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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416279
Report Date: 10/20/2022
Date Signed: 10/26/2022 11:30:50 AM


Document Has Been Signed on 10/26/2022 11:30 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:NU BUILDING BLOCKS DAY CARE CENTERFACILITY NUMBER:
197416279
ADMINISTRATOR:SOLOMON, CHERYLFACILITY TYPE:
850
ADDRESS:2313 WEST JEFFERSON BOULEVARDTELEPHONE:
(323) 732-5439
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY:58CENSUS: 23DATE:
10/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Larry Solomon and Paige Solomon, DirectorsTIME COMPLETED:
02:00 PM
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Licensing Program Analysts (LPA) Denise Gibbs conducted an unannounced annual required inspection at the above facility on 10/20/22 at 9:00 AM. LPA met with Yadira Godlock, Facility Representative (FR) who guided analysts on a tour of the facility. Directors Larry Solomon and Paige Solomon arrived during inspection.

This is a preschool program which consists of three classrooms (Pre-K 4/5, Pre-K 2 and Pre-K 3). Facility operation hours are Monday-Friday 6:00AM-7:00PM. Additional care is provided on evening on weekends when needed. There were 23 children and eight staff present when LPA arrived.

Facility is in compliance with license capacity and Title 22 ratio guidelines. All individuals present have obtained a criminal record clearance. LPA observed that three staff are not on facility roster but they are cleared through Guardian.

LPA toured all classrooms, nap room and shared room. Classrooms had furniture in good condition, free of loose, sharp and/or pointed parts. The floors and surfaces in the classrooms were clean and safe. LPA observed that rugs were flat on the ground to avoid tripping hazards. There are age appropriate toys and material for children to play with. LPA observed a baseboard in Pre-K 2 that is coming off the wall with exposed staples. Water is made readily available via water jugs and cups in each classroom. Per FR, there are currently no children with medication at the facility. Children have cubbies to store personal belongings LPA observed children have cot for napping. Bedding is provided by facility and washed twice a week, Wednesday and Friday. First aid kits were observed in each classroom.

LPA toured the children’s restrooms. Two restrooms are designated for older children, one for girls and one for boys. The third restroom is used by the younger ages. Restrooms were observed to be safe and sanitary with operable toilets. LPA observed two sinks were not working because water was off due new parts being ordered. Facility has enough operable sinks to cover capacity.------------PAGE 1
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2022
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NU BUILDING BLOCKS DAY CARE CENTER
FACILITY NUMBER: 197416279
VISIT DATE: 10/20/2022
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LPA observed the outdoor play area split into three sections. Outdoor area was observed to have age appropriate toys and material for children. Shade was observed throughout the outdoor area. LPA observed a water jug and cups for children to drink freely. During inspection LPA observed rusted lockers and stacked ice chests along the gate (removed during inspection). LPA observed three plastic picnic tables with cracks along the bench section, that are sharp the touch (removed during inspection). LPA observed four trash cans with milk at the bottom. When FR took the lids off the cans multiple flies came out of the trash cans (removed during inspection). LPA observed a commercial dumpster on the play yard with an open lid and multiple flies around the dumpster. LPA observed children's couch in the play house with a large hole in the seat area, which was thrown away. LPA observed a plastic chair in the play house that was cracked on the seat and sharp to the touch (seat was removed during inspection). LPA observed that the gate that divides the neighboring property is exposed. LPA was able to put her arm through and grab items from neighboring yard. Per Licensee the blue tarp that is supposed to be was blown away. LPA also observed a stump next to the dividing gate that had wood pieces sticking out and is sharp to the touch. LPA observed children bikes that are rusted and have holes in the seat covers. Bikes removed during inspection. LPA observed cushioning under climbing dome was separated and exposed cerement underneath. Cushioning was put back together with no gaps. LPA observed large pot holes in the cement where the bikes are kept. While children were playing on the yard and eating, LPA observed multiple flies around the children and flies around the food. The are immediate health and safety risks to children in care.

LPA observed required posted documentation outside of the classrooms, which included, Facility License, Publication (PUB) 393- Notification of Parent Rights, Licensing Form (LIC) 610- Facility Disaster Plan, PUB 269- Child Passenger Restraint System, and LIC 613A- Notification of Personal Rights and AM/PM snack and Lunch Menu. All documents were observed.

Facility records were reviewed for LIC 9040- Facility Roster, 9148- Earthquake Preparedness form, Daily schedule and Disaster drill log, last drill conducted on 4/22. All documents were observed. Carbon monoxide detector is wired with facility smoke detector and alarm system.

Parents sign in and out via Bright Wheel an application that can be viewed and printed as needed. All children present were signed in with date, time and full signature of guardian.

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SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NU BUILDING BLOCKS DAY CARE CENTER
FACILITY NUMBER: 197416279
VISIT DATE: 10/20/2022
NARRATIVE
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LPA toured the kitchen. Storage containers in the kitchen for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. All foods/beverages are stored in covered containers at 45˚ (F) or less.

