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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494493
Report Date: 09/02/2020
Date Signed: 10/13/2020 12:35:43 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:CENTINELA CHRISTIAN SCHOOL AGE PROGRAMFACILITY NUMBER:
197494493
ADMINISTRATOR:CHARVON JONESFACILITY TYPE:
840
ADDRESS:1415 CENTINELA AVETELEPHONE:
(310) 671-9795
CITY:INGLEWOODSTATE: CAZIP CODE:
90302
CAPACITY:11CENSUS: 0DATE:
09/02/2020
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:08 PM
MET WITH:Charvon JonesTIME COMPLETED:
02:15 PM
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On 9/2/2020 Licensing Program Analyst (LPA) made an announced pre-licensing inspection to the above location. LPA met with Charvon Jones (applicant) and Katheryn Drake (director). Applicant Charvon Jones has requested licensure for three separate components consisting of the above school-age program, an infant program (197494492) and apre-school program (197494494) each program will have individual indoor activity structures. The applicant has requested a capacity of 11 school-age, ages 6 - 12 years old. The school-agw program operations will take place in the structure in between the main structure and the infant bungalow. Operational hours will be 6:30 A.M - 6:00 P.M. / Mon - Fri and 9:00 A.M - 5:00 P.M. on Saturdays. Parents/Guardian will sign children in at the front desk using their original signatures. Applicant Jones has an existing combination child care center; facility numbers 197494137 and 197419388

Indoor Activity Space observation:

The classroom was equipped with the following:
Age appropriate furniture and equipment
Toys and other developmental supplies in good repair
Storage space for children supplies and clothing.
An approved fire department standard alarm system, 2A10BC standard size fire extinguishers (last inspected 12/18/2019), and a carbon monoxide detector.
Trash cans were covered with tight fitting lids
First Aide kits with the required supplies; bandages, scissors, tweezers and a thermometer was available.
Central air and heating and a barricaded wall heater were observed
Adequate lighting and ventilation were observed

Indoor activity spaced measurements were:
360.30 divided by 35 SQ. FT = 10.29 children
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2020
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 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: CENTINELA CHRISTIAN SCHOOL AGE PROGRAM
FACILITY NUMBER: 197494493
VISIT DATE: 09/02/2020
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Restrooms:

There were two gender identified restrooms, 2 age appropriate toilets (one toilet shall be maintained for every 15 children, or fraction thereof) = 30 children based on toilets,

and there were 2 sinks (one hand washing fixture shall be maintained for every 15 children, or fraction thereof) = 30 children based on sinks. Sinks dispensed cold water only.

Restrooms were clean, no chemicals or other hazardous items or conditions were observed during todays inspection. Hand washing and sanitizing posting were observed.

Food Services:
  • Meals shall be provided by the applicant
  • There was a full kitchen for food preparation, the kitchen was equipped with refrigeration and storage for dry foods.
  • No quantities of food were observed during todays inspection.
  • Water coolers were provided for drinking water.
  • Weekly Menus were posted with the recommended food groups and portions.

Outdoor Activity Space

The outdoor activity space was inspected and the following was observed:
  • The yard is completely fenced in, with an asphalt turf in good repair.
  • Resilient cushioning was observed under swings and climbing apparatus, cushioning was in need of future repair.
  • Age appropriate toys and equipment were observed. Applicant shall secure or remove one storage cabinet/water heater cabinet and cover water sprikets in the outside space (dramatic play yard) that is located on the east side of the building, prior to licensure
  • Lunch benches were covered by a shade awning for rest and shade.
  • Pitchers of water will be provided for out door drinking water.
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2020
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: CENTINELA CHRISTIAN SCHOOL AGE PROGRAM
FACILITY NUMBER: 197494493
VISIT DATE: 09/02/2020
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· Licensee/Applicant was made aware that state law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category.
· Licensee/Applicant was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family child care home during the hours of operation.
· Licensee/Applicant was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and to never shake a baby to prevent the Shaken Baby Syndrome.
· Applicant was also reminded that only children eating may be in highchairs and that car seats are utilized only for transportation.
· The "Notification of Parent's Rights" (PUB394) was discussed with the licensee and the licensee was advised that it must be posted in an area of the home accessible to parents.
· Licensee/Applicant was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects to disseminate information on the State’s licensing role, provide information to the public and parents on childcare licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541; Email Address: childcareadvocatesprogram@dss.ca.gov
· Also, discussed was; Commencing September 1, 2016, SB 792, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. Exemption were also discussed
· Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com
· Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2020
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: CENTINELA CHRISTIAN SCHOOL AGE PROGRAM
FACILITY NUMBER: 197494493
VISIT DATE: 09/02/2020
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Measurements for the outdoor activity space were (both yards combined):

6130.21 divided by 75 SQ. FT. = 81.74 children

Based on todays observations and measurements the school age program will be recommended for licensure with a capacity of 10 determined by the indoor activity space.

Applicant is requesting a waiver to use shared yard space with the preschool program.

Due to Covid -19 this report recorded on 9/18/2020 and a copy will be emailed to the applicant for review and signature.

A read receipt of the email containing the report attachments shall suffice as receipt.

Applicant will sign the print and sign the report and mail it to the local licensing office with original signature(s).
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2020
LIC809 (FAS) - (06/04)
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