197417000-5-17-2022-54-CC-DGIS-CEJ28C-20220517171008

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197417000
Report Date: 05/17/2022
Date Signed: 05/17/2022 05:10:21 PM

Document Has Been Signed on 05/17/2022 05:10 PM - 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:	LOCKE EARLY EDUCATION CTR EARLY HEADSTART		FACILITY NUMBER:	197417000
ADMINISTRATOR:	WASHINGTON, TRACEY		FACILITY TYPE:	830
ADDRESS:	320 E. 111TH STREET		TELEPHONE:	(323) 755-0721
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90061
CAPACITY:	18	CENSUS: 3	DATE:	05/17/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Charletha Robinson, Facility Representaive		TIME COMPLETED:	05:20 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	Licensing Program Analysts (LPA) Denise Gibbs conducted an unannounced annual required inspection at the above facility on 5/17/22 at 11:30 AM. LPA met with Charletha Robinson, Facility Representative (FR) who guided analysts on a tour of the facility. There were three children and two staff present when LPA arrived. Facility is in compliance with license capacity and Title Five ratio guidelines. All individuals present have obtained a criminal record clearance or criminal record exemption as a condition of employment with the Los Angeles Unified School District. This is an Infant program which also houses a Preschool program, facility #191870871. Facility has two classroom with one currently in use. LPA toured Classroom, which is physically separate from preschool. Classroom furniture is in good condition, free of loose, sharp and/or pointed parts. The floors and surfaces in the classrooms were clean and safe free of toxins. Rugs were observed to be flat on the ground to avoid tripping hazards. Toys and material were observed to be age appropriate free of small parts which could be a choking hazard. Water is made readily available by via water bottles that facility provides to the children. Staff transfer water to Sippy cups for each child if needed. Per FR, children's medication is stored in the main office. LPA observed storage, expiration dates and documentation for medication. Children have cubbies to store personal belongings separate from each other. LPA observed cots in the classroom prepared for nap time. All cots were observed to have required bedding. Bedding is provided by facility and washed weekly by laundry service. There is extra bedding on hand to change as needed. LPA toured the children’s restroom. Restroom was observed to be safe and sanitary with operable sinks and toilets. There is a changing table in the classroom with raised sides. changing pad material is vinyl and sanitized after each use. Changing table is within arms distance to a sink. ---------------------PAGE 1

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2022

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LOCKE EARLY EDUCATION CTR EARLY HEADSTART	FACILITY NUMBER: 197417000
	VISIT DATE: 05/17/2022

NARRATIVE

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Facility does have a separate crib room that is not currently being used due the age of children in care. All children sleep on cots. LPA did observe required cribs and bedding. Cribs were observed to be spread out, providing staff access to children. Cribs were observed to be free of hazards. LPA did not observe toys, bumpers, hanging objects, pillows or blankets in the cribs. LPA informed FR of the new Safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 12 months, 15-minute sleep check documentation for infants 0-24 months, and provided PIN 20-24-CCP.

Facility has two outdoor areas for infants. Infant yard is physically separate from Preschool. Outdoor areas were observed to have age appropriate toys and material for children, free of loose, sharp, and/or pointed parts. LPA observed required cushioning under climbing objects. Shade was observed throughout the outdoor area.

LPA observed required posted documentation outside the classroom in the hallway and outdoors, which included, Facility License, Publication (PUB) 393- Notification of Parent Rights, Licensing Form (LIC) 610- Facility Disaster Plan, PUB 269- Child Passenger Restraint System, LIC 613A- Notification of Personal Rights and Lunch/Snack Menu.

Facility records were reviewed for LIC 9040- Facility Roster, 9148- Earthquake Preparedness form, Daily schedule and Disaster drill log, last drill conducted on 4/49/22. All items were observed.

LPA toured the kitchen on site. Facility provides AM snack, PM snack and lunch. Food is not cooked at the facility. Prepackaged food is brought from the neighboring, elementary school. Extra food is stored in the kitchen. Expiration dates were reviewed for stored food and beverages. Kitchen was observed to be clean, free of litter, insects and rodents. LPA observed trash cans for solid waste have tight fitting lids. Cleaning supplies are stored separate from the food. Per FR, carbon monoxide detector is wired to smoke detector main system. All infants in care are eating food provided by facility. Facility provides purred food for younger infants. Parent are required to bring their own formula.

LPA reviewed Sign In/Out sheets located in the main office. All children present were signed in with date, time and full signature of the child's parent or guardian. Due to COVID-19 precautions, parents are not entering the -----PAGE 2

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2022

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LOCKE EARLY EDUCATION CTR EARLY HEADSTART	FACILITY NUMBER: 197417000
	VISIT DATE: 05/17/2022

NARRATIVE

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facility. Children are dropped off and picked up at the main entrance. A digital daily pass (approved child health assessment) is scanned for added precaution. Infant program has a separate entrance as to not co mingle with preschool.

Children’s records were reviewed for Emergency Card, Immunization Records, Licensing Form (LIC) 627- Consent for Medical Treatment, LIC 995 Notification of Parents’ Rights, LIC 701- Physician’s Report, LIC 613A- Personal Rights, LIC 9227 Individual Sleep Plan (0-12 months), 15 minute sleep check, Needs and Service Plan and signed Admissions Agreement. Documents were discussed and noted.

Staff records were reviewed for approved Pediatric First Aid and CPR certification, LIC 9052- Employee Rights, 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 or Permit and current Mandated Reporter Training Certificate. Documents were discussed and noted.

During inspection all children were observed to be treated with dignity and respect, they were observed to be receiving safe, healthful and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment.

LPA observed that licensee is implementing COVID-19 precautions and procedures as required by Los Angeles Unified School District and the Department of Public Health.

Incidental Medical Services (IMS):
This facility provides Incidental Medical Services- IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personal, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

Based on the LPA's observations and records review no deficiencies will be cited today 5/17/22.

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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2022

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LOCKE EARLY EDUCATION CTR EARLY HEADSTART	FACILITY NUMBER: 197417000
	VISIT DATE: 05/17/2022

NARRATIVE

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additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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

Exit interview conducted and report was reviewed with the Facility Representative Charletha Robinson.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2022

LIC809 (FAS) - (06/04)

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