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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415689
Report Date: 06/27/2019
Date Signed: 06/27/2019 04:08:12 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:PLAYHOUSE PRESCHOOLFACILITY NUMBER:
197415689
ADMINISTRATOR:PERERA, SHIRANIFACILITY TYPE:
830
ADDRESS:526 S. IRENA AVENUETELEPHONE:
(310) 316-8449
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90277
CAPACITY:12CENSUS: 12DATE:
06/27/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Shirani Perera, DirectorTIME COMPLETED:
04:30 PM
NARRATIVE
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LPA arrived at Infant Child Care Center to conclude investigation on complaint allegations, and observed three infants in the infant play room without adult supervision. Two of the three infants were sleeping and one was awake. LPA observed a School Age Child laying on the floor playing on her cell phone in the room.

LPA cited 2 Type A deficiencies.

Upon receipt of the Type A Violation(s), licensee shall post the report for 30 days in addition to the Notice of Site Visit, provide copies of the licensing report to parents/guardians of children in care at the facility and obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file by the close of business the following day or the next day child returns to the facility. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee will obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file.

Exit interview was conducted, a copy of the report, and notice of cite visit issued.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sophia Lord-RichardTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: PLAYHOUSE PRESCHOOL
FACILITY NUMBER: 197415689
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/27/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/27/2019
Section Cited
CCR
101429(a)(1)
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Responsibility for Providing Care and Supervision for Infants-Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. Under no circumstances shall ANY infant be left unattended.

LPA observed 3 infant in the infant playroom
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Director will ensure that all infants are supervised at all times. LPA required the Director to complete a Declaration immediately.
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without any adult supervision, 2 napping and 1 awake. Based on LPA observations this poses a potential Health and safety risk to children in care.

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Type A
06/27/2019
Section Cited
CCR
101561(b)
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Indoor Activity Space for Infants-indoor activity space for infants shall be physically separate from space used by children in the child care center and school-age child care center components.

LPA observed a School Age child laying on the
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Director will not allow any School Age children into the Infant Room. LPA required the Director to complete a Declaration immediately.
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the floor alone in the infant playroom with 3 infants. LPA observed co-mingling of infants and School age children. Based on LPA observation this poses a potential Health and Safety 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: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sophia Lord-RichardTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2019
LIC809 (FAS) - (06/04)
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