197418825-4-25-2024-58-CC-AMOY-D4P2R4-20240425173656

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197418825
Report Date: 04/25/2024
Date Signed: 04/25/2024 05:37:32 PM

Document Has Been Signed on 04/25/2024 05:37 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	A MOTHER GOOSE ACADEMY OF CHATSWORTH		FACILITY NUMBER:	197418825
ADMINISTRATOR:	MARGULETA, VIKTORIA		FACILITY TYPE:	850
ADDRESS:	10324 VARIEL AVENUE		TELEPHONE:	(818) 341-3288
CITY:	CHATSWORTH	STATE: CA	ZIP CODE:	91311
CAPACITY:	54	CENSUS: 43	DATE:	04/25/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Viktoria Margulata, Director		TIME COMPLETED:	05:00 PM

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

Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced Required 3 year inspection. LPA met with Viktoria Margulata, Director who guided analyst on tour of the facility. This is a preschool program serving up to 54 children. The facility operates Monday – Friday from 7:30 AM – 5:00 PM and offers a half day schedule (8:00am to 12:30). The entrance to the facility is locked and parents enter using a call/buzzer system.

LPA observed the following classroom ratios: Room 1 (2 teachers and 31 napping children); Room 2 ( 1 teacher and 12 napping children). LPA observed teacher-child ratios in compliance and staff have the required background clearances at this time. LPA inspected 3 additional classrooms that are utilized as needed. Per director classroom located in outside separate unit is not being utilized as this time.

LPA observed telephone service, heating, lighting and ventilation to be satisfactory. Children have adequate cubby storage for their belongings. The parents provide sheets and blankets and laundered weekly or more often if needed. LPA observed filtered (Brita filter container) drinking water with labeled children's personal cups readily available in the classrooms. Age appropriate restrooms, sinks and toilets were inspected for good repair, water temperature, toilet paper, safety and sanitation. All available toilets and sinks are in operable condition. The classrooms have surfaces that appear to be clean and safe and there are age appropriate toys and reading material for children to use.

There are first aid supplies in each classroom and office. Carbon monoxide detectors and smoke detectors are present in the facility and were tested and found operable.

Hazardous items including including cleaning compounds are stored in inaccessible cabinets with safety locks. The 5-year old classroom (currently not used) is used as an isolation area for ill children and there is a restroom available for children's use.

The outdoor play area is enclosed with exit gates are at least five feet high. Areas around and under climbing equipment have wood chips and grass to cushion a fall. There are no bodies of water on the premises. LPA discussed water play and precautions to take ---------Page 1, Report continues

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: A MOTHER GOOSE ACADEMY OF CHATSWORTH	FACILITY NUMBER: 197418825
	VISIT DATE: 04/25/2024

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
26
27
28
29
30
31
32

All play equipment, toys, materials and surfaces accessible to children appear to be age appropriate and toxic free. There is adequate shade area and no hazards were observed.

The facility provides breakfast, lunch and snack. Menus are posted at least one week in advance and are visible to authorized representatives. Snacks were reviewed for availability, quantity, best buy dates and appropriateness for children in care. LPA observed the snack storage area (kitchen) appear to be in sanitary condition. LPA informed Site Supervisor to constantly assess the "best buy" dates on food items that are removed from original packaging and document. LPA observed trash receptacles have tight fitting covers.

LPA observed a fire extinguishers in the kitchen and classrooms, serviced on 3/6/24. LPA observed tanks with Turtles and fish in the classroom. LPA discussed with licensee to maintain fish and turtle tanks and cleaned and sanitary.

LPA observed digital sign in and sign out to ensure children are being properly signed in and signed out by the authorized representative. LPA conducted a Children's Records Review for completeness and to ensure children have proper forms such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights etc.on file. The children's roster was available and current.

Staff Records were reviewed to ensure the following: Criminal record clearance or criminal record exemption, education credits, current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination, Mandated Reporter training, LPA observed at least one staff member to have current CPR (Expiration December, 2024) .

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing 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: https://www.ada.gov/resources/child-care-centers/Documentation of drill including fire, earthquake, disaster were reviewed and are current.

LPA advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. LPA verified that the lead testing was completed and in accordance to the Written Directives outlined in PIN 21-21.1-CCP. -----------------Page 2, report continues

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: A MOTHER GOOSE ACADEMY OF CHATSWORTH	FACILITY NUMBER: 197418825
	VISIT DATE: 04/25/2024

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
26
27
28
29
30
31
32

Licensee 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.

LPA informed Director to log onto web site www.ccld.ca.gov to access forms, regulations and quarterly updates. Records for all children and staff must be maintained for three (3) years after separation from the facility. Report Unusual Incidents and/or injuries to the parent/guardian immediately and to Child Care Licensing within 24 hours and/or the next business day. Visit www.shotsforschool.org for immunization information. All care for children require supervision at all times. If away from the facility, staff must be with children at all times (especially when outdoors).

There were no violations cited of Title 22 requirements at this time.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/tion-process.

Exit interview was conducted with Viktoria Margulata, Director

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024

LIC809 (FAS) - (06/04)

Page: 3 of 3