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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418267
Report Date: 07/26/2021
Date Signed: 07/26/2021 02:49:26 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:NORMANDIE CHRISTIAN PRESCHOOLFACILITY NUMBER:
197418267
ADMINISTRATOR:QUICK, MARY LOUISEFACILITY TYPE:
850
ADDRESS:6306 S. NORMANDIE AVENUETELEPHONE:
(323) 752-3122
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY:24CENSUS: 10DATE:
07/26/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:57 AM
MET WITH:Herbert Jones, AdministratorTIME COMPLETED:
12:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Shandra Powell conducted a Case Management Incident inspection to follow up on an incident that occurred on 04/27/2021 on the outdoor activity space.

Upon arrival Mr. Jones, Principle/Administrator guided LPA on a tour of the facility. There was a total of ten children present and two substitute teachers. LPA observed children playing in outdoor space. LPA observed no children playing on apparatus during inspection.

LPA conducted an interview with staff. First Aid was applied to child's injury on 04/27/2021. Staff stated the child fell during outdoor play and was not pushed by another child. Licensee did not call the Regional office or send in a written report in the required time frame. This poses as a potential health and safety risk to children in care.

The deficiencies listed on the following page were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

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

A copy of this report was explained and issued to Mr. Jones Administrator appeal rights provided.
The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Denise Mosley, Lead Teacher including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021
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: NORMANDIE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 197418267
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/28/2021
Section Cited

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Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the
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Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.

(1) Events reported shall include the following:
(B) Any injury to any child that requires medical treatment. Requirement not met due to CCLD receiving unusual incident report after the required time limit this casues a potiential health and risk to children in care.
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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: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2021
LIC809 (FAS) - (06/04)
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