197494347-9-2-2021-30-CC-DLOE-C6GR3Y-20210902124042

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494347
Report Date: 09/02/2021
Date Signed: 09/02/2021 12:41:12 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:	BRELLA PLAYA VISTA - INFANT		FACILITY NUMBER:	197494347
ADMINISTRATOR:	KENNER RAKOZ		FACILITY TYPE:	830
ADDRESS:	12746 W. JEFFERSON BL. #3-3100		TELEPHONE:	(424) 425-7500
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90094
CAPACITY:	10	CENSUS: 6	DATE:	09/02/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	08:25 AM
MET WITH:	Darien Williams, co-owner		TIME COMPLETED:	11:00 AM

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On 09/02/2021 at 8:25 a.m. Licensing Program Analysts (LPASs) Deborah Lowe and Lillian Casillas met with co-owner Darien Williams and Director Kenner Rakoz. The purpose of the visit was to conduct a second announced case management inspection for a capacity increase to ensure that health, safety and personal rights, as required by Title 22 and Health and Safety Regulations governing California Child Care Centers, will be met. There were 6 children present in room 6 during this inspection. The facility is requesting an increase to the Infant license with a capacity of 32 infants from current capacity of 10 infants, ages 3 months to 24 months old. A second fire clearance was approved on 08/27/2021.

The first pre-licensing visit was conducted on 07/07/2021. LPAs Lowe and Casillas are conducting a second case management for a capacity increase visit to evaluate additional changes to the application request made after the 07/07/2021 visit with the addition of a third classroom to the Infant license.

Indoor Activity Measurements:

Room 5 - measurements taken at original pre-licensing visit conducted on 10/30/2019 and verified during 07/07/2021 visit: (Area 25.3 X 15.5) - (4.2 X 7.5) = 360.65.

Room 7 - measurements taken during 07/07/2021 as additional infant room: (23.25 x 14.25) = 331.31

Room 4 was originally part of the Preschool license. Licensee is requesting to change room 4 to an infant classroom.
Room 4 – measurements taken on 09/02/2021: (8 x 3.67) = 29.36, (16.33 x 26.83) = 438.13, (9.67 x 2.25) = 21.76, (9.92 x 1.92) = 19.05, - (2.05 x 2.05) = 4.20, - (10.58 x 2) = 21.16. Total calculation: 29.36 + 438.13 + 21.76 + 19.05 – 4.20 – 21.16 = 482.94

Total Indoor Activity Space Measurements for Infants: 360.65 + 331.31 + 482.94 = 1,174.90 divided by 35 sq feet = 33 Infants.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (434) 301-3069
LICENSING EVALUATOR NAME: Deborah Lowe	TELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

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: BRELLA PLAYA VISTA - INFANT	FACILITY NUMBER: 197494347
	VISIT DATE: 09/02/2021

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LPAs Lowe and Casillas observed no changes to the outdoor activity space or gross motor indoor activity space. Measurements were not completed during this visit.

INFANT PROGRAM – PHYSICAL PLANT

Indoor activity space for infants was observed to be physically separate from space used by children in the child care center components.

The infant care center was observed to be equipped with appropriate furniture and equipment including, but not limited to, cribs, cots or mats; changing tables; and feeding chairs. Room 5 and Room 7 were observed with crib area separate from activity space with a total of 18 cribs/ cots. Room 4 was not observed with a crib area. Licensee stated room 4 will be designated for older infants who can nap on cots.

Furniture was observed to be maintained in good repair and safe condition. The type, height and size of furniture and equipment was observed to be age appropriate. LPAs Lowe and Casillas advised swings, playpens and all such equipment and furniture shall be assembled or installed according to the manufacturer's instructions and shall be maintained in good repair and safe condition. Swings were not observed within the infant program.

Toys were observed be safe and did not have sharp points or edges or splinters or be made of small parts that can be pulled off and swallowed.

LPAs advised rattles shall be large enough so that they cannot become lodged in an infant's throat and constructed so that they will not separate into small pieces.

There shall be a minimum of one hand washing sink to every 15 infants and one potty chair to every five infants being toilet trained.

Napping Equipment

A standard size six-year crib was observed meeting the following requirements shall be provided for each infant who is unable to climb out of a crib:

LPAS advised stacking wall cribs or cribs stacked one on top of another, often referred to as tiered cribs, shall not be permitted.

Page 2 continue on LIC 812C

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (434) 301-3069
LICENSING EVALUATOR NAME: Deborah Lowe	TELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: BRELLA PLAYA VISTA - INFANT	FACILITY NUMBER: 197494347
	VISIT DATE: 09/02/2021

NARRATIVE

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Cribs shall not limit the ability of staff to see the infant. Crib mattresses shall be: Covered with vinyl or similar moisture-resistant material. Crib mattresses shall be: LPAS Lowe and Casillas observed mattresses to be maintained in a safe condition with no exposed foam, batting or coils.

Floor mats or cots that meet the requirements of Section 101239.1(b) shall be provided for all infants who have the ability to climb out of a crib. Cots were observed along with cribs.

LPAs Lowe and Casillas advised each crib, mat or cot shall be occupied by only one infant at a time. Each infant's bedding shall be used for him/her only. Such bedding shall be replaced when wet or soiled, or when the crib, mat or cot is to be occupied by another infant.

Cribs, mats or cots shall be arranged to provide a walkway between cribs, mats or cots to allow staff to reach each infant without having to step over or reach over any other infant.

The calculation of indoor activity space for infants shall not include space designated and used for cribs.

The sleeping area for infants shall be physically separate from the indoor activity space.

Infant Changing Tables

LPAs Lowe and Casillas observed changing tables to have a padded surface no less than one-inch thick and be covered with washable vinyl or plastic. Changing tables were observed to be within arm's reach of a sink. LPAs observed 3 potty training seats.

Infant Isolation Area

LPAs Lowe and Casillas advised the isolation area shall be equipped with a crib, cot, mat or playpen for each ill infant. Any infant in the isolation area shall be under constant visual observation by a director, an assistant director, a teacher or an aide. A center shall be equipped to isolate and care for any child who becomes ill during the day. The isolation area was observed to be located in an office, facility stated a staff member will stay with an ill child to ensure supervision of children. The isolation area shall be equipped with a cot for each ill child. LPAs Lowe and Casillas advised the isolation area shall not be located in the kitchen area or the general-use toilet area

Page 3 continue on LIC 812C

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (434) 301-3069
LICENSING EVALUATOR NAME: Deborah Lowe	TELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

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

FACILITY NAME: BRELLA PLAYA VISTA - INFANT	FACILITY NUMBER: 197494347
	VISIT DATE: 09/02/2021

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Infant Food Service

LPAs Lowe and Casillas advised prior to the infant's first day at the center, the infant care center director or assistant director shall complete a needs and services plan for the infant.

Highchairs or other appropriate seating equipment shall be used to seat infants during feeding. Infants who are unable to sit unassisted in a highchair or other seating equipment shall be held by a staff person or other adult for feeding. Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date.

LPAs Lowe and Casillas advised the infant care center shall not serve honey or corn syrup to any infant.

The following corrections are needed before a capacity increase will be considered:

· Remove rolled carpet padding and wooden create from room 7.

An exit interview was conducted with the above items discussed and a copy of this report was provided to the Applicant. Final license determination will be made upon review by the Licensing Program Manager and correction of the above issues. Applicant to correct items by 9/07/2021.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (434) 301-3069
LICENSING EVALUATOR NAME: Deborah Lowe	TELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

LIC809 (FAS) - (06/04)

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