197494811-8-26-2021-30-CC-DLOE-C69S3B-20210826133051

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494811
Report Date: 06/13/2021
Date Signed: 08/26/2021 01:31:13 PM

Document Has Been Signed on 08/26/2021 01:31 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	DESTINY DEVELOPMENT ENTERPRISES LLC		FACILITY NUMBER:	197494811
ADMINISTRATOR:	WILLIAMS, DANIELLE		FACILITY TYPE:	840
ADDRESS:	4949 W. 104TH STREET		TELEPHONE:	(310) 674-2744
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90304
CAPACITY: 15	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	06/13/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	02:35 PM
MET WITH:	Danielle Williams, Owner/ Director		TIME COMPLETED:	04:37 PM

NARRATIVE

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On 6/13/2021 at 2:35 pm, Licensing Program Analyst (LPA), Deborah Lowe made an announced visit to Destiny Development for the purpose of conducting a pre-licensing visit. LPA Lowe met with applicant Danielle Williams and Uchechukwu Chris Nwani, Chief Executive Officer. LPA Lowe toured the facility. The applicant is requesting a School Age license for a capacity of 15 children. Requested hours of operation Monday - Friday 6:30 am - 6:00 pm.

An approved fire clearance was conducted by Fire Inspector Michael Judkins from the LA County Fire Department Institutions Unit on 4/16/2021.

Measurements

School age classroom is a square shape. (24.33 x 26.17) = 628.73 - (encumbered space) 1.28 - (encumbered space) 0.56 - (encumbered space) 6.15 = 628.73

Measurement total for classroom space: 628.73 divided by 35 sq ft for a total of 17 children.

Outdoor Measurement

Playground was measured in two sections due to playground is not even due to building.

Climber side (47.58 x 48.42) = 2303.82

Basketball side (35 x 52.67) = 1842.45 - (encumbered space) 138.34 = 1705.11

Measurements totals for outdoor space: 2303.82 + 1705.11 = 4008.93

4008.93 divided by 75 sq ft for a total of 53 children

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NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Deborah Lowe
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2021

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: DESTINY DEVELOPMENT ENTERPRISES LLC	FACILITY NUMBER: 197494811
	VISIT DATE: 06/13/2021

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Restrooms:
The school age bathrooms were observed with two bathrooms containing 1 toilet and 1 sink each. One bathroom is designated for girls and one for boys. Bathrooms were observed to located through school age classroom hallway door to the left. Applicant stated a staff member will escort children to and from the bathroom to maintaining supervision.
Bathroom calculations - 2 toilets = 1 toilet per 15 children for a total of 30 and 2 sinks = 1 sink per 15 children for a total of 30.

Indoor Activity Space:
LPA Lowe observed indoor activity space to have age appropriate furniture and toys in good repair, including tables, and chairs. Cubby storage for the children's personal belongings is located in the classroom. An Igloo water container was observed with assigned plastic water bottles. .

Fire extinguisher was observed with service date of 4/16/2021. Facility is equipped with a fire alarm system. Carbon monoxide detector was tested, LPA Lowe was able to hear the alarm. Smoke detector was observed in the classroom, smoke detector was tested, LPA Lowe was able to hear the alarm. Trash cans were observed with appropriate lids.

First aid kits were observed to have: bandages, adhesive tape, scissors, tweezers, and antiseptic solution. Thermal thermometer was observed at the front entrance of facility.

Directors office will be used for isolation of ill children. Required posting were observed in hallway near the entrance for public viewing. Parent / guardian sign in and out is at front entrance of facility for all children to be signed in with original signature. Facility has a working phone land line available.

Medications will be stored in individual classroom. LPA Lowe observed a locked medicine box bolted to the wall inaccessible to children. Refrigerator is available for refrigerated medications.

Food Service:

Facility participates in the California Food Program. Applicant stated kitchen is not used, snacks and lunch is delivered daily for all children. Refrigerator was observed to be in good repair. Individual wrapped non-perishable foods were observed to be stored in a plastic container. Page 2 of 6

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Deborah Lowe
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2021

LIC809 (FAS) - (06/04)

Page: 2 of 6

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: DESTINY DEVELOPMENT ENTERPRISES LLC	FACILITY NUMBER: 197494811
	VISIT DATE: 06/13/2021

NARRATIVE

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Applicant stated they use those as a back up.

Outdoor Activity Space
School Age playground is directly outside entrance door (entrance door is located in back of building away from street).

