197416985-9-24-2021-30-CC-SPOL-C76U9W-20210924152349

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197416985
Report Date: 09/24/2021
Date Signed: 09/24/2021 03:24:14 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 PRESCHOOL		FACILITY NUMBER:	197416985
ADMINISTRATOR:	BEASLEY, ANNETTE		FACILITY TYPE:	850
ADDRESS:	430 VENICE WAY		TELEPHONE:	(310) 419-2691
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90302
CAPACITY:	47	CENSUS: 0	DATE:	09/24/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:12 PM
MET WITH:	Joanne Clifton, Director		TIME COMPLETED:	03:50 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 9/24/2021 Licensing Program Analysts (LPA) Shandra Powell and Jillinda Chandler conducted an announced case management inspection to inspect and measure a classroom due to a room change (relocation from B3 to 101). LPAs met with Joanne Clifton (Director) who guided analysts on a tour of the facility. The Director is designated to oversee this program. This is a state pre-school program which is operated by Inglewood School District, and is located on the premises of Highland Elementary School. The state pre-school program will operate in Room 101. Licensee is seeking to continue to provide care for 24 preschool children in Room 101. The program will operate two sessions. The AM session will operate from 8:15 AM – 11:15 AM and the PM session will operate from 12:30 AM – 3:30 PM. The facility operates from 8:00 AM to 4:00PM. Each session will have a capacity of 12 preschoolers. This program will serve children ages 3 to 4. Per Director, children will enter from the Gate which can be accessed on the east side of Venice Way street and there will be sign-in and out sheets for parents upon entering Gate. Due to COVID-19 a poster board with all COVID -19 posting and Child Care Licensing documents will be posted at gate each morning with wellness screening items. All areas identified on the facility sketch were toured both indoors and outdoors; measurements were taken indoors for Room 101. The Director has requested that the preschoolers share the Pre-K and Kindergarten outdoor area. The apparatus will be off limits due to the age appropriateness (declaration on file). The apparatus on main yard will be used for preschoolers (2 to 12). LPAs advised the Director to submit a waiver request for the shared use of the outdoor yards. LPAs did observe, however, that the 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, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed via a water faucet. Due to COVID-19 facility will serve each child with there own individual water bottle and each child name will be written on each bottle. Page 1 of 3

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:	DATE: 09/24/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021

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: INGLEWOOD U.S.D.- HIGHLAND STATE PRESCHOOL	FACILITY NUMBER: 197416985
	VISIT DATE: 09/24/2021

NARRATIVE

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There is 1 sink and 1 toilet in the classroom. All floors were observed to be clean and safe.

There are no bodies of water on the premises.

Applicants state that medication will be stored in the classroom over sink in a locked cabinet. LPAs did not observe a First aid kit in the classroom.

The Nurse's Office will be used as an ill/isolation area. Ill children will use the restroom in the nurse's office if ill. There is a cot/bed available for children to rest if needed.

Incidental Medical Services (IMS): This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes 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.

LPAs observed the following documents:
· LIC 311 – Record to be Maintained at the Facility: Child Care Centers, LIC 613A – Personal Rights Form
· PUB 269 – Child Passenger Restraint System Poster, PUB 393 – Parent’s Rights Poster; with Complaint Hotline information and LIC 9040 – Child Care Facility Roster.

Also discussed during this visit:
I. ZERO TOLERANCE includes the following: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both.
II. Breakfast/Lunch Menus: 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.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:	DATE: 09/24/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021

LIC809 (FAS) - (06/04)

Page: 3 of 3

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: 09/24/2021

NARRATIVE

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III. Current Children’s Roster: Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.
IV. Pediatric First Aid and CPR: At least one person trained in Pediatric First Aid and CPR must be present. Per applicant, Teacher’s will have a copy of their teacher permit available.
V. Designated Staff: The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence must be on file.
VI. Qualifications: Educational background, training, and/or experience for each staff present must be available for review. Per applicant, Teacher’s will have a copy of their teacher permit available.
VII. Teacher-Child Ratio: The facility was observed to be meeting the required teacher-child ratio. This program operates under California Code of Regulations, Title 5 which states that contractors shall maintain at least the following minimum teacher-child ratio for preschool programs: 1:8 adult-child ratios, 1:24 teacher-child ratio.
VIII. Children’s Records: must be available for review; including but not limited to, the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

**Based on todays observations and measurements the applicant will be recommended for a capacity of 24 preschoolers based on applicants request**

The following corrections must be made and/or submitted prior to granting a new license:
1. An updated outdoor yard waiver needs to be submitted to reflect the new shared yard request.
2. Trees needed to be pruned
3. Alert mechanism to alert when doors on outdoor yard gates are open
4. Additional staff present and added on Personnel Report LIC 500 during outdoor play
5. Declaration Form stating preschoolers will not use large apparatus (ages 5 to 12) located in outdoor gated area on the east side of school.

The above corrections are due on or before 10/06/2021.

Exit interview conducted with Joanne Clifton, Director

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:	DATE: 09/24/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021

LIC809 (FAS) - (06/04)

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