197417567-10-18-2023-58-CC-KCHE-CWQQJS-20231018121313

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197417567
Report Date: 10/18/2023
Date Signed: 10/18/2023 12:13:26 PM

Document Has Been Signed on 10/18/2023 12:13 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	ABC LITTLE SCHOOL-SHERMAN OAKS, INC		FACILITY NUMBER:	197417567
ADMINISTRATOR:	GINA DEBIASE NOGALES		FACILITY TYPE:	850
ADDRESS:	14926 BURBANK BLVD.		TELEPHONE:	(818) 786-0301
CITY:	SHERMAN OAKS	STATE: CA	ZIP CODE:	91411
CAPACITY:	97	CENSUS: 60	DATE:	10/18/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Brenda Toma & Gina Nogales, Facility Representatives (FR)		TIME COMPLETED:	12:30 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 10/18/2023 at 9:00 AM an unannounced Required – 1 Year Inspection was conducted by Licensing Program Analysts (LPAs) Katrina Chicote and Elicia Calvillo. LPAs announced purpose of visit and initially met with Brenda Toma, Facility Representative(FR), who allowed entry to facility and provided LPAs on a guided tour both indoors and outdoors. Facility is currently licensed for a capacity of 97, per FR they currently have 78 enrolled. The program currently operates Monday thru Friday from 7:00 AM to 7:00 PM. Required postings were observed posted in lobby and in each classroom. LIC 125 was provided to FR. The facility is made up of seven classrooms: RM-1 early 3s, RM-2 early to mid 3s, RM-3 mixed 3s, RM-4 closed due to low enrollment, RM-5 2s, RM-6 Kinder/TK, RM-7 Pre-K. At the initial start of the site visit, there is a total census of seven children with one staff in RM-1, eight children with one staff in RM-2, eight children with one staff in RM-3, no children or staff in RM-4, nine children and one staff in RM-5, ten children with one staff in RM-6, and 18 children with two staff in RM-7. Upon arrival, LPAs observed RMs 1 and 2 not in classroom and playing outside. Census was taken and total census during today's visit was 60 children with ten staff present. Gina Nogales, FR (Director), arrived soon after tour. Beginning at 9:11 AM, furniture and equipment were inspected for age appropriateness and good repair in each classroom. LPAs observed surface of classrooms to be safe and clean, and child size tables and chairs available for children well maintained. LPAs observed learning stations for dramatic play, math, and science with toys free of loose and sharp parts and a library area available for quiet play. Telephone service, heating, lighting and ventilation were evaluated. There were cubbies observed as storage for children's belongings. LPAs observed standard blue cots stored in each classroom. Per FR, linens are provided by the families and taken home weekly for washing. Availability of drinking water was reviewed. LPAs observed water pitchers available for children and children's personal water bottles. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. LPAs observed bathroom available in each classroom to have proper and appropriate number of toilets and sinks, had adequate adequate supplies for hand washing, general area safety and sanitation at time of inspection. At Report Continues - Page 1 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ABC LITTLE SCHOOL-SHERMAN OAKS, INC	FACILITY NUMBER: 197417567
	VISIT DATE: 10/18/2023

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9:20 AM, LPAs observed diaper changing table fixed into the wall in RM-5 that cannot be within arms reach of a sink when in use. Per FR, children enrolled in this room do require diaper changes. LPAs discussed requirement with FR at time of inspection.

LPAs observed a first aid kit is kept in each classroom and inventoried for necessary supplies. LPAs tested carbon monoxide detector in RM-2 and observed to be in operable condition. LPAs observed additional carbon monoxide detectors in other rooms. LPAs observed smoke detectors and fire extinguishers are present in the facility. Disaster drill log was available and last drill conducted on 09/25/2023. Per FR, isolation area for sick children is in office. Hazardous items including poisonous cleaning compounds were stored inaccessible to children. LPAs observed cleaning solutions stored in high cabinets and high shelves in classrooms.

