197493364-6-23-2022-12-CC-BTSA-CFNTFD-20220623144123

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493364
Report Date: 06/23/2022
Date Signed: 06/23/2022 02:41:46 PM

Document Has Been Signed on 06/23/2022 02:41 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	LAUGH AND LEARN CHILD CARE		FACILITY NUMBER:	197493364
ADMINISTRATOR:	KAREN SCOVELL		FACILITY TYPE:	830
ADDRESS:	44539 10TH STREET WEST		TELEPHONE:	(661) 726-0001
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93534
CAPACITY:	27	CENSUS: 7	DATE:	06/23/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Director Karen Scovell		TIME COMPLETED:	02:55 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	On June 23, 2022 at 9:20AM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an unannounced Annual/Random inspection. LPA disclosed the purpose of inspection and was granted entry by Director Karen Scovell. This is a combination center that also has a preschool component (#197493363). The center’s hours of operation are 6:00AM to 6:00PM, Monday through Friday. Infants are located in the rear of the center physically separate from the other component. Upon arrival LPA counted 2 infants, 5 toddlers, and 3 teachers. Incidental Medical Services (IMS) policy was discussed. Furniture and equipment were inspected for age appropriateness and good repair high chairs and feeding tables have broad based legs, chair trays lift and lock, high chairs are washable, changing table padding thickness in regulation and is within arm's length of sink. Potty training is not done for this age group , but is done for the "2s Classroom" in the preschool component. LPA observed infants during nap and free play. Bedding is changed daily for the younger infants and bedding for the older infants are returned to their cubby, washed weekly. The bedding is stored separately and properly inside the cubbies. There is an Infant Daily Report identifying the infant's sleep patterns, feeding, and diapering. Used diapers are put in trash container with lid. Each child has a container labeled with personal items. Infant room is clean and safe. There are 3 cribs utilized for infants. LPA observed cribs to adhere to Safe Sleep regulations. Cribs without blankets, toys, or pillows inside crib. No items observed hanging from the side or above the crib. LPA observed one infant (9 months) asleep in crib with LIC9227 updated in file. Telephone service was verified. Phones are available in each classroom for staff use. Heating, lighting, and ventilation are adequate. There are cubbies for children's belongings in the infant room, labeled with the infant's names. LPA observed age appropriate toys and materials.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LAUGH AND LEARN CHILD CARE	FACILITY NUMBER: 197493364
	VISIT DATE: 06/23/2022

NARRATIVE

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Drinking water is available inside both classrooms (sippy cups, bottles, and disposable cups with water pitcher). Toddler component kept separate from infant and preschool children. Toddlers share a classroom with preschool children, but maintained separate by partial wall. LPA observed a sufficient quantity of cots and cribs available for napping children. LPA inspected and observed changing table (within arm reach of a sink), observed soap, toilet paper and paper towels readily available.

Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. Facility has outdoor play schedule for toddlers and preschool age children. Infants have a separate play area with shade gated all around. There is outdoor playground cushion beneath play structures and in infant play area. The area was observed to be free of debris. There is an area for shade and rest under a canopy. Drinking water is available to children with water pitcher and sippy cups. Staff inspect outside play area prior to children exiting to the play area. No pool, spa, or permanent body of water on premises. During inspection, LPA observed children playing in small wading pool and engaging in water play with sprinkler with direct supervision by staff. Outside area is completely fenced.

Children are inspected for illnesses (wellness policy) as they arrive. A review of medication policy indicated that prescription medication is administered only with parent's written permission (licensing medication form- LIC9221 - also used). The Director administers medication and documents the dosage, date and time onto a log. Medication can be brought and taken home by the parent daily. Medication is properly labeled and stored in its original container. There is a separate area for isolation and care of ill children in Director office.

There is a clean fully equipped kitchen (off limits) with refrigerator, freezer, stove and microwave oven. The facility provides breakfast, lunch, snacks (afternoon, evening). Allergy lists are posted in the kitchen and classrooms. There is a refrigerator and microwave in infant classroom, kept clean. Chemicals and food are kept separate inaccessible to children. Parent can bring breast milk (stored in the kitchen and labelled)--currently no parent bringing breast milk. Menus are posted in the lobby, classroom, and kitchen. LPA observed an appropriate amount of food and snacks for infants/toddlers during the inspection.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LAUGH AND LEARN CHILD CARE	FACILITY NUMBER: 197493364
	VISIT DATE: 06/23/2022

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Teacher child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Infant files have Needs and Services Plan/Individual Sleep Plan. LPA observed the Infant Sleep Plan sections C and D incomplete for Child 1 and Child 3 files. Sleep chart documenting child safe sleep patterns in 15 minute intervals is complete. Personal rights of children were discussed. Children's records were reviewed and LPA observed Child 2's file missing the Physician Report (LIC701). Staff records were reviewed and LPA observed immunization records missing for all staff files reviewed. Staff 1's file is missing the Health Screening Report (LIC503) and Mandated Reporter training expired 12/03/2021.

