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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415689
Report Date: 09/25/2019
Date Signed: 09/25/2019 01:15:52 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: 10DATE:
09/25/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Shirani Perera - DirectorTIME COMPLETED:
01:30 PM
NARRATIVE
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On 9/25/19 at 10:40 AM, Licensing Program Analyst's (LPA's) Helen Estrella and Lisa Rios conducted an unannounced case management inspection for the purpose of deficiencies observed during a complaint inspection conducted on 9/25/19.

Upon arrival, LPA's met with Director Shirani Perera and LPA's informed her the nature of the visit. There was a census of 10 children being supervised by 3 teachers and the Director.

Throughout the inspection, LPA's observed the following teacher to child ratios: (1 teacher with 4 infants, 1 teacher with 4 infants and 1 teacher with 2 toddlers).

LPA's inspected napping area and it was observed Child #1 (C1) swaddled in crib with a blanket over railing of the crib. C2 was observed to be napping belly down, with a bib wrapped around the neck and a pacifier in mouth. LPA's observed multiple items in each crib and playpen, such as blankets, bibs, toys, stuffed animals, pacifier leashes and loose mattress sheets. The Director was informed of safe sleep practices and was observed to be removing the items from each playpen and crib. The teacher was observed to put C2 in their back, and remove C1's blanket and un-swaddle the child.

LPA's reviewed staff records and observed that Staff #1 (S1) did not have required infant units to be a fully qualified infant teacher. However, S1 appeared to have qualified preschool teacher units. The Director was observe to remove S1 from infant center and swap duties with S2. The Director states S2 had fully qualified units to supervise infants and preschoolers. Upon review of S2 records, it was observed S2 does not have sufficient qualifications to be a qualified teacher. S2 was observed to be supervising infants as well as preschooler during the inspection. LPA's observed that S3 does not have sufficient qualifications to be a fully qualified teacher. S3 was observed to be supervising 6 children alone throughout the visit, inside and outside of the classroom. The Director was informed that S2 and S3 must be under direct supervision of a fully qualified teacher at all times. LPA's observed S4 assisting in child care duties throughout the center and it was verified that S4 does not have a criminal record clearance and/or is associated to the facility. Out of 7 files reviewed, 5 files were missing immunization's and required (LIC) forms for staff.
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SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen EstrellaTELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019
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 5
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: 09/25/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/26/2019
Section Cited

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Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility
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This requirement is not met as evidence by S4 observed working at the facility without a Criminal Record Clearance and/or exemption to the facility for more than 5 days. This is a type A Deficiency as it poses immediate risk to the health and safety of children in care.
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Type A
09/26/2019
Section Cited

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Staff-Infant Ratio: There shall be a ratio of one teacher for every four infants in attendance.
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This requirement is not met as evidenced by it was observed S2 & S3 do not have sufficient qualifications to be a qualified teacher and facility was out of ratio as each staff was seen supervising infants alone in the rooms.
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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: Jennie FerreiraTELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen EstrellaTELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:
DATE: 09/25/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/25/2019
LIC809 (FAS) - (06/04)
Page: 4 of 5
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
VISIT DATE: 09/25/2019
NARRATIVE
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Licensee was informed that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and that the Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome. Licensee was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation. The licensee was given with (LIC 9102) form regarding Safe Sleep Practices.

The facility did not appear to be in substantial compliance during today's inspection. Type A and B deficiencies will be issued today 9/25/19.

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.

A copy of this report, and a Notice of Site Visit were issued and explained to the Director. An exit interview was conducted.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen EstrellaTELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019
LIC809 (FAS) - (06/04)
Page: 3 of 5
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
VISIT DATE: 09/25/2019
NARRATIVE
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At this time, the licensee does not provide Incidental Medical Services (IMS). Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing 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. Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag.

The following was discussed with the licensee:
All adults living and working in the home must be fingerprinted and cleared prior to entering the facility. The licensee was informed that the presence of adults in the home without Criminal Record Clearance or Exemption will be cited and civil penalty assessed for $100 per day. The licensee may find additional information and forms on the DSS website at www.ccld.ca.gov including information on the Live Scan application (LIC 9163). Appointments can be made for Live Scan at 1-800-315-4507.

Licensee was made aware that once licensed, it is the licensee’s responsibility to know the regulations as well as anyone who assists in providing care. Applicant was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. The licensee was encouraged to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations.

Licensee was made aware of The Child Care Advocate Program (CCAP) that is administered 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. Phone number: (916) 654-1541. childcareadvocatesprogram@dss.ca.gov
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen EstrellaTELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: 09/25/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/09/2019
Section Cited

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Infant Care Teacher Qualifications: Prior to employment, an infant care teacher shall have completed, with passing grades, at least three postsecondary semesters or equivalent quarter units in early childhood education or child development, and three postsecondary semester or equivalent quarter units related to the care of infants, at an accredited or approved college or university.
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LPA's reviewed files and S1, S2, S3 do not have required infant units to be a fully qualified infant teacher and each staff was supervising infants, alone in each room.
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Type B
10/09/2019
Section Cited

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Personnel Records. Personnel records shall be maintained on the licensee, administrator, and each employee, and shall contain specified information.
Type B
09/25/2019
Section Cited

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Child's Records: A separate, complete and current record for each child is maintained in the child care center.
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: Jennie FerreiraTELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen EstrellaTELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:
DATE: 09/25/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/25/2019
LIC809 (FAS) - (06/04)
Page: 5 of 5