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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494348
Report Date: 12/16/2024
Date Signed: 12/17/2024 09:15:56 AM

Document Has Been Signed on 12/17/2024 09:15 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:BRELLA PLAYA VISTA PRESCHOOLFACILITY NUMBER:
197494348
ADMINISTRATOR/
DIRECTOR:
KIMBERLY KERNFACILITY TYPE:
850
ADDRESS:12746 W. JEFFERSON BL. #3-3100TELEPHONE:
(213) 300-5962
CITY:LOS ANGELESSTATE: CAZIP CODE:
90094
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 42DATE:
12/16/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:20 AM
MET WITH:Kimberly KernTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 12/16/2024, Licensing Program Analysts (LPA) Ranita Richmond and Brittany Lovest conducted an unannounced Case Management- Deficiencies visit for the above-named Child Care Center. Center is licensed for 56 preschool children, ages 2 years through entry into first grade. LPAs met with Director Kimberly Kern. LPAs Richmond and Lovest toured the facility indoors and outdoors and observed 42 children in care, being supervised and cared for appropriately by 7 fingerprint cleared staff members. Facility hours of operation are Monday – Friday, 8:00am – 5:00pm.

Facility has an approved outdoor waiver and LPAs observed waiver posted in the front lobby.


Waiver includes the following: There shall be no more than 9 children in the outdoor garden area at the same time. Room 3, (Art Lab) will be used in conjunction with the outdoor garden with a capacity of no more than 11 children. There shall be no more than 16 children in the Indoor Gross Motor room at the same time. No preschool children shall be without direct visual supervision by qualified staff at any time.

At 10:21am during inspection LPAs observed 12 (twelve) children and 2(two) staff in the outdoor garden area which poses a potential Health, Safety and, Personal Rights risk to persons in care. Type B citation cited. Capacity and limitations as specified on the license are not being maintained.

At 10:23am during walk through LPAs observed two staff and eleven children enter the art lab leaving one child (C1) in the garden area without direct visual supervision by staff. Staff completed a verbal head count (11) and lined all children up in the art lab. In the line a child (C2) advised staff that her water bottle had been left behind in the garden. Staff turned to walk back through door of art lab leading to the garden. At 10:25am, as staff is walking out of the door to retrieve the (C2) water bottle. The child(C1) that was left in the garden area without visual supervision walks through the door entering into the art lab. Staff places her hand on top of child's (C1) head and continues to walk out the door. Staff then completed a verbal head count (12). Children and staff lined up and exited art lab door into indoor playground area. Type A citation cited.

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Claudia EscobedoTELEPHONE: (424) 301-3044
Ranita RichmondTELEPHONE: (424) 301-3065
DATE: 12/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/16/2024
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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BRELLA PLAYA VISTA PRESCHOOL
FACILITY NUMBER: 197494348
VISIT DATE: 12/16/2024
NARRATIVE
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Effective January 1, 2009, all licensees must comply with Assembly Bill (AB) 978. Assembly Bill 978 requires the assessment of an immediate civil penalty for designated serious violations at community care facilities.

An exit interview was conducted, a copy of this report and appeal rights were read and provided to Director Kimberly Kern .Citations issued during this visit per Title 22 Regulations and Health and Safety Codes. See LIC 809D.

LPA Richmond informed Director, Kimberly Kern that this report dated 12/16/24 documents (one) Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Richmond informed Director, Kimberly Kern to provide a copy of this licensing report dated 12/16/24 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Notice of Site Visit was provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Ranita RichmondTELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 12/17/2024 09:15 AM - 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: BRELLA PLAYA VISTA PRESCHOOL

FACILITY NUMBER: 197494348

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/16/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
Deficient Practice Statement
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POC Due Date: 12/16/2024
Plan of Correction
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Director will ensure that limitations on waiver are being followed at all times.
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.
Claudia EscobedoTELEPHONE: (424) 301-3044
Ranita RichmondTELEPHONE: (424) 301-3065

DATE: 12/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/16/2024

LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 12/17/2024 09:15 AM - 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: BRELLA PLAYA VISTA PRESCHOOL

FACILITY NUMBER: 197494348

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/16/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
101229 Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time,
Deficient Practice Statement
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POC Due Date: 12/16/2024
Plan of Correction
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Director will ensure staff provides care and supervision at all times. Director will ensure that visual supervision is maintained at all times.
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.
Claudia EscobedoTELEPHONE: (424) 301-3044
Ranita RichmondTELEPHONE: (424) 301-3065

DATE: 12/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/16/2024

LIC809 (FAS) - (06/04)
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