197494464-2-21-2020-30-CC-VWHY-BLZSEW-20200221124922

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494464
Report Date: 02/21/2020
Date Signed: 02/21/2020 12:53:41 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:	VFC HAWLAWN		FACILITY NUMBER:	197494464
ADMINISTRATOR:	SCARBOROUGH STACEY		FACILITY TYPE:	850
ADDRESS:	4754 W 120TH STREET		TELEPHONE:	(310) 392-8630
CITY:	HAWTHORNE	STATE: CA	ZIP CODE:	90250
CAPACITY:	32	CENSUS: 0	DATE:	02/21/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Stacey Scarborough, Program Director		TIME COMPLETED:	12:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA), V. Wheatley conducted a prelicensing inspection for a new license. LPA met with applicant and Program Director, Stacey Scarborough, Consultant Keena Mosley and director Chasiti Neal The applicant is requesting 42 capacity. The program will be a full day program with hours of 8am to 4pm. LPA toured and inspected the facility according to the facility sketch. The child care center is located on the premises of Hawthorne United Methodist Church. There is a lease agreement between the applicant to and the church. LPA inspected a total of four classrooms. Furniture and equipment were inspected for age appropriateness and good repair. LPA observed several age appropriate toys and educational materials. The telephone service, heating, lighting, and ventilation is adequate. The entire building is equipped with central heating and air conditioning. The electrical outlets are inaccessible. LPA observed cubbies for children's belongings and first aid kits in every classroom. LPA observed trash bins with lids and drinking water containers. LPA observed cots and bedding for napping. The staff understands the bedding cannot touch another child's bedding. The staff will launder the bedding. There is a washer and dryer on the premises. LPA discussed supervision, ratios, educational requirements, earthquake/fire drill emergency procedures, discipline policies, adult immunization's and mandatory training for mandated reporters. LPA observed alarms on the doors as prevention and video cameras. The staff will use the restroom in lounge area. The parent board has all of the required documents posted. The director has heath and safety/CPR/first aid which expires June 2020.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

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: VFC HAWLAWN	FACILITY NUMBER: 197494464
	VISIT DATE: 02/21/2020

NARRATIVE

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This applicant provided an Incidental Medical Services Plan– IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm The applicant has submitted a plan of operation for Incidental Medical Services.

LPA inspected a lounge with a refrigerator and food preparation area. The kitchen has a sink and microwave. The children will be served breakfast, lunch and afternoon snack. The food service will be provided be catered by TLC. LPA observed menus posted. The juice will be 100% and milk 1%. There will be additional food on the premises for emergencies. The food allergies will be posted in the classroom and in the kitchen. The detergents and chemicals will remain separate from the food.

Classroom Measurements:

Classroom 1 - 11 capacity
Classroom 2 - 11 capacity
Classroom 3 - 10 capacity
Classroom 4 - 10 capacity
Total Capacity = 42 Capacity

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: VFC HAWLAWN	FACILITY NUMBER: 197494464
	VISIT DATE: 02/21/2020

NARRATIVE

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LPA observed a diaper changing area in each classroom. There is diaper changing policy posted. The staff will provide diapers and wipes. LPA observed 4 toilets and 4 sinks. Total capacity for toilets and sinks = 60 capacity. LPA observed a portable sink in Classroom 3 which will be filled and emptied by janitorial services daily.

Outdoor equipment was inspected for health, safety, cushioning material, good material, good repair and age appropriateness. LPA observed two outdoor play areas. There is an age appropriate play structure with safety cushion. LPA observed a large canopy for shade. The other outdoor play area is paved play area near the classrooms. Drinking water will be brought outside for children to freely drink. There are no bodies of water.

Outdoor Play Area Measurement
Paved outdoor play space near the classrooms measured - 14
Large Playground measured - 12 capacity
Total Outdoor Capacity = 26 capacity

A fire department clearance has been approved and received.

A license will be granted for 42 capacity when a playground waiver is submitted and approved by management.

Exit interview. A copy of report provided.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

LIC809 (FAS) - (06/04)

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