197493957-12-6-2024-58-CC-SGAN-DBQ3PJ-20241206172538

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493957
Report Date: 12/06/2024
Date Signed: 12/06/2024 05:25:49 PM

Document Has Been Signed on 12/06/2024 05:25 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	COLFAX CHARTER SCHOOL		FACILITY NUMBER:	197493957
ADMINISTRATOR/ DIRECTOR:	BARTHOLOMEW, SCOTT		FACILITY TYPE:	840
ADDRESS:	11724 ADDISON STREET		TELEPHONE:	(661) 761-5115
CITY:	VALLEY VILLAGE	STATE: CA	ZIP CODE:	91607
CAPACITY: 115	TOTAL ENROLLED CHILDREN: 90	CENSUS: 58	DATE:	12/06/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:55 PM
MET WITH:	Ashley Castro, Director		TIME VISIT/ INSPECTION COMPLETED:	05:35 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	Licensing Program Analyst (LPA) Silva Garibyan conducted an unannounced Required - 3 year inspection. LPA met with Ashley Castro, Director, who guided analyst on a tour of the facility. This is a school age program serving up to 115 children. The facility operates Monday, Wednesday, Thursday, and Friday from 3:00 PM to 6:00 PM, and Tuesdays from 1:30 PM to 6:00 PM. All children are under supervision, including visual supervision of a teacher at all times. A review of the sign in/out sheets was conducted to verify the current census of children. Facility is operating within capacity limitations. The facility consists of 4 classrooms (1, 2, 5, and 18). This center is located on the grounds of Colfax Charter Elementary School. All four classrooms are part of the school operated under the LAUSD and available to the Peak Program from 3:00 PM - 6:00 PM. The facility was licensed for Classrooms 1, 7 , and 19 and has fire clearance for these classrooms as well. However, per the director, this school year Colfax Charter Elementary School provided the classrooms they have available which can change each year. This year they are utilizing classrooms 1, 2, 5, and 18. The classroom changes has not been reported to licensing. LPA observed 24 children in Room #2, supervised by two staff, 12 children in Room #1 supervised by one staff, eight children in Room #5 supervised by one staff, and 14 children in Room #18 supervised by one staff. LPA verified that all adults present in the facility have obtained criminal record clearances and are associated to the facility. There are no bodies of water on the premises during the visit. LPA observed the following postings by the Director's office (Room #103: License, LIC 613A, the PUB 393, Child Care Center Notification of Parents' Rights Poster, LIC 610 Emergency Disaster Plan with the telephone number of the local health department, information on child passenger restraint systems (PUB269).

Betty Bell	TELEPHONE: (424) -301-3063
Silva Garibyan	TELEPHONE: (424) 301-3062
	DATE: 12/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2024

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: COLFAX CHARTER SCHOOL	FACILITY NUMBER: 197493957
	VISIT DATE: 12/06/2024

NARRATIVE

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Furniture and equipment were inspected for age appropriateness and good repair. A walk through of the classrooms was conducted, classrooms were found to be clean and free from any potential hazards. Furniture was found to be in good repair and age appropriate. There is adequate heating, lighting and ventilation. Classroom floors are clean and safe.

There is a restroom in the classroom #1 with one sink and two toilets. The children also utilize the restrooms on campus, girls and boys have separate restrooms. Age-appropriate sinks and toilets were inspected for availability and good repair in all restrooms. Per Director, the isolation area is located in the office.

General sanitation was observed. Children bring their own water bottle and before entering the classroom and before going outside, the children fill their water bottles with water from the containers in each classroom. LPA did not observe during file review a lead test for the center.
Disinfectants and cleaning solutions were accessible to children. Carbon monoxide detectors were observed in each classroom and is operable.

The center does not have a kitchen and does not prepare snacks for the children. The children bring snacks from home. First Aid supplies were observed. Per Director, medication is not administered at the facility.

Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed. LPA advised that no children shall be left without the supervision of a teacher at any time.

LPA conducted a Children's Records Review for completeness and to ensure children have proper forms such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights on file. The children's roster was available and current. Staff Records were reviewed to ensure the following: Criminal record clearance or criminal record exemption, education credits required, current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination, Mandated Reporter training. Four staff do not have current Mandated Reporter Training Certificates and two staff do not have proof of education credits, Director doesn't have current CPR/First Aid in files. Page 2

SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2024

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: COLFAX CHARTER SCHOOL	FACILITY NUMBER: 197493957
	VISIT DATE: 12/06/2024

NARRATIVE

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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/. .

LPA referred Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Ashley Castro

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SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/06/2024 05:25 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: COLFAX CHARTER SCHOOL	FACILITY NUMBER: 197493957
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/06/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

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, the licensee did not comply with the section cited above in four staff does not have current mandated reporter training,, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/20/2024
	Plan of Correction
1 2 3 4	Director will ensure all staff have completed the mandated reporter training and provide proof of certificates to CCL by the POC due date. LPA provided the trainining website address. www.mandatedreporterca.com

Section Cited

Personnel Requirements

(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above. Director did not have proof of a current CPR & 1st Aid training which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/20/2024
	Plan of Correction
1 2 3 4	Director will renew CPR & 1st Aid (EMSA approved & In person) by POC due date 12/20/24

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Betty Bell	TELEPHONE: (424) -301-3063
Silva Garibyan	TELEPHONE: (424) 301-3062
	DATE: 12/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2024

LIC809 (FAS) - (06/04)

Page: 4 of 5

Document Has Been Signed on 12/06/2024 05:25 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: COLFAX CHARTER SCHOOL	FACILITY NUMBER: 197493957
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/06/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

Personnel Records

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (6) Documentation of the educational background, training and/or experience specified in this chapter. 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 in two out of six staff did not have proof of education credits on file which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/20/2024
	Plan of Correction
1 2 3 4	Director agrees to send LPA copies of ALL qualified teacher's transcripts by 12/20/2024.

Section Cited

Reporting Requirements

(c) The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor activity space. Such structural changes shall include, but not be limited to, room additions. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observations and interviews, the licensee did not comply with the section cited above in licesnee did not report the room changes to licensing, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/20/2024
	Plan of Correction
1 2 3 4	Licensee wil notify of any changes made to the center.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Betty Bell	TELEPHONE: (424) -301-3063
Silva Garibyan	TELEPHONE: (424) 301-3062
	DATE: 12/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2024

LIC809 (FAS) - (06/04)

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