LIC809 (FAS) - (06/04)

Page: 4 of 7

Document Has Been Signed on 09/06/2023 03:42 PM - 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BILL CRUZ EARLY EDUCATION CENTER	FACILITY NUMBER: 197410520
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/06/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238(a)

Buildings 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. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA observations and interview, Licensee did not meet the above requirement. LPA observed a large wooden multi-level play structure in Outdoor Play Area 1 to be completely surrounded by caution tape. In addition, LPAs observed holes in cushioning material below structures and paint chipping from all wooden play structures in outdoor play area. This poses a potential health, safety, and personal rights risk to children in care.
	POC Due Date: 10/06/2023
	Plan of Correction
1 2 3 4	FR states they will follow up with Maintenance and reach out to get it done and provide emails to LPA by POC date via email.

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA record review, 4 out of 5 staff members did not have proof of immunizations for TdaP, MMR, and Influenza (or written declination fo this only) on file at time of inspection. This poses a potential health, safety, and personal rights risk to children in care.
	POC Due Date: 10/06/2023
	Plan of Correction
1 2 3 4	FR states they will reach out to staff members to obtain form and provide the proof to LPA via email by POC date.

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: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023

LIC809 (FAS) - (06/04)

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