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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494325
Report Date: 04/18/2024
Date Signed: 04/18/2024 03:06:40 PM


Document Has Been Signed on 04/18/2024 03:06 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:CRYSTAL STAIRS HEAD START - CHAPEL OF PEACEFACILITY NUMBER:
197494325
ADMINISTRATOR:CARDENAS, LAURAFACILITY TYPE:
850
ADDRESS:1009 NORTH MARKET STREETTELEPHONE:
(323) 421-1100
CITY:INGLEWOODSTATE: CAZIP CODE:
90302
CAPACITY:55CENSUS: 46DATE:
04/18/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Marina DeHonor- Site SupervisorTIME COMPLETED:
03:05 PM
NARRATIVE
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On 04/18/2024 at 8:40 a.m., Licensing Program Analyst (LPA) Doris Whitmore made an unannounced visit for the purpose of conducting a required 3-year inspection. During the inspection, LPA met with Marina DeHonor, Site Supervisor, and advised them of the purpose of the inspection. A tour of the facility was provided inside and out. LPA observed proper care and supervision during this inspection. LPA observed 46 children indoors with proper teacher/child ratios. There was a total of 12 staff at the time of the visit. All center staff that was present during today’s visit has criminal record clearances and are associated to the designated license number. Facility hours of operation are Monday- Friday from 8:00a.m. to 4:30p.m LPA observed all postings requirements for operation on the postings board LIC203A- License, LIC610A-Emergency Disaster Plan, LIC9148- Earthquake Preparedness Checklist, PUB394-Notification of Parents Rights Poster, LIC613A- Personal Rights, PUB-269- Car Seat Law, Menus, Activity Schedule. LPA Whitmore checked the Personnel Report to make sure it was up to date.

LPA observed operable carbon monoxide/smoke detectors, which were tested at the time of the inspection. . Fully charged fire extinguishers, and fully stocked First Aid Kits were observed. LPA observed emergency back packs in the classrooms. Furniture and equipment were inspected for age appropriateness and good repair free of sharp, loose, or pointed parts.Telephone service, heating, lighting, and ventilation were evaluated. Napping equipment was observed to be clean and in good condition. Storage for children’s belongings were neat and organized. LPA observed toilets and sinks to accommodate the facility’s capacity. Floors are cleaned in the restroom. Sufficient supply of toilet paper, soap, paper towels, was observed. All trash cans had tight fitting lids. The facility is free of flies, insects, and rodents.Facility contracts with a pest control vendor to ensure that the facility stays pest free. The facility roster was up to date. The isolation area was inspected and located in the office. Drinking water is readily available and trash cans with tight fitting lids were outside observed in the classrooms.Sign in/out were reviewed and facility roster.Documentation of current Fire & Earthquake drill up-to-date. the emergency disaster plan is updated and reflects the current operation. The outdoor area was inspected

SUPERVISOR'S NAME: Karren StarksTELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4


Document Has Been Signed on 04/18/2024 03:06 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: CRYSTAL STAIRS HEAD START - CHAPEL OF PEACE
FACILITY NUMBER: 197494325

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on Site Supervisor interview statement and LPA's record review, the licensee did not comply with the section cited above in 1 out of 12 staff was missing their immunization of MMR which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/26/2024
Plan of Correction
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Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:
DATE: 04/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/18/2024
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CRYSTAL STAIRS HEAD START - CHAPEL OF PEACE
FACILITY NUMBER: 197494325
VISIT DATE: 04/18/2024
NARRATIVE
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Playground equipment is in safe condition, free of sharp, loose, or pointed parts. LPA did not observe any debris or hazards that would pose an immediate risk to children in care.

LPA observed an age-appropriate climbing apparatus with proper cushioning beneath and properly secured. LPA checked playground equipment for ages. LPA observed shade in the outdoor play area. Drinking water is made available during outdoor play. There is no swimming pool or bodies of water on the premises. None were observed during the inspection. There are no firearms or ammunition allowed or stored on the premises. All electrical outlets were covered. LPA reviewed a sample of children’s files and observed 10 files completed. LPA reviewed all staff files. At least one person trained in CPR and Pediatric First Aid is present at the facility. One file was missing the immunization of MMR. One file the Physical form was used for the Health Screening. LPA Whitmore discussed that the facility will have two weeks to submit the Health Screening Form.LPA discussed the importance of making sure all Pediatric CPR and First Aid is EMSA approved. LPA Whitmore discussed about LIC311 A, LIC125, and Entrance Checklist to use as a reference when auditing files. Headstart is open to enroll children that might need medication administered. Headstart classrooms currently has children with allergies and/or medication.

LPA observed allergy chart posted in each classroom and kitchen.Breakfast /Snack/lunch menus were posted. Breakfast was delivered the day before and lunch and snacks were delivered daily from the main kitchen located Los Angeles. Food and snack items are properly stored. The food preparation area was toured. Meals are delivered daily from the main kitchen. The kitchen area which is made inaccessible to children in care. LPA observed the kitchen to be clean and equipped with a sufficient supply for meals. There were no cleaning compound compounds stored with the utensils. The facility serves breakfast, lunch, and snack. Proper food storage was observed. Food and snack items are properly stored. LPA Whitmore checked to make sure staff and children food is not in the same refrigerator. LPA reminded facility to ensure that all medication is stored with all necessary LIC forms All prescription and nonprescription medication shall be centrally stored in accordance with the following requirements medication shall be kept in a safe place inaccessible to the children in care. The medication policy was reviewed.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. Facility representative 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

SUPERVISOR'S NAME: Karren StarksTELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CRYSTAL STAIRS HEAD START - CHAPEL OF PEACE
FACILITY NUMBER: 197494325
VISIT DATE: 04/18/2024
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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.
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

LPA discussed the safe sleep regulations with Marina DeHonor and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and- resources/safe-sleep as an additional resource. LPA also informed Marina DeHonor of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

This facility provides Incidental Medical Services- IMS. LPA reviewed storage of medication and equipment/ supplies, and reviewed children’s personnel and administrative records. For IMS information see PIN22-02- CCP. 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 publication. Commonly Asked Questions about Child Care Centers and the ADA are available at https:// www.ada.gov.gov/resource/child-care-centers.Site Supervisor Marina DeHonor was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.



A notice of site visit was given and must remain posted for 30 days. Please see D- Page for Deficiency Exit interview conducted and report was reviewed with the facility Site Supervisor, Marina DeHonor Pg3
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4