197419614-5-3-2023-54-CC-AMOY-CRH2LP-20230503172951

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197419614
Report Date: 05/03/2023
Date Signed: 05/03/2023 05:30:18 PM

Document Has Been Signed on 05/03/2023 05:30 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:	TRINITY LIFE LEARNING CENTER		FACILITY NUMBER:	197419614
ADMINISTRATOR:	TIFFANY MARSHALL		FACILITY TYPE:	850
ADDRESS:	12619 S. WILMINGTON AVENUE		TELEPHONE:	(310) 259-1233
CITY:	COMPTON	STATE: CA	ZIP CODE:	90222
CAPACITY:	22	CENSUS: 3	DATE:	05/03/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Christa Marshall, Site Supervisor		TIME COMPLETED:	06:00 PM

NARRATIVE

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Licensing Program Analyst (LPA) Alicia Mooberry conducted an Annual on this date. Upon arrival at 9:20am LPA met with Christa Marshall, Site Supervisor. LPA toured the facility, and observed three (3) children present upon arrival, one (1) additional child arrived during inspection. Record review shows that Christa Marshall has a background clearance that is In Process and not cleared. LPA will further review the background clearance and determine if a deficiency is warranted and will to be cited at a later visit. The Director and Site Supervisor confirmed that Chirsta Marshall has been working at the facility since 2017. The facility is licensed for 12 toddlers ages 18 months to 36 months, and 10 preschool children. At 10:45am, Carolyn Sanford, Director, and Megan Shrader, Staff, arrived to the facility. Per licensee, the hours of operation are Monday - Friday 6:30am-6:00pm.

LPAs observed required posted documentation located on the parent board at entrance to the preschool classroom, which included, Facility License, Publication (PUB) 393- Notification of Parent Rights, Licensing Form (LIC) 610- Facility Disaster Plan, PUB 269- Child Passenger Restraint System, LIC 613A- Notification of Personal Rights and Lunch/Snack Menu.

LPA observed napping cots and individual cubbies that contain children's sheets and blankets. The sheets are washed weekly at the facility.

The Director confirmed that facility has not conducted the required water lead testing and is in the process of obtaining a vendor.

LPA reviewed Electronic Sign In/Out sheets on Brightwheel Application. Children are being signed in an out with the full signature and date.

LPA toured the children’s restrooms located on both the preschool and Toddler classrooms. Restrooms were observed to be safe and sanitary with operable sinks and toilets.

LPA inspected the kitchen located between the Toddler side and Preschool classrooms. ---Page 1 Report continues

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

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: TRINITY LIFE LEARNING CENTER	FACILITY NUMBER: 197419614
	VISIT DATE: 05/03/2023

NARRATIVE

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Facility provides Breakfast, Lunch and AM & PM snacks. Food is cooked and prepared at the facility and observed to to be safe and in sufficient quantity for children enrolled.

LPA observed trash cans for solid waste have tight fitting lids. Cleaning supplies are stored separate from the food. There were no pesticides or chemicals stored in the kitchen. LPA toured the outdoor play area. LPA observed a rolled up canvas tent with straps and metal pieces, a children's wooden table with pressed wood is deteriorating, licensee removed items during visit. LPA observed age appropriate toys and material for children. LPA observed required cushioning under climbing structure to absorb fall. Shade was observed throughout the outdoor area via tents, filtered water is available to children, LPA observed labeled drinking bottle for each child. Licensee was reminded that water should be readily available for children in care. There is a separate play area for toddlers in the program.

Children’s records were reviewed for Emergency Card, Immunization Records, Licensing Form (LIC) 627- Consent for Medical Treatment, LIC 995 Notification of Parents’ Rights, LIC 701- Physician’s Report, LIC 613A- Personal Rights, and signed Admissions Agreement.

Staff records were reviewed for approved Pediatric First Aid and CPR certification, LIC 9052- Employee Rights, Proof of immunization against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse, Transcripts or Permit and current Mandated Reporter Training Certificate. Facility files in paper and electronic format (stored on Director's computer were reviewed. The Director was reminded to notify the department when there is a change in Administrator.

Facility records were reviewed for LIC 9040- Facility Roster, 9148- Earthquake Preparedness form, Daily schedule and Disaster drill log, last drill conducted on 4/4/23. All documents observed.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – 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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm

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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: 05/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: TRINITY LIFE LEARNING CENTER	FACILITY NUMBER: 197419614
	VISIT DATE: 05/03/2023

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LPA toured preschool classroom. Classroom had furniture in good condition, free of hazards. The floors and surfaces in the classroom were clean and safe. Rugs were observed to lay flat on the ground to avoid tripping hazards. Water is made readily available by via water bottles that child can refill as needed throughout the day. LPA observed a filtered water dispenser in the kitchen that is re-filled by staff. Per Director, there are currently no children with medication in this facility. The isolation are for children is in the office, ill- children may use the staff bathroom if needed.

LPA advised licensee to ensure facility files are readily available to licensing staff. LPA provided updated facility forms to licensee. LPA discussed resources including the Technical Support Program (TSP) available for licensed childcare facilities.

Licensee 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 licensed facility. 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.

Based on the LPA's observations, interview and record review deficiencies will be cited today 5/3/23.

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/process.

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 Carolyn Sanford, Director.

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: 05/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

Document Has Been Signed on 05/03/2023 05:30 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: TRINITY LIFE LEARNING CENTER	FACILITY NUMBER: 197419614
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238.2(d)(2)

Outdoor Activity Space

(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. 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 due to unsafe items in the play area accessible to children including rolled up tent and weathered table which posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/03/2023
	Plan of Correction
1 2 3 4	Licensee removed the items from the play area during inspection. Deficiency cleared during inspection.

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 interview, the licensee did not comply with the section cited above due to the facility has not completed the required water Lead testing which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/17/2023
	Plan of Correction
1 2 3 4	Per Director, they will provide proof of compliance by POC due date. There is filtered drinking water available to children in care as well as food preparation.

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: 05/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

LIC809 (FAS) - (06/04)

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