197494317-4-13-2021-30-CC-LCAS-C23A2P-20210413235041

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494317
Report Date: 04/13/2021
Date Signed: 04/13/2021 11:52:18 PM

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:	FUTURE STARS ACADEMY		FACILITY NUMBER:	197494317
ADMINISTRATOR:	OLSHANSKY, IRENE		FACILITY TYPE:	830
ADDRESS:	4946 W. 20TH STREET		TELEPHONE:	(323) 449-2036
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90016
CAPACITY:	8	CENSUS: 6	DATE:	04/13/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Irene Olshansky		TIME COMPLETED:	04:00 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	Due to the Governor’s Proclamation of State of Emergency, On 04/13/2021 at 3:00 pm, Licensing Program Analyst (LPA) Lourdes Castellanos conducted an announced (Case Management Licensee initiated) facetime Tele-inspection and met with administrators/Owners Irene Olshansky and Marina Olshansky who guided LPA on tour throughout the infant center. LPA observed 6 children/infants in care two staff at the time inspection. Licensee are applying for (change in the age range in the infant center, 8 infants, ages 4 month to 2 years. Operation hours will be Monday – Friday from 6:30am to 6:00 pm. Future Stars Infant Program is located at 4946 W. 20^th St. Los Angeles CA 90016. This is one of the four facilities that is located on premises that will be located on premises underOcean Sky-A California corporation. Parents will enter the gated parking lot on 20^th street and drop off children through the attached gate. Gate leads to infant center; A code is required to open gate. Parents are given a code to unlock the front door/gate. Sing in and out sheet is in front entrance of the building (4946). LPA observed COVID-19 procedures and materials such as signs, cleaning and disinfecting products, and hand sanitizer. Infant room/nursery, bathrooms, kitchen, and playground Inspected: all areas accessible to infants thoroughly inspected. Center observed to be safe, sanitary and in good repair. Infants utilize the infant room and infant play yard located next to infant room. Entire area is utilized, no off-limits area. Infant room/nursey: LPA observed infant furniture to be age/developmentally appropriate and in good repair. Toys are safe age/developmentally appropriate. Adequate storage for the children belongings, 8 available cubbies. LPA did not observe any baby walkers, bouncers, or jumpers, and are not permitted on premises. Napping Equipment and Space: LPA observed cots/mats and 3 cribs. LPA’s observed separate storage space for children bedding and adequate storage for children’s personal belonging. continued on page 2

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lourdes Castellanos	TELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2021

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

FACILITY NAME: FUTURE STARS ACADEMY	FACILITY NUMBER: 197494317
	VISIT DATE: 04/13/2021

NARRATIVE

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Feeding/ feeding furniture: Per Director parents are responsible for bringing prepared formula in bottles. Food/bottle preparation area inaccessible, area adequately equipped, clean and free of hazards. LPA observed seating table with chairs. Operating clean refrigerator freezer and microwave located in near prep area. Cleaning supplies stored separately and are inaccessible.

Diaper changing/area: LPA observed wooden changing table. Per director staff will only use the changing padding to change diaper in a designated area. Changing pad will be clean and disinfect after each use. A double sink was observed.

Required posting LPA observed all the postings requirements posted on the wall to the right of the front door entrance. Smoke and carbon monoxide detectors were observed and tested during inspection.

Infant Play Yard: Outdoor play area is free from of debris, defects, or dangerous conditions. Play equipment is securely anchored according to ground and area is has adequate resilient artificial grass material providing adequate cushioning underneath play equipment. Playground equipment is in good repair and is age/developmentally appropriate. Fence is at least four feet high and entire play area is gated.

Health Related Services: First aid bag with first aid supplies will be stored in floating cabinet on wall near changing table.

Incidental Medical Services Plan of Operation: Staff will be trained to administer inhaled medications and EpiPen’s.. Director or assigned staff will administer medication, provided that parents signed consent form, medication is labeled with instructions by physician, and parents train staff on how to administer medication. Medication shall be properly labeled and stored in original container.

SIDS: New proposed Safe Sleep Regulations and Best Practices, link http://safetosleep.nih.gov

MANDATED REPORTING: must stay current and renew every two years, www.mandatedreportereporterca.com

IMS/ Americans with Disability Act (ADA): Disability rights laws prohibit child care providers from excluding children solely because they have a disability-related need for medication. As a child care provider you must have an individualized plan included in plan of operation submitted to the department.
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SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lourdes Castellanos	TELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: FUTURE STARS ACADEMY	FACILITY NUMBER: 197494317
	VISIT DATE: 04/13/2021

NARRATIVE

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Child Care Advocate Program: promotes the delivery of quality child care, link childcareadvocatesprogram@dss.ca.gov

CHILD CARE QUARTERLY NEWSLETTER: advised to sign up and provided, www.ccld.ca.gov
EFFECTS OF LEAD EXPOSURE: California Lead Poisoning Prevention Branch’s website at www.cdph.ca.gov/programs/clppb, or call (510) 620-5600.
PREVENTING SHAKEN BABY SYNDROME: find ways to cope with crying and understand long term effects of shaking an infant www.dontshake.org

UNUSUAL INCIDENT/INJURY REPORTING: A report shall be made to the department by telephone or fax during the department’s normal business hours before the close of the next working day (1) following the occurrence during the operation of Family Day Care Home of the event. Health and Safety Code Section 1597.467(b)(2). In addition to verbal or fax report ,a written report shall be submitted to the department within seven (7) days. LIC 924 www.ccld.ca.gov

Per the LIC 809 - Prelicensing report for the facility located at 4946 W. 20th Street, Los Angeles, CA. 90016 and dated 01/28/2020 for the infant center , the outdoor space measured : 655.8 square feet = 8 capacity
Indoor measure: measurement: 253.78/35 ft = (based on 1/28/20 measurement and current layout of 3 cribs)

The facility was found to be in compliance per Title 22 regulations.
(Infant Center - A change in the age range, 8 infants, ages 4 months to 2 years)

An Exit Interview was conducted and a copy of this report was emailed to administrators/Owners, Irene Olshansky. It has been explained that a reply to the email shall be considered a substitute for the hard-copy signature.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lourdes Castellanos	TELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2021

LIC809 (FAS) - (06/04)

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