197418480-8-29-2023-54-CC-AMOY-CV78D9-20230829222510

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197418480
Report Date: 08/29/2023
Date Signed: 08/29/2023 10:25:29 PM

Document Has Been Signed on 08/29/2023 10:25 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	CRYSTAL STAIRS-DOLLARHIDE		FACILITY NUMBER:	197418480
ADMINISTRATOR:	KEYS, TERESA		FACILITY TYPE:	850
ADDRESS:	1108 N. OLEANDER AVE.		TELEPHONE:	(310) 933-0700
CITY:	COMPTON	STATE: CA	ZIP CODE:	90222
CAPACITY:	80	CENSUS: 46	DATE:	08/29/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Maricela Villavicencio, Supervisor		TIME COMPLETED:	03:00 PM

NARRATIVE

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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced annual inspection on this date 8/29/23. Upon arrival at 10:00am LPA Mooberry met with Facility Representative (FR) Maricela Villavicencio, who guided analyst on a tour of the facility.

All areas identified on the Facility Sketch were inspected to ensure the safety of children and facility compliance with Title 22 Regulations.

The facility serves 5 full-day classes. The hours of operation are from 8:00am - 4:30pm; Monday - Friday. Upon arrival, the following children and staff were present during this inspection: Classroom A: 17 children / 3 staff; Classroom B: 13 children with 2 staff; Classroom C: 11 children with 3 staff; Classroom D & E: 5 children with Staff 2 staff. Teacher child ratios were observed to be in accordance with Title 22 Regulations. All children were observed to be under visual supervision of a teacher. The facility was observed to be within the license capacity and limitations. Staff have received criminal record clearance.

The facility roster was up to date and emergency disaster drills were conducted on during August 2023. Emergency disaster plan is updated and reflected to the current year. Children's roster was reviewed and is current.

The facility has electronic Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. The facility is able to print the sign in/out sheets as needed. Licensing documents are posted on bulletin board in hallway by front office and in each classroom. Age appropriate sinks and toilets were inspected for availability and good repair. General
sanitation was observed.

Furniture and equipment were inspected for age appropriateness and good repair. Per FR, the isolation area is located in staff break room. Ill children use the Staff restroom by front office.

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SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023

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

FACILITY NAME: CRYSTAL STAIRS-DOLLARHIDE	FACILITY NUMBER: 197418480
	VISIT DATE: 08/29/2023

NARRATIVE

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Telephone service, heating, lighting and ventilation were evaluated. Children have individual cubbies to store their belongings. Napping equipment (cots) were observed labeled with child's name. Linens are replaced as needed and are taken home each week to be washed.

Availability of indoor drinking water was observed in all classrooms by filtered water dispensers and cups, children can bring bottled water.

Per Site Supervisor, the facility DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE, This poses a potential risk to the health and safety of children in care. LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. LPA observed that there is a water fountains in the classrooms and in the hallway by the office. Per Site Supervisor, the faucets are not used for water consumption.

Disinfectants and cleaning solutions were in cabinets inaccessible to children. Currently, there are no children that are taking medication. Director stated medication are maintained labeled with child's name and date in secure location in office. First Aid kits are available in both classrooms. Carbon monoxide and smoke detector was observed to be connected to the fire alarm. The 2A10BC fire extinguishers were observed in both classroom with the service tag indicating last inspected on 7/1/22. Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. LPA observed the surface of the outdoor activity space has pieces of rubber surfacing is missing pieces to the top in multiple locations, which can pose a tripping hazard and potential risk to the health and safety of children in care.

All materials accessible to children were observed to be toxic free. There are no firearms stored on the premises. There are no pools or bodies of water at the facility.

Director 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 be assessed if this regulation is violated.

Children’s Records were reviewed. Inspection of required forms was made and documented on the LIC 857. Children's roster was reviewed. LPA also reviewed staff records. The review of Staff records was documented on the LIC 859. There is at least one person trained in EMSA approved CPR and Pediatric First Aid present during this inspection.

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SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2023

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

FACILITY NAME: CRYSTAL STAIRS-DOLLARHIDE	FACILITY NUMBER: 197418480
	VISIT DATE: 08/29/2023

NARRATIVE

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Menus were observed to be current, meals are provided vendor and delivered daily. the kitchen was observed to be clean and free of

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)/ (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

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.

The facility is cited 1 "B" deficiency in accordance with California Code of Regulations Title 22.

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 conducted with the Maricela Villavicencio. A notice of site visit was given and must remain posted for 30 days. Appeal Rights were discussed and a copy provided.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 08/29/2023 10:25 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CRYSTAL STAIRS-DOLLARHIDE	FACILITY NUMBER: 197418480
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/29/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above in that the required Lead testing has not been completed which posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/29/2023
	Plan of Correction
1 2 3 4	Per Facility Representative, the facility coordinator is the process of obtaining a vendor to complete the Lead testing. Proof of completion will be sent to LPA via email by

Section Cited

Buildings and Grounds


	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: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2023

LIC809 (FAS) - (06/04)

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