197494241-3-2-2022-30-CC-JLAO-CC5S3X-20220302123153

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494241
Report Date: 03/02/2022
Date Signed: 03/02/2022 12:32:00 PM

Document Has Been Signed on 03/02/2022 12:32 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:	PACE - ALOHA LEARNING CENTER		FACILITY NUMBER:	197494241
ADMINISTRATOR:	NUBIA JUAREZ		FACILITY TYPE:	850
ADDRESS:	13000 VAN NESS AVENUE		TELEPHONE:	(424) 340-2640
CITY:	GARDENA	STATE: CA	ZIP CODE:	90249
CAPACITY:	92	CENSUS: 51	DATE:	03/02/2022
TYPE OF VISIT:	Case Management - COVID-19	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Nubia Juarez		TIME COMPLETED:	12:30 PM

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On 03/2/2022 Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced Case Management – COVID-19 inspection for the purpose of following up on Unusual Incident Reports (UIR) submitted on 2/15/2022 and 2/7/2022. LPA Laureano with Nubia Juarez who toured LPA through the inside and outside of the facility. LPA observed 51 children in care with 14 staff and Site Director on site.

According to the UIR, on 02/15/2022- 1 staff member and 2 children were reported as testing positive for COVID-19.

According to the UIR, on 02/07/2022- 2 children were reported as testing positive for COVID-19.

Director stated all of the children and staff who were reported positive COVID have all isolated and have since all returned to the facility. Facility requires all who test positive to quarantine for 10 days when experiencing no symptoms. All children and staff are tested weekly at facility- Fridays.

During inspection, LPA observed all classrooms and outdoor areas. All classrooms were observed to have additional mask and PPE supplies, soap and paper towels were observed to be available at all handwashing sinks and hand sanitizer available throughout the facility. PPE is requested monthly to ensure facility has all necessary PPE.

Director confirmed facility has all visitors check in the main entrance to allow staff to take their temperature. Once temperature is taken, parents are then able to walk to their child’s designated classroom where to they sign in and out. LPA Laureano observed COVID-19 signage throughout the facility for mask wearing, washing hands, and stay safe 6 feet apart. All necessary posting for families are available throughout the facility. Director

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2022

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: PACE - ALOHA LEARNING CENTER	FACILITY NUMBER: 197494241
	VISIT DATE: 03/02/2022

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confirmed the use of Class Dojo-online platform and ChildPlus as methods to communicate with parents. Parents receive all important information and daily updates.

LPA Laureano observed facility supply of PPE COVID supplies as gloves, hand sanitizing wipes, liquid hand sanitizer, cleaning wipes, children mask, adult masks, and thermometers. Licensee confirmed that custodial staff assists in cleaning and disinfecting all outdoor toys. Facility staff clean and disinfect every day after class. Facility has the Care and Supervision Team that follow up with Community Care Licensing and the local Department of Health to ensure all protocols are being followed.

No deficiencies are cited, per Title 22, Division 12, Chapter 3, of the California Code of Regulations.

An exit interview was conducted and a copy of this report (LIC 809) and Notice of Site Visit were provided to Director Nubia.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2022

LIC809 (FAS) - (06/04)

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