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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416985
Report Date: 03/10/2020
Date Signed: 03/10/2020 03:55:24 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:INGLEWOOD U.S.D.- HIGHLAND STATE PRESCHOOLFACILITY NUMBER:
197416985
ADMINISTRATOR:BEASLEY, ANNETTEFACILITY TYPE:
850
ADDRESS:430 VENICE WAYTELEPHONE:
(310) 680-5460
CITY:INGLEWOODSTATE: CAZIP CODE:
90302
CAPACITY:47CENSUS: DATE:
03/10/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:44 PM
MET WITH:Alicia Martinez, TeacherTIME COMPLETED:
04:18 PM
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Licensing Program Analyst (LPA) Shandra Powell conducted an unannounced Required 1 Year inspection to the above facility. Teacher Ms. Martinez assisted LPA with this inspection of the classroom. This visit was conducted during the PM session.

This is an Inglewood U.S.D State School program located in Room #5 on the premises of Highland Elementary School. This program runs an AM and PM session; (8:15AM – 11:15AM) and (12:30PM – 3:30PM). This program operates under California Code of Regulations Title 5, which states that contractors shall maintain at least the following minimum for preschool: Preschool (36 months to enrollment in kindergarten) - 1:8 adult-child ratio, 1:24 TEACHER-CHILD ratio. During todays inspection LPA observed 14 children with one teacher and one instructional aide. LPA observed sign in and out sheets, however one child was not signed in the wrong spot per teacher Martinez during inspection.

PHYSICAL PLANT
Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Licensee states that there are no poisons on the premises. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. The floors in the classroom were observed to be in good condition all rugs and floors were clean.

Trash cans in the classrooms do have tight fitting lids. Drinking water is readily available both indoors and outdoors. The facility was observed to be free of flies, other insects and rodents. This program shares the outdoor playground with the Elementary School, which is located on the other side of the campus.
REPORT CONTINUES ON THE NEXT PAGE 1 OF 3
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
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 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: INGLEWOOD U.S.D.- HIGHLAND STATE PRESCHOOL
FACILITY NUMBER: 197416985
VISIT DATE: 03/10/2020
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Children have individual cubbies to store their personal belongings, LPA did not observe napping equipment at the facility. Per Lead Teacher children do not nap in this program. The isolation area is located in the nurse's office. Age appropriate sinks and toilets were inspected for availability and good repair in both the boys and girls restroom located in the hallway next to classroom. General sanitation was observed. Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment and similar equipment are cushioned with material that absorbs a fall. There is adequate shade.
FACILITY RECORDS
All individuals present have obtained a criminal record clearance or criminal record exemption through the Los Angeles Unified School District. There is at least one person trained in CPR and Pediatric First Aid was present during this visit. The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence is on file. Educational background, training, and/or experience for each staff present are on file and were reviewed. The classroom teacher has a permit on file and has current CPR and First Aid.

In review of children’s records, to ensure that Identification and Emergency form, Medical Assessment, Current Immunization's are on file. LPA observed that child #2 do not have immunization's on file and Child #3 does not have Medical Assessment LIC 701. No files contain LIC 700, however there is a form with Emergency information for each child in each file. Class room has a separate binder which holds Student Emergency Cards. These are potential risks to the health and safety of children in care.

Breakfast for AM and Hot lunch for PM is provided by the Inglewood U.S.D. School District. Children eat inside the classroom Family Style.
Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request. The March menu was observed to be posted and a copy was available for child's representative.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
LIC809 (FAS) - (06/04)
Page: 2 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: INGLEWOOD U.S.D.- HIGHLAND STATE PRESCHOOL
FACILITY NUMBER: 197416985
VISIT DATE: 03/10/2020
NARRATIVE
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This facility provides Incidental Medical Services – IMS. Teacher stated two children are receiving IMS at this time. All childrens medication is located in the locked cabinet above the sink. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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.

LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

The deficiencies listed on the following pages were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809D for deficiencies that are being cited and need to be cleared to protect the children’s health & safety.




The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted with Alicia Martinez, Teacher, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
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: INGLEWOOD U.S.D.- HIGHLAND STATE PRESCHOOL
FACILITY NUMBER: 197416985
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/10/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/17/2020
Section Cited

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Immunization's
The licensee shall document each child's immunization's and shall maintain such documentation in the center for as long as the child is enrolled. This requirement includes updating each child's immunization record when the child is
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due to receive required immunization's after enrollment in the child care center.
This requirement is not met as evidenced by children's file review. LPA observed that children #2, did not have current immunization's on file. These are potential risks to the health and safety of children in care.
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Type B
03/17/2020
Section Cited

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Child's Medical Assessments
Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide
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necessary health-related services to the child. This requirement is not met as evidenced by children's file review. LPA also observed that child #'3 do not have medical assessments (Physician's Report LIC 701) on file. These are potential risks to the health and safety of 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: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:
DATE: 03/10/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/10/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4