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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416779
Report Date: 05/25/2023
Date Signed: 05/26/2023 11:08:25 AM


Document Has Been Signed on 05/26/2023 11:08 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:CASTLE IN THE CLOUDSFACILITY NUMBER:
197416779
ADMINISTRATOR:LEE, KYE J.FACILITY TYPE:
850
ADDRESS:1435 W. 120TH STREETTELEPHONE:
(323) 756-9191
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:50CENSUS: 19DATE:
05/25/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:E.K. Lee, AdministratorTIME COMPLETED:
02:31 PM
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On 05/25/2023, Licensing Program Analyst (LPA) Adrian Risher conducted an unannounced annual/random inspection. LPA met with E.K. Lee Administrator, and discussed the purpose of the visit. LPA toured the inside and outside of the facility with Administrator and Director.
Upon arrival, LPA observed children in both classrooms preparing for picture day. LPA observed a total of 19 children present being supervised by 2 staff members. LPA verified that all adults present have obtained criminal record clearances and are associated to the facility. LPA also reviewed the sign in and sign out sheet to verify the census. The operating hours are Monday to Friday 6:00am to 6:00pm.

The facility utilizes classrooms 2 and 7. A walk through of the room space was conducted, the space was found to be clean and free from any potential hazards. The furniture was found to be in good repair and age appropriate. There is adequate heating, lighting and ventilation. Drinking water is readily available in the classrooms. Isolation area for sick students is in the library . LPA observed adequate arrangements for isolation and care of ill children. Napping equipment was observed to be clean and in good condition. LPA observed the children’s items stored in cubbies.

The bathroom and toileting areas were inspected. LPA observed adequate toilets and sinks to accommodate the facility’s capacity. LPA observed the Toilets flushing properly. The toilet and sinks are reachable by the children in care. The restroom has adequate toilet paper and paper towels available. The bathroom was found to be clean. There is adequate lighting/ventilation in the bathroom area.

The facility provides breakfast, lunch and 2 snacks to the children. LPA observed a menu posted. Food preparation area was toured for safety, cleanliness and proper equipment. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. A review of cleaning and food supply storage areas was made.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:
DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/25/2023
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: CASTLE IN THE CLOUDS
FACILITY NUMBER: 197416779
VISIT DATE: 05/25/2023
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Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. LPA observed the required shade, drinking water and fencing were inspected. The play area was inspected for hazards and inaccessibility to bodies of water.

The facility has one or more functioning fire extinguishers and smoke detectors, that meet statutory requirements. LPA did not observe a carbon monoxide detector installed in the facility. Facility was observed to be operating within the conditions, limitations, and capacity specified on the license.

At least one person was observed to be trained in CPR and Pediatric 1st Aid. Director stated that additional staff members will take a CPR class. All staff members need to renew the mandated reporter training certification. Staff need to provide proof of immunization records to place in their files. Children files were reviewed during inspection and found to be complete. First Aid supplies were inventoried and available. LPA observed the required postings for operation on the parent board. LPA reviewed the Fire Drill log which was found to be current.

LPA observed 3 deficiencies during today's inspection. The facility will be issued 3 Type B citations under section codes 1596.954 Physical Plant, 1596.7995(a)(1) and 1596.8662(b)(1) Staff Records. The facility does not have an operating carbon monoxide detector. Staff need to renew their mandated reporter certification and provide proof of immunization's record. This poses a potential risk to the health and safety of the children in care.

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/inspection-process.

Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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 Child Care Center. 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.

SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
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: CASTLE IN THE CLOUDS
FACILITY NUMBER: 197416779
VISIT DATE: 05/25/2023
NARRATIVE
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LPA reviewed with facility representative the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the facility representative E.K. Lee.

SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 05/26/2023 11:08 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: CASTLE IN THE CLOUDS
FACILITY NUMBER: 197416779

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/25/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.954
Licensure Requirements
Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the facility did not comply with this regulation since they do not have an operating carbon monoxide detector installed in the facility which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/02/2023
Plan of Correction
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The facility will purchase and install a carbon monoxide detector. Administrator will record themselves testing the carbon mooxide detector once it is installed and send the video to the LPA by June 2, 2023.
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 facility did not comply with the section cited above based on the staff files which poses/posed a potential health, safety or personal rights risk to persons in care. Staff files did not include a copy of the immunization records
POC Due Date: 06/02/2023
Plan of Correction
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Administrator will request a copy of the staff's immunization records and provide a copy to LPA by June 2, 2023.
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: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:
DATE: 05/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/25/2023
LIC809 (FAS) - (06/04)
Page: 4 of 5


Document Has Been Signed on 05/26/2023 11:08 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: CASTLE IN THE CLOUDS
FACILITY NUMBER: 197416779

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/25/2023

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 facility did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Staff have not renewed the mandated reporter certification.
POC Due Date: 06/16/2023
Plan of Correction
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Administrator will have staff complete the mandated reporter training and provide a copy to the LPA by 06/16/2023.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:
DATE: 05/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/25/2023
LIC809 (FAS) - (06/04)
Page: 5 of 5