Beginning at 9:25 AM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. Per FR, facility has six outdoor play areas which LPAs inspected. Required shade and fencing were inspected. LPAs observed each play area to have shade available. LPAs observed three play areas with multi-level play structure that has slide and climbing equipment. LPAs observed sets of swings on two play areas. LPAs observed play area designated for RM-5 2 year olds right up front of their classroom that has age appropriate toys with a turf grass surface through out maintained at time of inspection. LPAs observed one play area to have swings and metal fixed pretend ride along equipment and another area that is designated bike path with bicycles available for children well maintained. LPAs observed cushioning material below to absorb falls to have holes in various areas therefor not maintained at time of inspection. Per FR, they are aware of these holes on the surface and are in the process of finding someone to get them fixed and hav been trying to find a solution. LPAs advised that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. The children have access to drinking fountains during outside play, per FR drinking fountains are used only to refill children's water bottles. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water observed.

Teacher-child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. LPAs observed 58 of 60 children signed in at time of inspection. Personal Rights of children were observed by LPA.

Report Continues - Page 2 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ABC LITTLE SCHOOL-SHERMAN OAKS, INC	FACILITY NUMBER: 197417567
	VISIT DATE: 10/18/2023

NARRATIVE

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At 9:40 AM, food preparation areas were toured for safety, cleanliness and proper equipment. Snack/lunch menus were reviewed and observed posted in each classroom and in lobby. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Per FR, facility provides breakfast, lunch, and PM snack. At 9:41 AM, LPAs observed uncleared adult, Inna Litvinova, preparing food in the Kitchen. LPAs discussed observation with FR at time of inspection. Per FR, individual has only been present at the facility since 10/13/2023 and does not provide care to children in care. LPAs discussed below requirement.

Licensee (or facility representative) was reminded that all adults 18 and over in the facility, 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 licensed facility. 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.

Beginning at 10:50 AM, staff and children’s records were reviewed for completeness. Inspection of required forms was made and documented on the LIC 857 for children and the LIC 859 for staff. Criminal Record Clearances were reviewed for adults. CPR card expires on 09/2025 for Staff #1. Staff files reviewed did have proof of the AB 1207 Mandated Reporter Training certificate on file. Inspection of required forms were discussed.

Incidental Medical Services:
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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

CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Report Continues - Page 3 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ABC LITTLE SCHOOL-SHERMAN OAKS, INC	FACILITY NUMBER: 197417567
	VISIT DATE: 10/18/2023

NARRATIVE

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The following were discussed:
To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

LPA advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location.

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

Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement of Receipt (LIC 9224 form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.

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

Exit interview was conducted and report was reviewed with the Facility Representatives, Gina Nogales and Brenda Tomar.

Report Ends - Page 4 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023

LIC809 (FAS) - (06/04)

Page: 4 of 7

Document Has Been Signed on 10/18/2023 12:13 PM - 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ABC LITTLE SCHOOL-SHERMAN OAKS, INC	FACILITY NUMBER: 197417567
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/18/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

101170(e)

Criminal Record Clearance

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPAs observation and inteview, the above regulation was not met. LPAs observed uncleared adult, Inna Litvinova, preparing food in Kitchen. Per FR, individual has been present since 10/13/2023 and stays from 7:00am to 1:00pm. This poses an immediate health, safety, and personal rights risk to children in care.
	POC Due Date: 10/19/2023
	Plan of Correction
1 2 3 4	FR states they will get individual cleared and until they are cleared they will not be present at the facility. LPAs observed individual leave the facility and delcaration was provided stating the above. Deficiency was cleared on today's date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/18/2023 12:13 PM - 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ABC LITTLE SCHOOL-SHERMAN OAKS, INC	FACILITY NUMBER: 197417567
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/18/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238.2(d)(2)

Outdoor Activity Space

(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPAs observations and interview, the above regulation was not met. LPAs observed holes in various areas of cushioning material of outdoor play area that is a potential trip hazard. Per FR they are aware of the need to repair but in the process of finding someone to repair. This poses a potential health, safety, and personal rights risk to children in care.
	POC Due Date: 11/20/2023
	Plan of Correction
1 2 3 4	FR states they will continue to look for someone to repair it and once found they will provide proof to LPA via email by POC date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023

LIC809 (FAS) - (06/04)

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