Age appropriate toys and equipment were observed in the outdoor activity area and in good repair. Water Igloo will be taken outdoors with class to have cold water available to children. Play yard was enclosed by a gate higher than 4 feet. Climber was observed on the school age playground with cushioned material to absorbs falls. Climber was under shade structure. Poles to shade cover were padded. Shed is located on playground on the northwest corner. Shed was observed to be locked.

Transportation:

Applicant stated facility will not provide transportation at this time. Families will be responsible for transportation.

The following was discussed with the applicant:

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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.html.

Required Postings/Licensee shall have posted in the Child Care Center at all times the following:

Facility license.
Personal Rights form (LIC 613A).
Menus.
Child passenger restraint system poster. (PUB 269).
Daily activity schedule.
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NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Deborah Lowe
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2021

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: DESTINY DEVELOPMENT ENTERPRISES LLC	FACILITY NUMBER: 197494811
	VISIT DATE: 06/13/2021

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Senate Bill (SB) 277 New Immunization Requirement: Beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

Licensee shall maintain Administrative Records which shall have the following:

Administrative Records
Written inspection procedures for accepting children on a daily basis.
Sign-in/sign-out sheets kept for current 30 days, or approved waiver to use electronic pin system.
Admission policies, including admission criteria, ages of children who will be accepted; medical assessment requirements; program activities, supplemental services, if any; field trip provisions, transportation arrangements, food service, if any.
Designation of Facility Responsibility (LIC 308).
Personnel Report (LIC 500) showing current roster.
Licensee affidavit regarding persons exempt from fingerprint requirements (Use back of LIC 500).
Emergency Disaster Plan (LIC 610) (a posting requirement; see below) with verification that disaster drills are conducted every six months. Documentation of drills shall be maintained for at least one year.Up-to-date list of qualified teacher substitutes.
Documentation of exceptions and waivers: Facility Waiver Request (LIC 956) and Exception/Exemption Request (LIC 971).
Annual licensing reports and substantiated complaints from the last three years (must be available at the center for public review). and a Child Care Facility Roster (LIC 9040).

The applicant was informed 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 in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care 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
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NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Deborah Lowe
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2021

LIC809 (FAS) - (06/04)

Page: 5 of 6

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: DESTINY DEVELOPMENT ENTERPRISES LLC	FACILITY NUMBER: 197494811
	VISIT DATE: 06/13/2021

NARRATIVE

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Emergency Disaster Plan (LIC 610) and Earthquake Preparedness Checklist (LIC 9148) Parent’s Rights Poster (PUB 393).
Notice of Site Visit (LIC 9213).
Any licensing report documenting a type”A” citation must be posted for 30 days.
Any licensing report or other document verifying compliance or non-compliance with the Department’s order to correct a Type A deficiency must be posted for 30 days.

Employee/Volunteer Files shall also be maintained and shall contain the following

Health Screening Report - Facility Personnel (LIC 503) and TB Clearance.
Proof of Immunizations
TB Clearance and "Good Health" statement from volunteers.
Personnel Record (LIC 501) or application/resume.
Evaluation of Director Qualifications (LIC 9096).
Evaluation of Teacher Qualifications (LIC 9095).
For each aide under age 18, verification of high school graduation or current participation in an occupational program conducted by an accredited high school or college.
Criminal Record Statement (LIC 508) for staff subject to fingerprint requirements.
Fingerprint clearances - Proof of clearance (Criminal Record, FBI and Child Abuse).
Appropriate driver's license for person(s) transporting children.

Mandated Reporter: 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

Senate Bill (SB) 792: This bill, commencing September 1, 2016, 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.

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NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Deborah Lowe
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2021

LIC809 (FAS) - (06/04)

Page: 4 of 6

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: DESTINY DEVELOPMENT ENTERPRISES LLC	FACILITY NUMBER: 197494811
	VISIT DATE: 06/13/2021

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Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment. All appeals must be sent to:

California Department of Social Services | Community Care Licensing Division 300 N. Continental Blvd. Suite, 290-A El Segundo, CA 90245

The following corrections are needed before licensure will be considered:

1. Tile floor needs repair. Tile floor has a nickel size hole in tile. Located in school age classroom near cubby area.

2. Enroll in Lead Training (ESMA certified) per Health and Safety Code 1596.866 (C)(i)(ii).

Proof of corrections are due on or before 6/21/2021.

Upon final administrative review and outstanding corrections needed, final decision of capacity increase License issuance will be determined by the department unit Licensing Program Manager.

Exit interview was conducted over the phone on 6/14/2021 with Danielle Williams, Owner/ Director.

Copy of report was provided to licensee via email.

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NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Deborah Lowe
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2021

LIC809 (FAS) - (06/04)

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