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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494396
Report Date: 08/28/2020
Date Signed: 05/28/2024 12:47:49 PM


Document Has Been Signed on 05/28/2024 12:47 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:BEREA LEARNING ACADEMYFACILITY NUMBER:
197494396
ADMINISTRATOR:ROBERTO A SANCEZFACILITY TYPE:
830
ADDRESS:12020 STRATHEM STREETTELEPHONE:
(323) 599-0311
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY:30CENSUS: 0DATE:
08/28/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Karla Heredia/DirectorTIME COMPLETED:
10:15 AM
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On 08/28/2020 at 8:00 AM, Licensing Program Analyst (LPA) Silva Garibyan conducted a follow up Pre-Licensing visit at Berea Learning Academy. LPA met with Director, Karla Heredia, who guided LPA on a tour of the indoor and outdoor space.

LPA Garibyan observed the following items have been corrected:



1. Purchase of additional cribs
2. Play ground set up
3. Add fences to both sides of the play yard
4. Relocate the changing table

The designated crib space has 5 cribs total. Director is advised that infants who can or begin to crawl out of the cribs will need to be placed on a cot or mat for napping to ensure safety.
The infant yard is enclosed by fences to restrict the areas to Infant use only. The yards contain infant age appropriate play equipment. The classroom contains a changing table within arms reach of a portable sink. There is a refrigerator for Infant milk and meal storage. Crib bedding will be washed by the center daily. Labels will identify each child's crib. Parents will provide lunch, baby food or milk for infants enrolled in this program. Also facility provides AM and PM snacks, for older infants. First aid supplies are available in infant classroom. Sign in/out procedures will be implemented at the entrance of the facility. The classroom will have a list of infants signed in for the day. There is water readily available in infant classroom.


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SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:
DATE: 08/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/28/2020
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 2


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: BEREA LEARNING ACADEMY
FACILITY NUMBER: 197494396
VISIT DATE: 08/28/2020
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Medication
Medication if administered is to be properly labeled and stored in the original container. Director advised that children should be screened every morning for illness and unusual marks. First Aid supplies are stored in the classrooms.

Sign In/Out
Director is to ensure that parents sign in and out daily using their full and legal signature.

Safe Sleep Links:
AAP:
https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx
NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative

Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials

Safe sleep for your baby pamphlet and what does safe sleep look like wall flyer provided to applicant. Safe Sleep new flyer (5/23/2019) also given to applicant.



SIDS & SHAKEN BABY SYNDROME INFORMATION: LPA discussed safe sleep for infants with applicant: Infants must be placed on their backs and must be physically checked every 15 minutes to gauge temperature and ensure they are breathing. Applicant reviewed both items provided and understands the guidance of safe sleep practices. LPA discussed flyer given today (Never Shake a Baby) Applicant reviewed flyer and understands the preventive practices of shaken baby syndrome and abusive head trauma.

Exit interview conducted and a copy of this report will be mailed to the licensee.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2020
LIC809 (FAS) - (06/04)
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