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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415079
Report Date: 09/21/2021
Date Signed: 09/21/2021 02:49:37 PM

Document Has Been Signed on 09/21/2021 02:49 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:SUNFLOWER PRE-SCHOOLFACILITY NUMBER:
197415079
ADMINISTRATOR:STAFFORD, JULIEFACILITY TYPE:
850
ADDRESS:2400/2402 NELSON AVENUETELEPHONE:
(310) 371-3731
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90278
CAPACITY: 53TOTAL ENROLLED CHILDREN: 0CENSUS: 23DATE:
09/21/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Julie Stafford, DirectorTIME COMPLETED:
03:00 PM
NARRATIVE
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On 09/21/2021 at 8:00 am Licensing Program Analyst (LPA) Deborah Lowe, conducted an unannounced Annual Required Inspection for the preschool license. LPA met with Director, Julie Stafford, and toured the facility indoors and outdoors. Days and hours of operation are Monday – Friday 7:00 am – 6:00 pm.

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. LPA Lowe observed disinfectants and cleaning solutions accessible to children, Director removed from open shelf and placed in a cabinet making them inaccessible to children. LPA observed medication and other hazardous items were inaccessible. LPA Lowe observed ant poison in packaging on shelf in kitchen area, not in a locked storage area. LPA Lowe advised all poisons are kept in a locked storage area.

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 in need of repair. Wooden fencing on playground is chipping and paint is peeling. All toilets and handwashing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe.

All kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors with the use of water igloo’s.

Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements, Director tested, and LPA Lowe was able to hear the test successfully.

LPA Lowe advised prior to working or volunteering in a licensed child care facility, all individuals subject to a

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: SUNFLOWER PRE-SCHOOL
FACILITY NUMBER: 197415079
VISIT DATE: 09/21/2021
NARRATIVE
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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. 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. LPA Lowe observed the sign in/ out sheet to have the person who signs the child in/out of the facility shall use their full legal signature and record the time of day. LPA observed a child by themselves unsupervised in the bathroom with all staff outside. LPA Lowe advised all children are under supervision, including visual supervision, of a teacher at all times. LPA Lowe observed the facility to maintain a ratio of one teacher supervising no more than 12 children in care.

LPA reviewed a sample of 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. LPA Lowe observed children’s medical assessments were incomplete. LPA reviewed a sample of staff files and observed files were incomplete with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training. Menus are posted at least one week in advance where an authorized representative can view them.

Incidental Medical Services (IMS) are 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 Licensee 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.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021
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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: SUNFLOWER PRE-SCHOOL
FACILITY NUMBER: 197415079
VISIT DATE: 09/21/2021
NARRATIVE
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Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D) Type A 101229(a)(1), Type A 101238(g)(1), Type B 101238.2(d)(2), Type B 101221(A)(8), Type B 101217(a)(11)(12), Type B 1596.8662(4)(b)(1), and Technical Assistance 101238(g). Licensee was provided a copy of this report and their appeal rights.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 was given to licensee.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021
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Document Has Been Signed on 09/21/2021 02:49 PM - It Cannot Be Edited


Created By: Deborah Lowe On 09/21/2021 at 12:46 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SUNFLOWER PRE-SCHOOL
FACILITY NUMBER: 197415079

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/21/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/22/2021
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision, (a) The licensee shall provide care and supervision... (1) No child(ren) shall be left without the supervision of a teacher at any time.... Supervision shall include visual observation.
This requirement is not met as evidenced by:
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Licensee completed and provided LPA a Declaration of their understanding of Regulation 101229(a)(1) for supervision on 9/21/2021. Licensee will have a staff meeting to discuss supervision of children in care with all staff on 9/21/2021 and will provide proof of completion to LPA with staff signatures of acknowlegement via email by 9/22/2021.
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Based on LPA observation of a child in the building at the bathroom while staff and children were outside on play yard. Licensee did not provide care and supervision which poses an immediate Health and Safety, or Personal Rights risk to children in care.
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Type A
09/22/2021
Section Cited
CCR101238(g)(1)

