197494838-9-1-2021-30-CC-JCHR-C6FSVR-20210901141310

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494838
Report Date: 09/01/2021
Date Signed: 09/01/2021 02:13:32 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:	CAMP EXPOSURE		FACILITY NUMBER:	197494838
ADMINISTRATOR:	SAMANTHA STARNES		FACILITY TYPE:	840
ADDRESS:	1223 CORNING ST		TELEPHONE:	(323) 287-7174
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90035
CAPACITY:	30	CENSUS: 0	DATE:	09/01/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:29 AM
MET WITH:	Samantha Stran-Directer/co-owner		TIME COMPLETED:	02:30 PM

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On 9/1/2021 at 10:27 A.M. Licensing Program Analyst (LPA) Chandler made an announced visit to Camp Exposure after school program for the purpose of conducting a pre-licensing inspection. LPA met with Samantha Starnes- director/co-owner who provided a tour of the facility. The program will operate on the campus of St. Mary Magdalan Catholic School. The owners Devin and Samantha Starns also operates a day school program by way of a private school affidavit. The after school program operations will be held in class rooms 1,2 and 3 located on the lower level of the building, from 12:00 P.M. - 5:00 P.M., Monday - Friday. The applicant is requesting a license for 30 school age children ages 4.9 to 12 years. An approved fire clearance is on file conducted by inspector Harold Woods of L.A. City fire department, a copy of the schools last fire inspection was also provided . The program is exempt from square-footage requirements for indoor and out door activity space based on Health and Safety Code sections 1596.806(a), (a)(1), (a)(2) and (d) and 1596.806(b), (b)(1) and (d).

THE FOLLOWING WAS OBSERVED OF THE CENTER

pg.1 of 5

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

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 5

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: CAMP EXPOSURE	FACILITY NUMBER: 197494838
	VISIT DATE: 09/01/2021

NARRATIVE

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INDOOR ACTIVITY SPACE

Fire extinguishers were 2AB10C or larger. Last inspection 12/30/2020.

Per Ms. Starnes, fire marshal Roy Fox indicated that carbon monoxide detectors were not needed because there is no kitchen on the premises.

First aid kit were located in the classrooms with the required essentials: scissors, bandages, tweezers, ointment and thermometer

Age appropriate toys and equipment were observed in fair repair

Heating furnaces provided heat and windows and fans shall be used for cooling, windows were in fair repair,LPA observed chipping paint and windows were in need of cleaning, no insects or debris were observed during todays inspection

Adequate lighting was observed

Classrooms were in fair repair

Storage for children’s belongings were observed

No trash cans were observed with tight fitting lids

No open face heaters were observed

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SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

LIC809 (FAS) - (06/04)

Page: 2 of 5

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: CAMP EXPOSURE	FACILITY NUMBER: 197494838
	VISIT DATE: 09/01/2021

NARRATIVE

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Disinfectants and cleaning solution and other toxins or poisons were made inaccessible to children, placed in storage room

The program is exempt from isolation regulations based on Health and Safety code 1596.806 (b)(1)

The classrooms are (not) equipped with working telephones (the nearest working telephone is located in the office)

Parents and authorized adults will sign in using an electronic sign in and out device (Bright Wheel), such devise shall be capable of printing a hard copy of signatures upon request of licensing or other enforcement agencies.

The required postings were also posted in this pertinent area for parents and visitors viewing.

Children are not required to nap, LPA did observe napping cots in good condition.

Center has an Incidental Medical Service plan for children with allergies (epi-pen), asthmatic (inhalers), glucose injections (diabetic injections) and children needing G-tube feeding

pg.3 of 5

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

LIC809 (FAS) - (06/04)

Page: 3 of 5

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: CAMP EXPOSURE	FACILITY NUMBER: 197494838
	VISIT DATE: 09/01/2021

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FOOD SERVICE:

Snacks and evening meals will be provided by parents. Applicant was advised to keep an emergency supply of non-perishable foods on hand.

The school has a food prepping area that provides refrigeration, and microwaves on each classroom for heating foods.

Children will use their personal water containers and the program will provide canisters or bottled water for refills.

RESTROOMS

The restrooms were gender specific, per section 1596.806(b)(1) of the Health and Safety code the program is exempt from toilet and sink regulations

The restrooms were clean and sanitized with the necessary toiletries, sinks and toilets were operable and in good repair. Faucets delivered cold water.

OUTDOOR ACTIVITY SPACE

Age appropriate toys and equipment were observed in the outdoor activity space in good repair.

The play yard was completely gated with a 4 inch or higher gate.

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SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

LIC809 (FAS) - (06/04)

Page: 4 of 5

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: CAMP EXPOSURE	FACILITY NUMBER: 197494838
	VISIT DATE: 09/01/2021

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No hazardous conditions or equipment were observed during today’s visit

Children will use their personal water containers while outdoors and the program will provide canisters of water for refills.

Awnings provided shading

Benches for resting were available for children’s use

The outdoor activity space is a large asphalt play area. LPA observed vehicles parked in the lot, per Ms. Starnes parking will not be allowed during school hours, staff will use the churches parking lot.

Based on todays inspection and observations the program will be recommended for licensure with a capacity of 30 children, determined by the applicants request and leasing agreement.

The inspection was concluded, an exit interview was conducted and a copy of the report was provided to the director

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SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

LIC809 (FAS) - (06/04)

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