197413702-11-7-2019-30-CC-MCON-BHPRRN-20191107121525

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197413702
Report Date: 11/07/2019
Date Signed: 11/07/2019 12:15:41 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:	HOLY TRINITY PRESCHOOL		FACILITY NUMBER:	197413702
ADMINISTRATOR:	MICHELLE AIELLO		FACILITY TYPE:	850
ADDRESS:	1292 W. SANTA CRUZ STREET		TELEPHONE:	(310) 833-0703
CITY:	SAN PEDRO	STATE: CA	ZIP CODE:	90732
CAPACITY:	22	CENSUS: 0	DATE:	11/07/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Michelle Conejo, Director		TIME COMPLETED:	12:45 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 November 7, 2019 at 10:00 AM, Licensing Program Analysts (LPAs) Miriam Cohen met with Michelle Conejo, Director of Holy Trinity Preschool 197413702 located at 1292 W. Santa Cruz Street, San Pedro, CA 90732 for the purpose of conducting an Annual Required inspection. LPA toured and inspected the classroom, interior and exterior, as identified in the facility sketch. The preschool hours are from 8:00 AM - 3:00 PM Monday, Tuesday, Thursday and 8:00 AM – 11:15 AM Wednesday and Friday. Upon arriving at the preschool, LPA did not observe children in the classroom. The director and one staff member were getting ready for their annual Parent Teacher Conference. Per director, there are no weapons or firearms allowed or stored on the premises. LPA did not observe any weapons or firearms. The following were observed by LPA: The classroom was found to be clean and free from any potential hazards Disinfectants, cleaning solutions, poisons, and other dangerous items are inaccessible to children Storage areas for poisons were observed in locked cabinets The classroom has age appropriate material and equipment Furniture in the classroom is found to be in good repair and age appropriate Playground equipment were found in good condition The surface of the outdoor activity space was maintained in a safe condition, free of hazards All toilets, hand washing, were found to be in safe and sanitary operating condition Floors appeared to be clean and safe Uncontaminated water was readily available both indoors and outdoors. All materials and surfaces accessible to children are toxic free Outdoor activity space surfaces shall be free of hazards *The facility is free of flies, other insects, and rodents

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam Cohen	TELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019

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: HOLY TRINITY PRESCHOOL	FACILITY NUMBER: 197413702
	VISIT DATE: 11/07/2019

NARRATIVE

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The facility provides IMS to children in care. First Aid supplies are stored in the classroom. Children and staff records were reviewed during inspection for completeness including but not limited to Criminal Record Clearances for adults, Director Qualifications and verification of CPR/First Aid and Health and Safety preventative practices documentation. LPA observed CPR/First Aid expires 08/2021.
LPA 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/assistants names was check against current facility roster. All Staff members are currently associated to the campus where they are assigned to work. Required postings were observed by LPA.

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 . 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 1^st offense and up to $3000.00 for the 2^nd offense within a 12-month period.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam Cohen	TELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019

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: HOLY TRINITY PRESCHOOL	FACILITY NUMBER: 197413702
	VISIT DATE: 11/07/2019

NARRATIVE

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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
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 Blvd. suite # 290 A
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).

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam Cohen	TELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019

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: HOLY TRINITY PRESCHOOL	FACILITY NUMBER: 197413702
	VISIT DATE: 11/07/2019

NARRATIVE

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The facility was found to be in compliance per Title 22 regulations,
There shall be NO Type A and B deficiencies cited today, 11/07/19.

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, Michelle Conejo, including, but not limited to: Provider Rights, Appeal Procedures and Agency's Consultative Role.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam Cohen	TELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019

LIC809 (FAS) - (06/04)

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