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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415270
Report Date: 10/16/2019
Date Signed: 10/16/2019 11:22:19 AM

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:GARDENA CHRISTIAN ACADEMYFACILITY NUMBER:
197415270
ADMINISTRATOR:PURNELL, KIMFACILITY TYPE:
840
ADDRESS:16311 SOUTH WESTERN AVENUETELEPHONE:
(310) 527-0348
CITY:GARDENASTATE: CAZIP CODE:
90247
CAPACITY:37CENSUS: 0DATE:
10/16/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Kim PurnellTIME COMPLETED:
11:35 AM
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On 10/16/19 at approximately 9:30 AM, Licensing Program Analyst (LPA) Angelica Ramirez met with Kim Purnell, Director, for the purpose of conducting an annual inspection. The facility is a before and after school program located at the Gardena Christian Academy which also shares a site for a licensed preschool. LPA Ramirez toured and inspected the First Grade classroom, kindergarten classroom and the fourth and fifth grade room. The before and after-school program hours of operation are from 6:30 AM to 8:00 AM and 3:30 PM to 6:00 PM, Monday through Friday. The facility is operating within capacity limitations. This facility also operates a Private School Affidavit which does not fall under licensing jurisdiction. LPA observed a copy of the current private school affidavit.

Upon arrival, the before and after-school program was not in session. A total of 27 children were present for the Private School Affidavit. LPA did not observe bodies of water on the premises. Per director, there are no firearms or weapons in the classroom. LPA did not observe firearms or weapons. LPA observed disinfectants, cleaning solutions, poisons, and other dangerous items stored in a locked closet, inaccessible to children in care. LPA observed medication inaccessible to children in care, properly stored and labeled in the teacher's lounge.

LPA observed the classroom to have age appropriate material and equipment. Furniture in the classroom was found to be in good condition, free from sharp, loose, or pointed parts. All kitchen, food prep, and storage areas were observed to be clean, free of litter, rubbish, and rodent or vermin. LPA inspected the refrigerator and found all foods/beverages capable of rapid spoiling stored in covered containers at 45 degrees Fahrenheit or less. Snacks are provided by the facility and a menu was observed posted at the facility. Food and snacks were inspected for availability, quantity and appropriateness to children in care. Solid waste storage vessels, including moveable bins, were observed to have tight fitting covers on, and are in good repair. LPA observed uncontaminated drinking water available both indoors and outdoors (pitchers and water bottles).
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Angelica RamirezTELEPHONE: (424) 301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
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: GARDENA CHRISTIAN ACADEMY
FACILITY NUMBER: 197415270
VISIT DATE: 10/16/2019
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LPA Ramirez observed climbing structures, slides, and other large play equipment to be securely anchored with adequate cushioning material underneath and around the perimeter. Drinking water is readily available on the play yard. There is adequate shade for the children in care. Fencing around the perimeter of the play area is at least 4 feet high. Playground is free from miscellaneous debris such as tree branches, trash, leaves, etc.

Per director, currently, the facility does not provide IMS. First Aid supplies are available on the playground and in the director's office. Staff records were reviewed during inspection for completeness including but not limited to Criminal Record Clearances, Director Qualifications and verification of CPR/First Aid and Health and Safety preventative practices documentation. LPA Ramirez observed CPR/First Aid expires 9/16/20.
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 all the staff 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 always have the facility’s phone number; 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.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Angelica RamirezTELEPHONE: (424) 301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
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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: GARDENA CHRISTIAN ACADEMY
FACILITY NUMBER: 197415270
VISIT DATE: 10/16/2019
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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 1st offense and up to $3000.00 for the 2nd offense within a 12-month period. 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 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 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.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Angelica RamirezTELEPHONE: (424) 301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: GARDENA CHRISTIAN ACADEMY
FACILITY NUMBER: 197415270
VISIT DATE: 10/16/2019
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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 N Continental Boulevard Suite #290A,
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.



The facility was found to be in compliance per Title 22 regulations.

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 director Kim Purnell.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Angelica RamirezTELEPHONE: (424) 301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4