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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411387
Report Date: 02/23/2022
Date Signed: 02/23/2022 05:27:43 PM


Document Has Been Signed on 02/23/2022 05:27 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:CLEVELAND EARLY EDUCATION CENTERFACILITY NUMBER:
197411387
ADMINISTRATOR:VASQUEZ, SARAFACILITY TYPE:
850
ADDRESS:19031 W. STRATHERN STREETTELEPHONE:
(818) 718-9420
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:120CENSUS: 61DATE:
02/23/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:LESA GAINESTIME COMPLETED:
01:00 PM
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On 2/23/2022, Licensing Program Analyst (LPA) Loyce Phillips, conducted a case management inspection to follow up on COVID-19 Positive Cases. LPA met with Principal, Lesa Gaines conducted a facility risk assessment, toured the facility and took a census. Upon arrival, there were 61 children and 16 staff present today at the facility. LPA toured 5 classrooms and the outdoor play area.

LPA observed the front entry displaying COVID-19 signs/posters and hand sanitizer dispensers. Each classroom had a sanitation area, which included face mask, wipes, hand sanitizer and gloves. All the bathrooms were functioning and fully stocked with soap and paper towels. The children classroom materials, books and supplies are kept separate in large zip lock bags with their names on it. Each child has their own personal tablets to work with. Materials and equipment are not shared. The children are kept in the same cohorts according to their time schedules.

During the visit LPA and Lesa Gaines discussed the following best practices:

Arrival Procedures - Children and staff must complete their daily pass, temperature checks and wellness check every morning before entering the facility. The daily pass consists of answering daily health check questions. Hand sanitizer is giving to children before they enter their classrooms.

Face Mask - All children and staff are required to wear a face mask daily while indoors. Face mask are no longer require outdoors.

809 C
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:
DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/23/2022
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: CLEVELAND EARLY EDUCATION CENTER
FACILITY NUMBER: 197411387
VISIT DATE: 02/23/2022
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Isolation area - Isolation area is located outdoors near the classrooms, under a tent or in the staff lounge. A designated staff will stay with the child until the parent arrives. The facility has an isolation restroom for children with symptoms.

Cleaning and Disinfecting - The outdoor play area and classrooms are clean daily. All high touched surface areas are cleaned throughout the day. All floors are swept and mopped daily. When choosing cleaning products, use products approved by Environmental Protection Agency list.

PPE - The facility orders PPE and cleaning supplies directly through LAUSD.

Reporting Requirements – LPA explained and reminded Lesa Gaines to report all COVID-19 positives cases to Department of Public Health. In addition, report all positives cases and closure of facility or classrooms to our Department. When reporting Unusual Incidents, call CCLD within 24 hours and submit Unusual Incident Report within 7 days.

No deficiencies are being cited in accordance to Title22 of the California Code of Regulations and/or Health & Safety Codes.

An exit interview was conducted, a copy of this report and notice of site visit were provided to Lesa Gaines.

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2