197494962-11-18-2021-30-CC-JCHR-C8VV2X-20211118150353

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494962
Report Date: 11/18/2021
Date Signed: 11/18/2021 05:04:00 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:	VALLEY NURSERY SCHOOL		FACILITY NUMBER:	197494962
ADMINISTRATOR:	CHONG YI, KEVIN		FACILITY TYPE:	840
ADDRESS:	6948 WOODMAN AVENUE		TELEPHONE:	(213) 352-3509
CITY:	VALLEY GLEN	STATE: CA	ZIP CODE:	91405
CAPACITY:	12	CENSUS: 0	DATE:	11/18/2021
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	10:32 AM
MET WITH:	Kevin Yi - applicant		TIME COMPLETED:	02:33 PM

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On 11/18/2021 at 10:32 A.M. Licensing Program Analyst (LPA) Chandler made an announced visit to the Valley Nursery Preschool Center for the purpose of conducting a pre-licensing inspection to add a school age program to the existing program (197494824 P.S./197494823 infant)

LPA met with Kevin Yi who provided a tour of the facility. The facility is a converted home, with a separate living quarters above the facility, the upper level was observed during a previous visit, there is no access to the living quarters from inside of the lower level. This level is off limits and inaccessible to children in care. All persons in the living quarters, 18 and over, have criminal back ground clearances. The family will access the living quarters via a side gate on the north side of the facility and will not use the center for entry during school hours (declaration on file).

Day care is conducted on the lower level. There are 5 rooms on the lower level, based on the provided facility sketch school-age care will be conducted in room 3. The applicant is requesting a capacity of 12 children

The facility has an approved fire clearance conducted by inspector Michael Miller of the L.A. City Fire Prevention Bureau Public Safety Unit. The inspection was conducted on 11/5/2021.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021

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: VALLEY NURSERY SCHOOL	FACILITY NUMBER: 197494962
	VISIT DATE: 11/18/2021

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The following were observed of the:

INDOOR ACTIVITY SPACE

Fire extinguishers were 2AB10C or larger.

Carbon monoxide detectors were observed in

Adequate lighting was observed

Classrooms were in fair repair

Children’s belongings are kept in back packs on hanging hooks

Trash cans used for solid waste were observed with tight fitting lids

Fireplaces in other areas of the center were made inaccessible to children , there were no fire places in the classroom designated for school- age children.

A First aid kit was in the hallway on the wall and with the required essentials: scissors, bandages, tweezers, and thermometer

School age equipment was available in good repair

Children use personal containers for drinking water

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021

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: VALLEY NURSERY SCHOOL	FACILITY NUMBER: 197494962
	VISIT DATE: 11/18/2021

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The facility has central heating and portable air conditioners for cooling, windows were in fair repair, free of chipping paint, dirt, insects or debris

Disinfectants and cleaning solution and other toxins or poisons were made inaccessible to children

The director office shall be used for isolation, and the staff restroom located in room 3 will be used for ill children.

The classrooms are not equipped with working telephones, the nearest working telephone is located in the reception area

Parents and authorized adults will sign in using their original signatures.

The required postings were also posted in this common area.

Measurements for the indoor activity space were 4823 divided by 35 SQ. FT. per child

FOOD SERVICE:

Lunches and snacks will be provided by the facility. The center has a full kitchen for preparing and heating meals. LPA did not observe any contaminated foods in this area.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021

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: VALLEY NURSERY SCHOOL	FACILITY NUMBER: 197494962
	VISIT DATE: 11/18/2021

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Weekly menus shall be posted in a prominent area for review. Applicant shall make preparation for alternate meals for children with allergies or the need for additional meal servings.

Center shall devise an Incidental Medical Service plan and provide to parents of children with allergies (epi-pen), asthmatic (inhalers), glucose (diabetic insulin) monitor and children needing G-tube feeding

RESTROOMS

There were two gender identified restrooms with 1 toilet and 1 sink per restroom = 1 toilet and 1 sink for every 15 children.

Restrooms designated for school age children were located inside of classroom #3. The restrooms were clean and sanitized with the necessary toiletries. Sinks and toilets were operable and in good repair. Applicant was advised to repair the tiles in the boy’s restroom or place a secure matting over the tile.

TRANSPORTATION

The applicant plans to provide transportation services for children in care. LPA explained the following regarding transportation:

Only drivers licensed for the type of vehicle operated shall be permitted to transport children.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021

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: VALLEY NURSERY SCHOOL	FACILITY NUMBER: 197494962
	VISIT DATE: 11/18/2021

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The manufacturer's rated seating capacity of the vehicles shall not be exceeded

Motor vehicles used to transport children shall be maintained in a safe operating condition.

All vehicle occupants shall be secured in an appropriate restraint system.

Children shall not be left in parked vehicles.

Drivers shall comply with California Vehicles Codes and Regulations, at all times to ensure the safety of children in care.

OUTDOOR ACTIVITY SPACE

School-age children will use the area on the south side of the center for outdoor activities per provided facility sketch.

There were no age appropriate toy and equipment observed during todays inspection. Applicant shall provide an adequate amount of age appropriate toy and equipment for children in care.

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

Wood chips where found in need of repair under all climbing apparatus. Applicant shall have the chips replaced. Children shall not use this area until the area is repaired. If applicant decides to request waiver to use this area

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021

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: VALLEY NURSERY SCHOOL	FACILITY NUMBER: 197494962
	VISIT DATE: 11/18/2021

NARRATIVE

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Children use personal water containers for outdoor drinking water

Trees provided shading and benches for resting were available for children’s use. Benches shall be painted or replaced to prevent splintering.

Measurements for the outdoor activity area were 483.23 divided by 75 sq. ft.

Based on today’s inspection the facility shall be recommended for a capacity of 12 children determined by the requested capacity.

The report was discussed with applicant Kevin Yi, an exit interview was conducted and a copy of this report was provided to the applicant.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021

LIC809 (FAS) - (06/04)

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