197418442-7-14-2022-30-CC-LJCS-CGBUW9-20220714155620

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197418442
Report Date: 07/14/2022
Date Signed: 07/14/2022 03:57:45 PM

Document Has Been Signed on 07/14/2022 03:57 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	LOVE THYSELF CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	197418442
ADMINISTRATOR:	CHERYL M. MUHAMMAD		FACILITY TYPE:	850
ADDRESS:	10411 SOUTH WESTERN AVENUE		TELEPHONE:	(323) 755-6151
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90047
CAPACITY:	40	CENSUS: 29	DATE:	07/14/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Maryam Myers		TIME COMPLETED:	02:30 PM

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On 7/14/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced Annual Required Inspection for the preschool license. LPA met with Staff 1 (S1), Maryam Myers, and explained the purpose of the visit. S1 stated Licensee, Cheryl Muhammad, is out of town until 7/18/2022. LPA observed 29 children supervised by 4 staff. Staff 5 does not supervise children. Days and hours of operation are Monday through Friday, 7:00AM to 6:00PM.

S1 led LPA through a tour of the inside and outside of the facility. The facility is an open floor space with two classroom areas. Toward the front, the classroom area is dedicated to kindergarten and entry into 1st grade children. Toward the back, the classroom is dedicated to preschool age children. All desks and play equipment are in good condition. The children's bathroom is located in the hallway leading to the outdoor play area. LPA observed 3 children's toilets and 3 children's sinks. All toilets and handwashing facilities are in safe and sanitary operating condition. The kitchen is off-limits and is located across from the children's bathroom. Menus and food allergy information is posted above the sink. LPA observed a clean and organized refrigerator. Disinfectants, cleaning solutions and made inaccessible in the cabinet underneath the kitchen sink. All kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. Children's medication is stored on a top shelf in the main classroom area. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements.

LPA observed playground equipment in safe condition in the outdoor play area. LPA observed a shaded area with picnic tables. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls.

S1 was reminded that all adults 18 and over, 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 Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will

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SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J Casillas	TELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

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: LOVE THYSELF CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 197418442
	VISIT DATE: 07/14/2022

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be assessed if this regulation is violated. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption.

Capacity and limitations are not being followed as specified on the license and facility is being issued a Type A citation. Facility maintains a ratio of one teacher supervising no more than 12 children in care. S1, S2, S3, and S4 are trained in CPR and Pediatric First Aid. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day.

LPA reviewed a sample of children’s files and observed immunization records missing from the files. LPA reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training.

Incidental Medical Services (IMS) are currently being provided. S1 was made aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D). S1 was provided a copy of the appeal rights.

Upon receipt of this report, the Licensee shall post the Notice of Site Visit (LIC 9213) 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).

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days. Exit interview conducted and report was reviewed with Staff 1.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J Casillas	TELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/14/2022 03:57 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: LOVE THYSELF CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 197418442
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/14/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101239(f)(1)

Fixtures, Furniture, Equipment and Supplies

(f) Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents. (1) All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above as the trash can next to the kitchen is not covered, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/22/2022
	Plan of Correction
1 2 3 4	Staff 1 and Licensee agree to add a tight-fitting cover to the trash can next to the kitchen and maintain the trash can covered with the lid at all times. Licensee will submit a picture via email to LPA by 7/22/2022.

Type B

Section Cited

CCR

101220.1(g)

Immunizations

(g) The licensee shall document each child's immunizations and shall maintain such documentation in the center for as long as the child is enrolled. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above as 9 out 12 children's files reviewed by LPA did not include immunization records, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/22/2022
	Plan of Correction
1 2 3 4	Staff 1 and Licensee agree to collect copies of the children's immunization records and maintain the immunization records in each child's file. Licensee will submit a picture via email to LPA by 7/22/2022.

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: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J Casillas	TELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

LIC809 (FAS) - (06/04)

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