198004773-7-19-2021-54-CC-MRIA-C53V96-20210719161350

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198004773
Report Date: 07/19/2021
Date Signed: 07/19/2021 04:13:57 PM

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:	COUNTY KIDS' PLACE		FACILITY NUMBER:	198004773
ADMINISTRATOR:	RODRIQUEZ, ELVIA		FACILITY TYPE:	830
ADDRESS:	2916 HOPE STREET		TELEPHONE:	2137446241
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90007
CAPACITY:	12	CENSUS: 6	DATE:	07/19/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Edith Martinez, Director		TIME COMPLETED:	12:04 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	Prior to entrance to the facility, LPA Mayra Rivera conducted a Covid 19 assessment and based on the licensee responses to the facility assessment questions, LPA Rivera determined safe to proceed. On Monday, July 19, 2021 at 9:45 AM, Licensing Program Analyst (LPA) Mayra Rivera conducted an annual inspection and met with Assistant Director Maria Luengas who guided LPA Rivera on a tour of the facility. At 9: 55 AM LPA Rivera entered the infant room area to inspect for safety, comfort, cleanliness, and ventilation. During the inspection LPA Rivera observed 5 infants awake and 1 napping (child #1) a total of 6 infants. LPA observed child #1 awake up and sit up on her own. The following staff were present during this visit: Staff #1, Staff #2, and Staff #3. LPA observed the disinfectants, cleaning solutions, and other items that are dangerous to children, inaccessible to children inside the cabinets with child proof locks. LPA observed the crib and diapering area, furniture and equipment in good condition, free of sharp, loose, or pointed parts. LPA observed hand washing sinks area safe, sanitary and operating properly and floors clean and safe. At 10:05 AM LPA observed a safety gate in place between the classroom and kitchen to prevent children going into the kitchen. LPA observed individually container bins inside the refrigerator with children's pre-made bottles and dated with today's date 7/19/21. LPA observed the food preparation area and food storage area clean and free of litter, rubbish and rodents and/or any other vermin. LPA observed containers for solid waste, including moveable bins with tight-fitting covers that are kept on, and in good repair. LPA observed trash cans that are used to discard food with tight fitting lids. LPA observed individually water bottles with children names and water bottles for refills Drinking water is readily available both indoors and outdoors

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2021

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

FACILITY NAME: COUNTY KIDS' PLACE	FACILITY NUMBER: 198004773
	VISIT DATE: 07/19/2021

NARRATIVE

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At 10:25 AM, LPA Rivera inspected the outdoor area for safety, comfort and cleanliness. LPA observed the outdoor playground equipment in 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 climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. LPA observed a sail shade triangle in place and provides adequate shade in the yard. Teachers bring out the sippy cups and or bottles with water. The facility was observed to be free of flies, other insects and rodents.

LPA observed the tag for the fire alarms and smoke/carbon detectors serviced by the Western States fire protection company on 2/15/21. LPA observed the required 2A10BC fire extinguisher located in the classroom and the valve on the green area indicating fully charged. LPA observed first aid kids inside the classroom cabinets and the earthquake and fire drill log posted on the bulletin board.

At 10:50 AM LPA reviewed facility records. All individuals present have obtained a criminal record clearance or criminal record exemption. Staff #1 and Staff #2 present during this inspection currently have a valid pediatric first aid/CPR certification. LPA observed proof of immunization against pertussis, measles and influenza and influenza declination. LPA also observed educational background, training, and/or experience for each staff present..

LPA reviewed children’s records. LPA observed the required documentation such as the LIC 700 Emergency Information , LIC 701 Physician's Report, LIC 702 Child's Preadmission Health History, LIC 627 Consent for Emergency, LIC 613A Personal Rights, LIC 995 Parent's Rights, Immunization's, and LIC 9227 Individual Infant Sleeping Plan/Services Plan The files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

LPA observed the snack menus posted on the bulletin board and are posted monthly in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. The facility provides AM snack and PM snacks.

Incidental Medical Services (IMS). Director states that prescription medications are administered and offer incidental medical. LPA observed the medication stored in directors office LPA observed child # 4 medication Epi Pen with expiration date 9/29/21 and allergy liquid medicine 11/2022.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2021

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

FACILITY NAME: COUNTY KIDS' PLACE	FACILITY NUMBER: 198004773
	VISIT DATE: 07/19/2021

NARRATIVE

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LPA Rivera issued the Confidential Names List (LIC 811) to Director during this inspection. The Confidential names list, documents the children’s and staff files that were reviewed during this inspection.

LPA guided director Edith Martinez and Assistant Director Maria Luna in how to use Guardian. LPA explained the purpose of utilizing guardian and the procedure in how to associate staff to the facility.

LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

At this time, the facility is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

LPA provided The Notice of Site Visit (LIC 9213) and explained that it must remain posted for 30 daysduring the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Director Edith Martinez. LPA explained and discussed this report, including the appeal rights and provided a copy. The signature on this report confirms receipt of these documents.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2021

LIC809 (FAS) - (06/04)

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