197418048-8-1-2024-54-CC-ACAR-D7QS3E-20240801133102

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197418048
Report Date: 08/01/2024
Date Signed: 08/01/2024 01:31:12 PM

Document Has Been Signed on 08/01/2024 01:31 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	CII/WESTERN HEAD START STATE PRESCHOOL		FACILITY NUMBER:	197418048
ADMINISTRATOR:	MARGARITA PARRA		FACILITY TYPE:	850
ADDRESS:	4277 S. WESTERN AVENUE		TELEPHONE:	2132524380
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90062
CAPACITY:	32	CENSUS:	DATE:	08/01/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Lela Jones		TIME COMPLETED:	11:00 AM

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 08/01/2024 at 8:35am an unannounced Annual Inspection was conducted by Licensing Program Analysts (LPAs) A. Carter and T. Tran. LPAs announced purpose of visit and met with Facility Representative (FR), Lela Jones, Site Supervisor. There are 23 children enrolled and 21 children present during today’s inspection. There were six (6) staff members present at time of inspection. All have current criminal background clearance. The hours of operation are 8:00 AM. – 4:30 PM. (Monday – Friday). Teacher-child ratios were observed. 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 sign in/out sheets. The facility is made up of three (3) classrooms: Room 1, Room 2, and Room 4. Beginning at 8:50am, 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 age appropriate tables and chairs available for children with rounded edges that have been maintained at time of inspection. LPAs observed a variety of age appropriate washable toys of sufficient quantity that are maintained free of loose, sharp, and pointed parts that encourage auditory, visual, and tactile stimulation and manipulative skills. There were cubbies observed as storage for children's belongings. LPAs observed Toddler size cots as sleep equipment for children. Availability of drinking water was observed in each classroom and the main supply next to the kitchen. LPAs observed the chidlrens restroom where sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation located in hallway between the classrooms. LPAs observed diaper changing table to have mat that is wipeable, appropriate thickness, and within arm’s reach of a sink. Hazardous items including poisonous cleaning compounds were stored inaccessible to children locked cabinets inside restroom. LPAs observed a first aid kit is kept in a backpack in each classroom. LPAs were not able to test carbon monoxide at time of inspection but observed them on ceilings with red indicator light blinking at time of inspection

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Andrea Carter	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024

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

FACILITY NAME: CII/WESTERN HEAD START STATE PRESCHOOL	FACILITY NUMBER: 197418048
	VISIT DATE: 08/01/2024

NARRATIVE

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LPAs observed fire extinguishers are present in the facility. LPAs discussed requirement to have fire extinguishers serviced annually and to conduct regular checks of smoke and carbon monoxide detectors to ensure they are in operable condition. Disaster drill log was posted which shows drills are conducted once a month. Children's files were reviewed and completed.

Beginning at 9:05am, outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. LPAs observed surface of outdoor play areas to be safe and maintained for activities planned. LPAs observed a variety of age appropriate toys available. LPAs observed age appropriate structures that have been bolted down to the ground and there is cushioning material below that are well maintained at time of inspection. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed.

Facility provides meals prepared daily by Chefables for the children in care.LPAs observed food preparation area for safety, cleanliness, proper equipment and to be free of litter, rubbish, rodents, and/or any other vermin.

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, this includes any changes 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.

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.

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Andrea Carter	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024

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

FACILITY NAME: CII/WESTERN HEAD START STATE PRESCHOOL	FACILITY NUMBER: 197418048
	VISIT DATE: 08/01/2024

NARRATIVE

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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 verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

LPAs discussed the safe sleep regulations with Facility Representative and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an 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.

This facility provides Incidental Medical Services – IMS. LPAs reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records.
For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 08/01/2024. 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 Representative, Lela Jones.

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Andrea Carter	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024

LIC809 (FAS) - (06/04)

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