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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197412016
Report Date: 01/26/2023
Date Signed: 01/26/2023 12:16:11 PM


Document Has Been Signed on 01/26/2023 12:16 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:WALDORF EARLY CHILDHOOD CENTERFACILITY NUMBER:
197412016
ADMINISTRATOR:JUDY PENROSEFACILITY TYPE:
850
ADDRESS:1439-1441 15TH STREETTELEPHONE:
(310) 260-2708
CITY:SANTA MONICASTATE: CAZIP CODE:
90404
CAPACITY:68CENSUS: 17DATE:
01/26/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Brenna JohnstonTIME COMPLETED:
12:15 PM
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On 1/26/2023 Licensing Program Analyst (LPA) Judy Laureano conducted unannounced Annual Required Inspection at 1439-1441 15th Street, Santa Monica, CA 90404. LPA was greeted by Brenna Johnston, admissions coordinator. LPA toured the facility indoors and outdoors and the following was observed:

Blue Bel Classrooml-10 children and 2 staff members
Petnuia Classroom- 7 children and 2 staff members
Enrichment Classroom (located next to the Teacher’s lounge)- currently not in use. LPA did not observed any children in care.

LPA observed 2 classrooms in Building 1441 that are currently not in use. Facility admin confirmed that classrooms have not been in use as of June 2022. LPA requested facility to ensure that an official letter stating classrooms in building 1441 are currently not in use. LPA did not observed any children present in the building 1441.

Facility currently operates Monday through Friday 8:15 a.m to 4:00 p.m. During today’s inspection, 17 children were present. The preschool serves children ages 2.6 years through 6 years old. Building 1439 has capacity of 38 children and building 1441 has a capacity of 30 children.

LPA toured and inspected the facility in accordance with the facility sketch. Teacher/child ratios are maintained, and adequate supervision is being provided during this visit.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises.

Disinfectants and cleaning solutions are kept in each classroom, locked bottom cabinet under the sink-making the content inaccessible to the children in care. Facility admin confirmed facility has a designated cleaning person that comes and cleans the facility. Teachers are responsible for the daily cleaning in between classroom activities. First Aid Kit was in each classroom. Outside pest control vendor is contracted as needed to ensure facility stays pest free. Facility is free of flies, insects and rodents. No poisons were observed during the inspection

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2023
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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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: WALDORF EARLY CHILDHOOD CENTER
FACILITY NUMBER: 197412016
VISIT DATE: 01/26/2023
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Medication is stored in the designated classroom, top cabinet near the sink area- inaccessible to the children in care. LPA advised facility to include a copy of the LIC 9221 with current medication- Technical Assistance was issued. LPA also reminded staff that all medication needs to be up to date and store in it’s original box with current prescription.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in 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. LPA observed shaded area in the outdoor space with age appropriate play equipment and toys. Areas around high climbing equipment have cushioning material to absorb falls. Teachers ensure playground and outdoor equipment is safe and free of hazard before children use the area.

All toilets and handwashing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. Solid waste storage containers have tight-fitting covers and are in good repair.

All kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. Facility provide snacks and menu is sent to families and posted outside each classroom. LPA advised facility to maintain a copy of menu for a minim of 30 days, making note of if any modification is made. Families are required to provide lunch/meals in appropriate containers such as ice-packs and/or thermos. All food is protected against contamination and any contaminated food is discarded immediately. Drinking water is available both indoors and outdoors, filter water is provided in each classroom and children are encouraged to bring their refillable water bottle.

There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Facility was observed to have centralized sprinkler system.

Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption. Capacity and limitations as specified on the license are being maintained.

LPA reviewed 5 staff files and observed all files were complete. Director’s Mandated Reporter was completed on 2/2/2022 and CPR and 1st Aid completed with an expiration date of 8/2023.

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
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: WALDORF EARLY CHILDHOOD CENTER
FACILITY NUMBER: 197412016
VISIT DATE: 01/26/2023
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LPA reviewed children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment.

LPA provided facility admin with a copy of LIC311A and LIC 125 to use as a guide to audit files and program.

The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. All children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 12 children in care.


Associate Head of School, Sumaiya Yusuf, arrived a facility to provided additional support. Qualified teacher was present in the absence of facility director.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Facility representatives, were 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 initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.



LPA and facility representative discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the licensee facility representative, Brenna Johnston and Sumaiya Yusuf.

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC809 (FAS) - (06/04)
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