197411548-1-3-2025-58-CC-VWHY-DCL5F2-20250103185426

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197411548
Report Date: 01/03/2025
Date Signed: 01/03/2025 06:55:10 PM

Document Has Been Signed on 01/03/2025 06:55 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	U.S. ACADEMY		FACILITY NUMBER:	197411548
ADMINISTRATOR/ DIRECTOR:	LEE, MICHAEL CHOONKIL		FACILITY TYPE:	840
ADDRESS:	987 S. GRAMERCY PLACE		TELEPHONE:	(323) 732-1123
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90019
CAPACITY: 34	TOTAL ENROLLED CHILDREN: 34	CENSUS: 14	DATE:	01/03/2025
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	03:15 PM
MET WITH:	Michael Lee & Esther Jin Lee		TIME VISIT/ INSPECTION COMPLETED:	06:45 PM

NARRATIVE

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On 1/3/25 Licensing Program Analyst (LPA) Veronica Wheatley conducted an unannounced annual inspection. LPA met with Assistant Director Esther Jin Lee aka Jin Lee. She guided LPA on a tour. Licensee / Director Michael Lee arrived during the inspection. You enter the school aged program off Olympic & Wilton Place into the parking lot. The staff are utilizing two classrooms. One is on the side and looks like a house with two restrooms. The other is adjacent to the office building. Hours of operation are Monday through Friday from 1pm to 6pm. The parents drop off and pick up the children. LPA observed 14 children playing outside and eating snack.

Teacher/child ratios were observed to be in accordance with Title 22 regulations. The Licensee is within the conditions, limitations, and capacity specified on the license. Staff names were recorded.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. The classrooms have central heating and air conditioning. Per Director, the isolation area is located in the office. Age-appropriate sinks and toilets were inspected for availability and good repair in all restrooms. The children bring their own water bottles for drinking water.
LPA did not observe a sign in / out sheet for children.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Carbon monoxide detector were observed in the classroom and is operable.

All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids or solid waste bags shall be discarded immediately after each meal. Food is provided by the facility. The facility provides PM snack only. LPA did not observe any menus. First Aid supplies were observed. Per Director, medication is not administered at the facility. Children are not transported.

Maureen Neal	TELEPHONE: (424) 301-3042
Veronica Wheatley	TELEPHONE: (424) 301-3051
	DATE: 01/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025

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: U.S. ACADEMY	FACILITY NUMBER: 197411548
	VISIT DATE: 01/03/2025

NARRATIVE

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Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed. LPA advised that no children shall be left without the supervision of a teacher at any time.

Children’s records and Staff records were reviewed. Statement Acknowledging Requirement to Report Child Abuse. LPA observed the Assistant Director with current CPR and first aid which expires 10/2026. LPA did not observe Mandated Reporter training for any staff. LPA did not observe a file for Staff #5.

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to working on the premises. All staff must have a complete file.

There are no firearms stored on the premises. There are no pools or bodies of water at the facility.

LPA discussed Title 22 Regulations, receiving and reviewing PINS (Provider Information Notices).

Exit interview. The facility was cited a Type B deficiencies. A copy of the report was read and provided to the Director. A Notice of Site Visit will be posted for 30 days.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 01/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 01/03/2025 06:55 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: U.S. ACADEMY	FACILITY NUMBER: 197411548
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/03/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

Disaster and Mass Casualty Plan

(d) Disaster drills shall be conducted at least every six months. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA's observation and record review), the licensee did not comply with the section cited above in that the staff are not conducting fire or disaster drills. The log shows the last drill was March 2024. This poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/10/2025
	Plan of Correction
1 2 3 4	The licensee/director will ensure fire drills are being conducted on a regular basis and according to Title 22 Regulations.

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
1 2 3 4	Based on LPA's observation and record review), the licensee did not comply with the section cited above in that the staff have not completed the required Mandated Reporting Training online.This poses/posed a potential health, safety or personal rights risk to persons in care.Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/10/2025
	Plan of Correction
1 2 3 4	The licensee will ensure all the staff complete the Mandated Reporter Training by 1/10/25.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Maureen Neal	TELEPHONE: (424) 301-3042
Veronica Wheatley	TELEPHONE: (424) 301-3051
	DATE: 01/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025

LIC809 (FAS) - (06/04)

Page: 3 of 5

Document Has Been Signed on 01/03/2025 06:55 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: U.S. ACADEMY	FACILITY NUMBER: 197411548
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/03/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

Food Service

(a) In child care centers providing meals to children, the following shall apply: (a) In child care centers providing meals to children, the following shall apply: (6) Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days. Menus shall be made available for review by the child's authorized representative and the Department upon request. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA's observation and record review, the licensee did not comply with the section cited above in that there are no snack menus for food provided to the student. This poses/posed a potential health, safety or personal rights risk to persons in care. The staff are purchasing food but not providing menus. LPA observed the children eating cereal and milk for snack.
	POC Due Date: 01/10/2025
	Plan of Correction
1 2 3 4	Licensee will make sure that snack menus are created and provided to the parents.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Maureen Neal	TELEPHONE: (424) 301-3042
Veronica Wheatley	TELEPHONE: (424) 301-3051
	DATE: 01/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025

LIC809 (FAS) - (06/04)

Page: 4 of 5

Document Has Been Signed on 01/03/2025 06:55 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: U.S. ACADEMY	FACILITY NUMBER: 197411548
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/03/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

This requirement is not met as evidenced by: LPA observed Staff #5 on the premises supervising children in Classroom without a file, without transcripts.
	Deficient Practice Statement
1 2 3 4	Based on LPA's observation and interview, the licensee did not comply with the section cited above in that Staff #5 was observed supervising children alone inside of the classroom without proof of education. This poses/posed a potential health, safety or personal rights risk to persons in care. Tite 22 Regulation 101217a
	POC Due Date: 01/10/2025
	Plan of Correction
1 2 3 4	Licensee will have Staff #5 complete required forms, submit TB test, immunizations and transcripts to the Department by 1/10/25. The staff member must be supervised by qualified staff until she is qualified to be alone.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Maureen Neal	TELEPHONE: (424) 301-3042
Veronica Wheatley	TELEPHONE: (424) 301-3051
	DATE: 01/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025

LIC809 (FAS) - (06/04)

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