197417258-8-15-2019-30-CC-SMAZ-BF3TS7-20190815145839

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197417258
Report Date: 08/15/2019
Date Signed: 08/15/2019 02:58:46 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:	EAGLES NEST @ BRENTWOOD SCHOOL, THE		FACILITY NUMBER:	197417258
ADMINISTRATOR:	BRITTNEY ADAMS		FACILITY TYPE:	830
ADDRESS:	12001 SUNSET BOULEVARD		TELEPHONE:	(310) 471-5731
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90049
CAPACITY:	15	CENSUS: 0	DATE:	08/15/2019
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Brittney Adams, Center Director		TIME COMPLETED:	03:05 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 08/15/2019 at 11:10 am, Licensing Program Analyst (LPA) Sabrina Martinez conducted an announced visit at The Eagles Nest at Brentwood School for the purpose of a change of location inspection. The facility has submitted an application to relocate into two different classrooms on campus. LPA met with Brittney Adams, Center Director, who guided analyst on a tour of the facility. The facility's current capacity is 15 however licensee submitted an updated application requesting a capacity of seven (7) infants and seven (7) toddlers for a total capacity of 14. The facility has a granted fire clearance from the LA County Fire Department. The program will be open from 7:00 am to 4:30pm, Monday through Thursday and 7:00 am to 3:30 pm on Friday. Sign in and sign out Applicant and the Director is to ensure that the person who signs the child in/out shall use his/her full legal signature and shall record the time of day. The main sign in will be inside the classrooms. Indoor Activity Space Based on the measurements obtained, the indoor space for classroom #1(Infants) allows 7 children and classroom #2(toddlers) allows 7 children for a total of 14 capacity. Both classrooms have one (1) changing table and one (1) sink. LPA observed an additional toilet and sink in classroom #2. The toilet and faucets were in good working condition. Toilet and sink is reachable by children. Toilet paper and towels were available. Furniture and equipment are age appropriate and in good repair. There were no baby walkers on the premises. Sanitary solution is out of infant’s reach. Changing tables have at least 1” thick padding covered with washable vinyl. Sides were raised a minimum of 3". Changing table is within arm’s length of sink when in

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina Martinez	TELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019

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: EAGLES NEST @ BRENTWOOD SCHOOL, THE	FACILITY NUMBER: 197417258
	VISIT DATE: 08/15/2019

NARRATIVE

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use. Toys were safe with no sharp edges, splinters or points, nor made of small parts that can be pulled off and swallowed. Cots available for all infants able to climb out of a crib. Cribs were available for each crib age infant. LPA observed 7 cribs in the nap room. Placement of cribs allows for entry and exit from the napping space.

Outdoor Activity Space
Based on the measurements obtained, the outdoor space allows 7 children. Licensee has requested a waiver for the shared use of the outdoor play space. Applicant understands this waiver request is subject to approval.

Outdoor playground equipment is in 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 slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. The playground is enclosed by a fence which is at least four feet high. Per licensee, water pitchers will be available for the children.

Medication/First Aid Kits
Medication if administered is to be properly labeled and stored in the original container. Licensee was advised that children should be screened every morning for illness and unusual marks. First Aid supplies are stored in the classroom and in the general adult areas.

The following documents should were posted at the facility:
- Child passenger restraint system posters
-License.
-Notification of Parents’ Rights form (LIC 995).
-Personal Rights form (LIC 613A).
-Emergency Disaster Plan (LIC 610) and Earthquake Preparedness Checklist (LIC 9148).

An exit interview was conducted and a copy of this report was provided to Brittney Adams, Center Director.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina Martinez	TELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019

LIC809 (FAS) - (06/04)

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