Children’s records were reviewed for Licensing Form (LIC) 700 Emergency Card, Immunization Records, LIC 627- Consent for Medical Treatment, LIC 995 Notification of Parents’ Rights, LIC 701- Physician’s Report, LIC 613A- Personal Rights, and signed Admissions Agreement. All documents complete.

Staff records were reviewed for approved Pediatric First Aid and CPR certification for at least one staff member on site, LIC 9052- Employee Rights, LIC 501- Personnel Record, LIC 503- Health Screening Report, LIC 508- Criminal Record Statement, Proof of immunization against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse, Transcripts and current Mandated Reporter Training Certificate. All documents were observed.

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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.

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/process. ---------------PAGE 3

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
LIC809 (FAS) - (06/04)
Page: 3 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NU BUILDING BLOCKS DAY CARE CENTER
FACILITY NUMBER: 197416279
VISIT DATE: 10/20/2022
NARRATIVE
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Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Larry Solomon, Licensee .

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
LIC809 (FAS) - (06/04)
Page: 4 of 8
Document Has Been Signed on 10/26/2022 11:30 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: NU BUILDING BLOCKS DAY CARE CENTER
FACILITY NUMBER: 197416279

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/20/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(a)(1)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on the licensee did not comply with the section cited above. LPA observed multiple flies in the outdoor space in trash cans, dumpster and throughout the yard, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 10/26/2022
Plan of Correction
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LICENSEE THREW TRASH CAN AWAY DURING INSPECTION AND HE WILL HAVE PEST CONTROL SERVICE THE FACILITY. LICENSEE WILL ADD CLEANING AND BLEACHING OF TRASH CANS TO FACILITY CLEANING LIST.
Type A
Section Cited
CCR
101238.2(d)(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:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above. LPA observed large pot holes outside in the cement area where the bikes are used and a tree stump with sharp wood sticking out, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 10/26/2022
Plan of Correction
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LICENSEE WILL ADD BLACKTOP TO AREA WITH THE HOLES THIS WEEKEND TO SMOOTH THE SURFACE. TREE STUMP WAS TAPPED DURING INSPECTION AND THERE IS A PLAN TO SMOOTH THE SHARP EDGES. LICENSEE WILL SEND PICTURES TO LPA BY POC DATE 10/26/22.

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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 10/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2022
LIC809 (FAS) - (06/04)
Page: 5 of 8


Document Has Been Signed on 10/26/2022 11:30 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: NU BUILDING BLOCKS DAY CARE CENTER
FACILITY NUMBER: 197416279

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/20/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.2(e)
Outdoor Activity Space
(e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above. LPA observed cushion under climbing dome has wide gaps between, cushioning, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/26/2022
Plan of Correction
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CORRECTED DURING INSPECTION AND THERE IS A PLAN TO ADD ADHESIVE FOR THE SEPARATION.
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 7 out of 8 staff files, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/18/2022
Plan of Correction
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Per Licensee, he will staff deadline to bring in immunization's and email to LPA by 11/18/22

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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 10/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2022
LIC809 (FAS) - (06/04)
Page: 6 of 8


Document Has Been Signed on 10/26/2022 11:30 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: NU BUILDING BLOCKS DAY CARE CENTER
FACILITY NUMBER: 197416279

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/20/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 6 out of 8 staff files, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/18/2022
Plan of Correction
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LICENSEE WILL GIVE STAFF A DEADLINE TO COMPLETE TRAINING AND EMAIL LPA CERTIFICATE BY POC DATE 11/18/22.
Type B
Section Cited
CCR
101216(g)(2)
Personnel Requirements
(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 3 out of 8 staff files, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/18/2022
Plan of Correction
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LICENSEE WILL GIVE STAFF A DEADLINE TO COMPLETE HEALTH TRAINING AND EMAIL LPA FORMS BY POC DATE 11/18/22.

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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 10/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2022
LIC809 (FAS) - (06/04)
Page: 7 of 8


Document Has Been Signed on 10/26/2022 11:30 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: NU BUILDING BLOCKS DAY CARE CENTER
FACILITY NUMBER: 197416279

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/20/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101239(n)
(n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observation, the licensee did not comply with the section cited above. LPA observed broken picnic tables, ripped child's couch, cracked child's plastic chair, rusted and broken bikes and a broken baseboard with exposed staples, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 10/26/2022
Plan of Correction
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LICENSEE REMOVED ALL ITEMS DURING INSPECTION. BASE BOARD WILL BE RE-GLUED TO THE WALL TOMORROW. LICENSEE WILL EMAIL PICTURE TO LPA BY 10/26
Section Cited
Deficient Practice Statement
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2
3
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POC Due Date:
Plan of Correction
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2
3
4

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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 10/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2022
LIC809 (FAS) - (06/04)
Page: 8 of 8