197413841-6-16-2023-30-CC-JLAO-CSULHJ-20230616084625

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197413841
Report Date: 06/12/2023
Date Signed: 06/16/2023 08:46:34 AM

Document Has Been Signed on 06/16/2023 08:46 AM - 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:	SANTA MONICA-MALIBU USD/LINCOLN CHILD DEV/H.S./S.P		FACILITY NUMBER:	197413841
ADMINISTRATOR:	ALICE CHUNG		FACILITY TYPE:	850
ADDRESS:	1532 CALIFORNIA AVENUE		TELEPHONE:	(310) 576-1406
CITY:	SANTA MONICA	STATE: CA	ZIP CODE:	90403
CAPACITY:	24	CENSUS: 11	DATE:	06/12/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Reham Dabash		TIME COMPLETED:	11:30 AM

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 6/12//2023 Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced Annual Required Inspection at 1532 California Avenue, Santa Monica, CA 90403 and was greeted Assistant Site director Reham Dabash and discussed the purpose of the visit. LPA toured the facility both indoors and outdoors and observed the following: Classroom 1: 11 children and 2 teachers and 2 assistants Assistant director confirmed classroom 1 is a collaborative classroom with school district specialized academic instruction program. Facility is part of the Santa Monica Malibu School district and operates Monday through Friday 8:30 a.m. to 11:30 a.m. The facility also follows the elementary school schedule and last day of school is 6/12/2023. Facility will resume August 24, 2023. Facility is licensed to serve 24 preschool children. 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. Currently facility does not have any child that needs medication. Facility does have district school nurse available; Middle school is located right across the street from location (Lincoln Middle School) Teachers do the day to day cleaning in the classroom. Disinfectants, cleaning solutions and other hazardous items are made inaccessible on top shelf of bathroom; cabinet was observed with a safety latch- making content inaccessible. School district maintenance comes daily after school to disinfect classroom.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023

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: SANTA MONICA-MALIBU USD/LINCOLN CHILD DEV/H.S./S.P	FACILITY NUMBER: 197413841
	VISIT DATE: 06/12/2023

NARRATIVE

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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.

All toilets and hand washing 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 provides meals through the school district. Menu is posted on classroom parent board and parents receive it via email and are able to view on the school district website. All food is protected against contamination and any contaminated food is discarded immediately. Preschool program coordinates with school cafeteria staff to ensure that all dietary restriction are being adhere too.

Drinking water is available both indoors and outdoors. Facility provides disposable water cups for children to access water. LPA observed a water dispenser in the classroom.

Areas around high climbing equipment have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility contracts with a Pest control vendor to ensure that facility stays pest free. LPA observed working fire extinguishers and working carbon and smoke detector in the classroom. First Aid kits was observed in the classroom.

Prior to working or volunteering in a licensed childcare 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.

At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. Lead Teacher’s CPR and First Aid certification was taken on 5/21/2022. LPA observed 2 staff’s file and files were complete. LPA reviewed Mandated Reporter Training and staff has current proof of completion. All staff files were complete with immunization records for influenza, pertussis and measles and educational requirements. LPA reviewed a sample of children’s files and observed 5 files were complete.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023

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: SANTA MONICA-MALIBU USD/LINCOLN CHILD DEV/H.S./S.P	FACILITY NUMBER: 197413841
	VISIT DATE: 06/12/2023

NARRATIVE

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The name of the child care center director or fully qualified teacher(s) designated to act in the director’s absence has been reported to the Department. 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.

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/inspection-process.

Facility representative 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 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.

LPA and director 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 Reham Dabash Assistant Director.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023

LIC809 (FAS) - (06/04)

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