197419097-11-19-2019-30-CC-MSIN-BJ3TTJ-20191119140050

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197419097
Report Date: 11/19/2019
Date Signed: 11/19/2019 02:02:06 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:	PETITE SCHOOL HOUSE		FACILITY NUMBER:	197419097
ADMINISTRATOR:	SALMEENA ZAKI		FACILITY TYPE:	850
ADDRESS:	17643 ROSCOE BLVD.		TELEPHONE:	(818) 708-8766
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91325
CAPACITY:	182	CENSUS: 124	DATE:	11/19/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Zaki Salmeena		TIME COMPLETED:	12:30 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	Margarit Sislyan, Licensing Program Analyst (LPA) met with Zaki Salmeena (Director) for the purpose of an Annual/Random visit. LPA Sislyan toured the facility; all identified rooms (8 classrooms) per facility sketch were inspected. The following was observed. A review of the sign in/out sheet was conducted to verify the current census of children. Currently there are 124 children present. Facility is operating within capacity limitations. 15 teachers were present. Classrooms were found to be clean and free from any potential hazards. A record of teacher’s names was checked against current facility roster. Staff is currently associated to the facility. Furniture was found to be in good repair and age appropriate. There is adequate heating, lighting and ventilation. Drinking water is readily available in each classroom. Director states that the isolation area for sick students is the office. There is a separate toilet/sink for ill children. The bathroom areas were inspected. Toilets flush properly. Toilets and sinks are reachable by the children in care. The bathrooms have adequate toilet paper and paper towels available. The bathrooms were found to be clean. There is adequate lighting/ventilation in the bathrooms. Preschool provides snacks and lunch for the children in care. The kitchen, is not accessible to the children in care Menus are posted. There is adequate food for snacks and lunch. The chemicals are kept separate from the food.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit Sislyan	TELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2019

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: PETITE SCHOOL HOUSE	FACILITY NUMBER: 197419097
	VISIT DATE: 11/19/2019

NARRATIVE

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Napping equipment was inspected there is adequate mats and bedding for the children in care, bedding is stored separately, sheet are washed weekly.

Medication is properly labeled and stored in the original container. Director advised that children should be screened every morning for illness and unusual marks. First Aid supplies are stored in each classroom.

Inspection of the outdoor play area was conducted. Climbing structures, swings, slides and other large play equipment are found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter. Drinking water is readily available on the play yard. There is adequate shade for the children in care. Playground is free from miscellaneous debris such as tree branches, trash, leaves, etc.

There is a pool on the premises. LPA observed the pool was fenced with at least five feet high fence. The fence did not obscure the pool from view. The gate swings away from the pool self-close and have a self-latching device located no more than six inches from the top of the gate.

There is an operating telephone in the Child Care Center, 2:10ABC fire extinguishers are located in the classrooms. There is a fully functionally smoke alarms system in the facility. Licensee is advised that licensed facility will be required to have an operating carbon monoxide detector as well.

Children records were reviewed for completeness. Records were found to be complete.
Staff records were not reviewed this time. Director advised that records for all children and staff must be maintained for 3 years after separation from the facility.

For additional information and forms visit our website at: www.ccld.ca.govNo deficiencies were cited during this visit. Copy of report provided.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit Sislyan	TELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2019

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

FACILITY NAME: PETITE SCHOOL HOUSE	FACILITY NUMBER: 197419097
	VISIT DATE: 11/19/2019

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The following were discussed:

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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
Senate Bill 792: This bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles.

New Immunization Requirement: Law enacted by SB 277, beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

Assembly Bill 1207 amended Penal Code Section 11165.7 and amended Health and Safety Code Section 1596.866 and added Health and Safety Code Section 1596.8662.
Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training.

This training requirement may be directly met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/ and are provided in English and Spanish. If no training is made available in a required person’s primary language, then those persons shall be exempt from this requirement.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit Sislyan	TELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2019

LIC809 (FAS) - (06/04)

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