197418298-9-29-2023-30-CC-ARIR-CW5PBY-20230929111108

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197418298
Report Date: 09/29/2023
Date Signed: 09/29/2023 11:11:19 AM

Document Has Been Signed on 09/29/2023 11:11 AM - 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	OUR LADY OF GUADALUPE SCHOOL		FACILITY NUMBER:	197418298
ADMINISTRATOR:	MARITZA CORLETO		FACILITY TYPE:	850
ADDRESS:	340 MASSEY STREET		TELEPHONE:	(310) 372-7486
CITY:	HERMOSA BEACH	STATE: CA	ZIP CODE:	90254
CAPACITY:	30	CENSUS: 19	DATE:	09/29/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Ana Valencia, Director		TIME COMPLETED:	11:15 AM

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On 09/29/2023, Licensing Program Analyst (LPA) Adrian Risher conducted an unannounced Annual Required Inspection for the preschool license. LPA met with Director, Ana Valencia, and toured the facility indoors and outdoors. Days and hours of operation are 7am to 6pm Monday to Friday. LPA observed 19 children in care with 2 staff. LPA confirmed the facility phone number:310 372 7486.

LPA toured the inside and outside of the facility. The facility is located on the Our Lady of Guadalupe School's campus. The preschool has a Pre-k and Pre-school classroom. LPA observed designated cubbies in each classroom. LPA observed age appropriate equipment in each classroom. LPA observed furniture and equipment are in good condition. LPA observed cots that are used for napping. The isolation area is located in the Director's office. LPA observed proper sign in/out documentation. Capacity and limitations as specified on the license are being maintained.

LPA inspected the bathrooms located in the classroom. The facility does not have a kitchen area since the children bring their own lunches. Director stated the preschool provides 2 snacks to the the students throughout the day. The snacks are stored in the refrigerator in the classroom.

There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. All poisons are kept in a locked storage area. Cleaning supplies and medications are stored in a locked cabinet. LPA tested the carbon monoxide detectors and smoke detectors during inspection. LPA observed fire extinguishers and first aid kits in each classroom

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian Risher	TELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2023

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: OUR LADY OF GUADALUPE SCHOOL	FACILITY NUMBER: 197418298
	VISIT DATE: 09/29/2023

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Drinking water is available both indoors and outdoors. LPA observed age-appropriate play equipment in the outside play area. .There is no swimming pool or other bodies of water on the premises. The outside play area is safe and in good condition.

LPA completed file reviews for children and staff. LPA observed more than one staff with current cpr and pediatric first aid certification. Menus are posted at least one week in advance where an authorized representative can view them. LPA reviewed disaster and fire drill logs which were current.

No deficiencies will be cited.

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.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian Risher	TELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2023

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: OUR LADY OF GUADALUPE SCHOOL	FACILITY NUMBER: 197418298
	VISIT DATE: 09/29/2023

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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 representative 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.

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 Ana Valencia

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian Risher	TELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2023

LIC809 (FAS) - (06/04)

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