197493714-6-23-2021-54-CC-RJOS-C49VM2-20210623163250

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493714
Report Date: 06/22/2021
Date Signed: 06/23/2021 04:32:57 PM

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:	ALAMEDA HS		FACILITY NUMBER:	197493714
ADMINISTRATOR:	LOPEZ, MARTHA		FACILITY TYPE:	850
ADDRESS:	600 ALAMEDA STREET E.		TELEPHONE:	(424) 260-4800
CITY:	COMPTON	STATE: CA	ZIP CODE:	90222
CAPACITY:	45	CENSUS: 0	DATE:	06/22/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:02 PM
MET WITH:	Martha Lopez; Director		TIME COMPLETED:	03:30 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	On June 22, 2021 at 2:15pm Licensing Program Analyst (LPA) Reiko Jones-Modeste conducted an unannounced Annual Random REQUIRED inspection at the facility listed above. LPA met with Martha Lopez; Director for a guided tour of the facility. There were no children present as the facility is in recess until August 2021 per the Director. Upon arrival LPA observed three Teachers present. LPA observed an outdated facility and personnel roster from 2019. LPA toured the facility according to the sketch on file. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were observed. The following required postings were observed: Emergency Disaster Plan, Menus, Disaster Drill log, Personal Rights and Parents Rights. Individual cubbies in Classrooms 1-3 were observed for children to store their belongings separately. Toys, games and equipment were observed covered and in boxes as the facility is in recess with no children enrolled. Sleeping equipment (cots) were observed in each classroom. Availability of indoor drinking water was not observed in any of the classrooms and water fountains were observed inoperable. Director stated water and sanitizer were removed to facilitate cleaning and sanitization of the facility. Age appropriate sinks and toilets were inspected for availability and good repair in the sole children's restroom. All classrooms currently use one restroom which included four toilets and three sinks. First Aid supplies were observed in each classroom. Empty water table observed empty in Classroom #2.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko Jones	TELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021

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: ALAMEDA HS	FACILITY NUMBER: 197493714
	VISIT DATE: 06/22/2021

NARRATIVE

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LPA found fire extinguisher in compliance with service tag dated February 2021. Director did not provide proof of Pediatric First Aid and CPR training for any staff at the facility including the Director. Director stated they plan to complete the course soon prior to August 2021. LPA observed CPR certifications expiring in 2020 and 2021 for all staff, however there were no children present.

Kitchen, refrigerator and pantry were observed in compliance. Per the Director, lunch and snacks are
provided and/or kept in a separate refrigerator including allergens list and temperature logs. Kitchen observed with no food in cupboards or refrigerator (TRANSITION) Licensee stated food will arrive in August 2021 after sanitization

Mobile carts were observed for COVID intake, toys and sanitizing per the Director.

LPA did not review staff records as files are located in an off-site facility. LPA observed sign in and out binders complete and within compliance.

The outdoor toys and equipment were inspected for safety, good repair and age appropriateness. Required shade, padding and fencing were found in compliance. LPA observed outdoor play yard with two non-functional water fountains.

LPA advised Director to review www.ccld.ca.gov for department updates and changes.

Upon receipt of this report, the Licensee shall post the Notice of Site Visit. The Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

Exit interview conducted with the Facility Director Martha Lopez. A copy of this report and appeal rights were provided and explained.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko Jones	TELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021

LIC809 (FAS) - (06/04)

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