198004537-10-18-2022-54-CC-MAYA-CKBT8E-20221018143013

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198004537
Report Date: 10/18/2022
Date Signed: 10/18/2022 02:30:26 PM

Document Has Been Signed on 10/18/2022 02:30 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	BELLFLOWER USD-WILLIAMS CHILD CARE CENTER		FACILITY NUMBER:	198004537
ADMINISTRATOR:	KEISHA SAWYER		FACILITY TYPE:	850
ADDRESS:	6144 CLARK		TELEPHONE:	(562) 461-2227
CITY:	LAKEWOOD	STATE: CA	ZIP CODE:	90712
CAPACITY:	20	CENSUS: 15	DATE:	10/18/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Lead Teacher, Aracely Perez		TIME COMPLETED:	02:40 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	On October 18, 2022 at 12:30 pm, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced inspection at the facility noted above and met with Lead Teacher, Aracely Perez. The purpose of the inspection was to conduct the Required 1 Year inspection at the facility. Entrance Checklist – Child Care Centers (LIC 125) was provided to the Lead Teacher upon arrival. The facility is currently licensed for 20 children, ages 3 years until entry into kindergarten. The facility is located on Craig Williams Elementary School premises, and operates from Room 14. Per Lead Teacher, the preschool program operates Monday through Friday from 8:30 am to 11:30 am and 12:30 pm to 3:30 pm. All areas on the facility sketch were inspected. Upon arrival, the following staff were present: Staff (S1) and S2 with 15 children in the outdoor play yard. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Napping equipment was not inspected as the program operates an AM session and PM session. Per Lead Teacher, the isolation area is in the classroom next to the door. In the isolation area, a chair is placed for an ill child and a separate restroom located on the elementary school campus is readily available if an ill child requires it. Age appropriate sinks and toilets were inspected for availability and good repair. General sanitation was observed. Availability of indoor and outdoor drinking water was observed (water bottles). Disinfectants, cleaning solutions, medication and other items that are hazardous to children, were made inaccessible to children in all areas. Lead Teacher confirmed that there are no poisons stored at the facility. The program provides snacks and meals to the children. The snacks and meals are prepared by the Bellflower Unified School District (BUSD).

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Monique Ayala	TELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2022

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BELLFLOWER USD-WILLIAMS CHILD CARE CENTER	FACILITY NUMBER: 198004537
	VISIT DATE: 10/18/2022

NARRATIVE

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The following documents are posted in a prominent, publicly accessible area: Facility License, Menu, Child Passenger Restraint System Poster (PUB 269), Notification of Parents' Rights (PUB 393), Emergency Disaster Plan (LIC 610), Waiver, Personal Rights (LIC 613A), Daily Activity Schedule, and Earthquake Preparedness (LIC 9148). The facility has verification of disaster and fire drills. The last drill was conducted on 9/20/2022. Children's roster was reviewed and is current. Sign-in and sign-out sheets were reviewed; all children present were signed in. Per Director, transportation is not provided by the facility.

The facility did not have a carbon monoxide detector available. Smoke detectors were not tested during this visit due to the smoke detectors being wired to the emergency pull down fire alarm. The fire extinguisher is fully charged and was last serviced on 8/10/2022. First Aid supplies were observed and kept in the classroom. According to the Lead Teacher, medication is only administered to a child when accompanied with a doctor's note and medication is stored in the classroom.

Outdoor playground equipment is in a safe condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that could absorb a fall. There is adequate shade in the outdoor play yard. No bodies of water were observed on the premises.

All staff have fingerprint clearances through BUSD as a condition of employment. There is at least one person present with a valid Pediatric First Aid and CPR certification (EMSA-approved) during this inspection.

LPA conducted a record review of 5 children’s records for completeness. Based on the record review, children records were complete with all the required documents per Title 22 regulations. The names of children whose records were reviewed were documented. Per Lead Teacher, personnel records is on file at the main office. Staff files will be reviewed at a later date. If any deficiencies are observed during the personnel file review, citations will be issued to reflect this report.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Monique Ayala	TELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2022

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BELLFLOWER USD-WILLIAMS CHILD CARE CENTER	FACILITY NUMBER: 198004537
	VISIT DATE: 10/18/2022

NARRATIVE

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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.htm.

Lead Teacher was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA advised the Lead Teacher on how to access forms, regulations, quarterly updates, and Provider Information Notices (PINs) on the Department website at: www.ccld.ca.gov.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Deficiency was cited during today's inspection (refer to deficiency page).

A Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with Lead Teacher, Aracely Perez.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Monique Ayala	TELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/18/2022 02:30 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BELLFLOWER USD-WILLIAMS CHILD CARE CENTER	FACILITY NUMBER: 198004537
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/18/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.954

Licensure Requirements

Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/18/2022
	Plan of Correction
1 2 3 4	Director will purchase and install an operable carbon monoxide detector inside the classroom, and submit proof of purchase (receipt) and installation to LPA via e-mail by 11/18/2022.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Monique Ayala	TELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2022

LIC809 (FAS) - (06/04)

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