197494346-7-16-2021-54-CC-RJOS-C4YRQM-20210716131343

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494346
Report Date: 07/14/2021
Date Signed: 07/16/2021 01:13:51 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:	KELLY STATE PRESCHOOL		FACILITY NUMBER:	197494346
ADMINISTRATOR:	TELMA BAYONA		FACILITY TYPE:	850
ADDRESS:	2320 E ALONDRA BLVD		TELEPHONE:	(310) 898-6008
CITY:	COMPTON	STATE: CA	ZIP CODE:	90221
CAPACITY:	30	CENSUS: 0	DATE:	07/14/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Telma Bayona; Director		TIME COMPLETED:	03:25 PM

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On July 14, 2021 at 2pm Licensing Program Analyst (LPA) Reiko Jones-Modeste conducted an unannounced Annual Random REQUIRED inspection at the facility listed above. LPA met with Telma Bayona; 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 no teachers or staff present. LPA did not observe a facility roster as school is in recess and all required forms are in the local district administrative office.

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 not observed: Emergency Disaster Plan, Menus, Disaster Drill log, Personal Rights and Parents Rights, as school is in recess and all documents are being updated. Director stated Parent Square Application is used for menus, meetings and correspondence during the school year. Per Director documents are posted, displayed and distributed during the school year.

Individual cubbies in the single classroom 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. Availability of indoor drinking water was observed in the classroom although water fountains and sinks were observed inoperable due to the transition. Director stated water is shut-off during summer recess and holidays. In addition, Director stated several items were removed to facilitate cleaning and sanitization of the facility. Desks with plastic partitions as barriers observed physically distanced in classroom.

Age appropriate sinks and toilets were inspected for availability and good repair in both children's restroom. Restroom included two toilets and two sinks.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Reiko Jones	TELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021

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: KELLY STATE PRESCHOOL	FACILITY NUMBER: 197494346
	VISIT DATE: 07/14/2021

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LPA found fire extinguisher in compliance with service tag dated August 2020. Director did not provide proof of Pediatric First Aid and CPR training for any staff at the facility including the Director. Director stated all Personnel certifications are located and provided at off-site District office. however there were no children present. Children's files can be found at the off-site Early Educational office.

Kitchen, refrigerator were observed in compliance with all food stored properly with appropriate due dates. Per the Director, lunch and snacks are delivered and served in the classroom. Kitchen pantry not observed as dry goods are stored in a locked pantry.

LPA did not review staff records as files are located in an off-site facility.

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 a small, locked shed in the outdoor play yard used for storage of outdoor play equipment per Director. Two table with benches and detached umbrellas observed.

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 Telma Bayona. A copy of this report and appeal rights were provided and explained.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Reiko Jones	TELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021

LIC809 (FAS) - (06/04)

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