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101238 Buildings and Grounds (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. (1) Storage areas for poisons shall be locked.
This requirement is not met as evidenced by:
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Licensee will place a lock on cabinet under kitchen sink .and place all poisons in cabinet with lock. LIcensee will provide LPA a picture showing corrected via email by 9/22/2021.
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Based on LPA observation of pest control poison left accessable on shelf in kitchen not in locked cabinet. Licensee did not keep poisons in a locked storage which poses an immediate Health and Safety, or Personal Rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Karren Starks
LICENSING EVALUATOR NAME:Deborah Lowe
LICENSING EVALUATOR SIGNATURE:
DATE: 09/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/21/2021


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Document Has Been Signed on 09/21/2021 02:49 PM - It Cannot Be Edited


Created By: Deborah Lowe On 09/21/2021 at 01:30 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SUNFLOWER PRE-SCHOOL
FACILITY NUMBER: 197415079

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/21/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/29/2021
Section Cited
CCR
101238.2(d)(2)

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101238.2 Outdoor Activity Space (d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.
This requirement is not met as evidenced by:
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Licensee has appointment to meet with handy person on 9/22/2021 and will provide proof of repair with pictures sent to LPA via email by 9/29/2021.
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Based on LPA observation of wooden fencing near ground in children's play area to be spliting and peeling paint accessable to chidlren. Licensee did not ensure area was free from hazards. This which poses a potential Health, Safety or Personal Rights risk to children in care.
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Type B
09/28/2021
Section Cited
CCR101217(a)(11)

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101217 Personnel Records(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 101216(g).
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Licensee requested documents from staff and will send copies of completed forms to LPA via email by 9/28/2021.
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Based on LPA file reivew, Licensee was not able to provide proof of health screening report for 3 staff which poses a potential Health, Safety or Personal Rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Karren Starks
LICENSING EVALUATOR NAME:Deborah Lowe
LICENSING EVALUATOR SIGNATURE:
DATE: 09/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/21/2021


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Document Has Been Signed on 09/21/2021 02:49 PM - It Cannot Be Edited


Created By: Deborah Lowe On 09/21/2021 at 01:52 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SUNFLOWER PRE-SCHOOL
FACILITY NUMBER: 197415079

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/21/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/21/2021
Section Cited
CCR
101220(a)

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101220 Child's Medical Assessments (a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide...
This requirement is not met as evidenced by:
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Licensee stated they will speak with each parent in person, provide LIC 503 Physcians Report to all families to be completed by doctor within 30 days and will provide compled copies to LPA by 10/21/2021. Licensee completed and provided LPA a declaration stating understanding of medical assessment requirement on 9/21/2021.
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Based on LPA file reivew of 7 children's files, 6 files did not include the physican report of medical assessment. Licensee failed to ensure medical assessments were completed within 30 calendar days of enrollment which poses a potential Health, Safety or Personal Rights risk to children in care.
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Type B
10/05/2021
Section Cited
HSC1596.8662(4)(b)(1)

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1596.8662 Availability of information regarding detecting and reporting child abuse ... (4) The licensee of a licensed child day care facility shall obtain proof from an administrator or employee of the facility that the person has completed mandated reporter training in ...
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Licensee will provide staff two weeks to complete the Mandated Reporter training and will provide proof to LPA via email with each staff memebers certicate of completion by 10/05/2021.
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Based on LPA review of staff files. All staff files reviewed showed all staff mandated reporter training expired in 2019. Licensee did not ensure completion of renewal trainings of staff which poses a potential Health, Safety or Personal Rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Karren Starks
LICENSING EVALUATOR NAME:Deborah Lowe
LICENSING EVALUATOR SIGNATURE:
DATE: 09/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/21/2021


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