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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493688
Report Date: 04/20/2022
Date Signed: 04/20/2022 03:18:05 PM


Document Has Been Signed on 04/20/2022 03:18 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:ACADEMY AT MANHATTAN BEACH, THEFACILITY NUMBER:
197493688
ADMINISTRATOR:WESSEL, VIDAFACILITY TYPE:
850
ADDRESS:1114 22ND STREETTELEPHONE:
(310) 546-1700
CITY:MANHATTAN BEACHSTATE: CAZIP CODE:
90266
CAPACITY:125CENSUS: 56DATE:
04/20/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Sylvia RuizTIME COMPLETED:
03:30 PM
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On 4/20/2022, Licensing Program Analyst (LPA) Loyce Phillips, conducted a case management inspection to follow up on COVID-19 Positive Cases. LPA met with Director, Sylvia Ruiz completed Facility Risk Assessment, toured the facility and took a census. Upon arrival, there were 56 children and 14 staff present today at the facility. LPA toured 5 classrooms and the outdoor play area.

LPA is following up on COVID-19 Unusual Incidents Reported to CCLD:


-12/22/2021 - 1 Staff Tested Positive on 12/20/2021
-12/21/2021 - 1 Child Tested Positive on 12/19/2021
-01/12/2022 - 1 Staff Tested Positive on 1/11/2022 and 1 Child Tested Positive on 1/11/2022
-01/06/2022 - 1 Staff and 3 Children (Tested positive over winter break).
-03/28/2022 - 1 Child Tested Positive on 3/25/2022
-04/01/2022 - 1 Child Tested Positive 3/29/2022

LPA completed a daily health screening with staff. LPA observed hand sanitizer, face mask and signs posted outside and inside the facility. All the classrooms have access to hand sanitizer, wipes, disinfected spray and mask. The children have their separate cubbies. All the restrooms were functioning and fully stocked with tissue, soap and paper towels.

During the visit LPA and Director discussed the following best practices:


Arrival Procedures - All parents do a COVID-19 health screening before entering the facility. Parents are allowed inside the classrooms for no more than 14 minutes during drop off and pick up. The COVID-19 screening consists of answering daily health check questions.

809 C

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:
DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/20/2022
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ACADEMY AT MANHATTAN BEACH, THE
FACILITY NUMBER: 197493688
VISIT DATE: 04/20/2022
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Face Mask - Face mask are no longer required, but Director informed LPA their staff are required to wear face mask indoors and optional to wear outdoors.

Isolation area - Isolation area is located in the front office or the orange room A designated staff will stay with the child until the parent arrives.

Cleaning and Disinfecting - The outdoor play area is cleaned daily. All high touched surface area are wiped down throughout the day. When choosing cleaning products, use products approved by Environmental Protection Agency list.

Reporting Requirements – LPA explained and reminded Director to report all COVID-19 positives cases to Department of Public Health. When reporting Unusual Incidents, call CCLD within 24 hours and submit Unusual Incident Report within 7 days.

No deficiencies are being cited in accordance to Title22 of the California Code of Regulations and/or Health & Safety Codes.

An exit interview was conducted, a copy of this report and notice of site visit were provided to Director, Sylvia Ruiz.

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022
LIC809 (FAS) - (06/04)
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