Sign in and out sheets were reviewed. LPA observed Licensing and Parent boards to be incompliance including the required posting. Fire/earthquake drills current. Roster current and maintained. First Aid Kit observed. CPR/First Aid expire 07/03/2023.

Facility representative 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.

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LAUGH AND LEARN CHILD CARE	FACILITY NUMBER: 197493364
	VISIT DATE: 06/23/2022

NARRATIVE

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Center Director advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation (call within 24 hours and submit written report within 7 days) and on the form LIC624. Center reminded to review updates/regulations as well as quarterly updates on Department website. The "Notification of Parent's Rights" poster must be posted in an area of the facility accessible to parents. The information regarding new legislation with regards to exemptions and Parent’s Rights was also discussed.

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/inspection-process.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

California Code of Regulations, Title 22, 101430 Infant Care Activities, 101216 Personnel Requirements, and 101220 Child's Medical Assessments Type B deficiencies were cited during this inspection. Additionally, Health and Safety Code Sections 1596.7995 and 1596.8661 Type B deficiencies were cited during inspection. See LIC809D for deficiency details. Exit interview conducted and report was reviewed with the facility representative, Karen Scovell.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/23/2022 02:41 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LAUGH AND LEARN CHILD CARE	FACILITY NUMBER: 197493364
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/23/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101430(a)(3)(A)(4)(a)

Infant Care Activities

(A) Staff shall place infants up to 12-months of age on their backs for sleeping. (4) Infants with an Individual Infant Sleeping Plan [LIC 9227 (3/20)] that have Section C of the form completed and signed by an authorized representative shall be placed on their back when first laid down to sleep. In the event the infant changes position, the infant may remain in the alternative position. (a) Upon staff observation that the infant is capable of rolling from their back to their stomach and stomach to their back, the provider shall fill out Section D of the Individual Infant Sleeping Plan [LIC 9227 (3/20)], notify the authorized representative, and obtain the authorized representative's signature on the individual sleeping plan no later than the next business day following observation. 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 by failing to obtain an updated Infant Sleep Plan for Child 1 and Child 3 with completed sections C and D, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/01/2022
	Plan of Correction
1 2 3 4	Director agreed to obtain the completed Infant Sleep Plan for Child 1 and Child 3 from the authorized representative and provide copies to the Department no later then 7/01/2022.

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: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/23/2022 02:41 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LAUGH AND LEARN CHILD CARE	FACILITY NUMBER: 197493364
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/23/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. 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 by failing to maintain immunization records in the staff files 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	Director agreed to obtain immunization records for all staff and submit to the Department no later than 7/22/22.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, facility staff failed to renew the Mandated Report Training within the required time frame set forth by the regulation, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/08/2022
	Plan of Correction
1 2 3 4	Director agreed to have facility staff renew their Mandated Reporter Training and submit certificates to the Department no later than 7/08/2022.

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: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/23/2022 02:41 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LAUGH AND LEARN CHILD CARE	FACILITY NUMBER: 197493364
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/23/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216(g)(1)

Personnel Requirements

(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure. 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 by failing to obtain documentation of a compelted tuberculosis test for Staff 1, 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	Director agreed to submit copies of the completed tuberculosis test for Staff 1 to the Department no later than 7/22/2022.

Type B

Section Cited

CCR

101216(g)(2)

Personnel Requirements

(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following: 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 by failing to obtain a compelted Health Screening for Staff 1, 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	Director agreed to submit the competed Health Screening for Staff 1 to the Department no later than 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: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/23/2022 02:41 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LAUGH AND LEARN CHILD CARE	FACILITY NUMBER: 197493364
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/23/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101220(a)

Child's Medical Assessments

(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child. 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 by failing to obtain a completed Medical Assessment (LIC701) for Child 2, 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	Director agreed to obtain the completed Medical Assessment for Child 2 from the authorized representative and submit to the Department no later than 7/22/2022.

Section Cited


	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: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022

LIC809 (FAS) - (06/04)

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