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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009710
Report Date: 12/07/2021
Date Signed: 12/07/2021 04:05:05 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:UNIVERSITY GARDENS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198009710
ADMINISTRATOR:JOANNA WILLIAMSFACILITY TYPE:
850
ADDRESS:1250 W. JEFFERSON BLVD.TELEPHONE:
3237331650
CITY:LOS ANGELESSTATE: CAZIP CODE:
90007
CAPACITY:20CENSUS: 12DATE:
12/07/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Jazmin Munoz Peralta, DirectorTIME COMPLETED:
04:20 PM
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 On Tuesday, December 7, 2021 at 12:15 PM, Licensing Program Analyst (LPA) Mayra Rivera entered the facility to conduct an unannounced annual inspection and met with Director Jazmin Munoz Peralta who guided LPA Rivera on a tour of the facility. Facility operation hours are Monday to Friday from 7:15 AM to 4:00 PM.

During arrival a total of 12 children present and one child left approximately around 1:00 PM. The following staff were present during this visit: Room 1A: Staff #2, #5, and #6 with 7 children; Room 1B: Staff #4 and # 3 with 4 children. The facility was within ratio during this inspection. LPA reviewed the sign in/out sheets and the children's roster.

At approximately 1:10 PM, LPA Rivera entered Room 1A to inspect for safety, comfort, cleanliness, and ventilation. During the inspection LPA Rivera observed two children eating their snack, one on the diapering changing table, two napping on their cots and two washing their hands. LPA observed the disinfectants, cleaning solutions, and other items that are dangerous to children, inside the top cabinets making it inaccessible to children to reach. LPA observed the bottom cabinets closed and with child proof locks in place making it inaccessible to children to open the bottom doors. LPA observed the furniture and equipment in good condition, age appropriate and free of sharp, loose, or pointed parts. LPA observed hand washing sink area safe, sanitary and operating properly and floors clean and safe.



At approximately 1:25 PM, LPA Rivera entered Room 1B to inspect for safety, comfort, cleanliness, and ventilation. During the inspection LPA Rivera observed 3 children eating snack and one in the restroom. LPA observed the disinfectants, cleaning solutions, and other items that are dangerous to children, inside the top cabinets making it inaccessible to children to reach. LPA observed the bottom cabinets closed and with child proof locks in place making it inaccessible to children to open the bottom doors. LPA observed the furniture and equipment in good condition, age appropriate and free of sharp, loose, or pointed parts. LPA observed hand washing sink area safe, sanitary and operating properly and floors clean and safe.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021
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 4
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: UNIVERSITY GARDENS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198009710
VISIT DATE: 12/07/2021
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At approximately 1:35 PM LPA entered the restroom and observed running water, paper towels, working toilets and hand soap. LPA observed the restrooms to be in good condition. LPA observed the children's personal belongings stored inside the cubbies located in the classrooms. LPA observed cots and per director, the facility provides cot sheets and blankets. LPA observed the food preparation and storage area clean and free of litter, rubbish and rodents and/or any other vermin. LPA observed inside each classroom and kitchen, a step trash bin with lids to discard food and waste to be in good condition. Drinking water is readily available both indoors and outdoors. LPA also observed water pitchers and disposable cups inside each classroom and outdoor play area. Facility provides breakfast, lunch, and snack. For ventilation LPA observed central AC/heater and room temperature at 72 degrees.

At approximately 1:50 PM, LPA Riviera inspected the outdoor area for safety, comfort and cleanliness. The facility was observed to be free of flies, other insects and rodents .LPA observed the outdoor playground equipment in safe condition, free of sharp, lose or pointed parts and age appropriate. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. LPA did not observed any climbing equipment, slides, nor similar equipment. LPA observed a sail shade triangle in place and provides adequate shade in the yard. LPA observed the side gate to be locked and the a cabinet closed with a child proof lock.

Smoke detectors are present in the facility, but were not tested as they are hardwired through the building.


LPA observed the required 2A10BC fire extinguisher located in the classrooms, and the valve on the green area indicating fully charged and serviced on July 20, 2021. LPA observed first aid kids inside the classrooms cabinets and the earthquake and fire drill log posted on director's bulletin board. Last drill was conducted on 11/9/2021.

LPA observed and reviewed breakfast/lunch/snack menu . Facility provides the meals and are prepared off site. The menus are posted outside the bulletin board by the main entrance. At 2:39 PM LPA observed on the bulletin wall the LIC 610 Emergency Disaster plan, Parents Rights, License, and facility sketch.

LPA reviewed children’s and staff records and issued Children's Record Review form (LIC 857) and Review Staff Record form (LIC 859) to Director during this inspection. LPA reviewed director pediatric first aid/CPR certification. Certification expires June 2022.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021
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: UNIVERSITY GARDENS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198009710
VISIT DATE: 12/07/2021
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Facility administers medication. Before administrating medication, parents sign a medication consent form, provides the medication in original container with Dr's prescription. At this time, facility has no children with medication or allergies( anaphylaxis).

Incidental Medical Services (IMS)

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



Criminal Record Statement

Facility representative Jazmin Munoz Peralta 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.

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/inspection-process.


LPA advised the director to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4
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: UNIVERSITY GARDENS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198009710
VISIT DATE: 12/07/2021
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At this time, the facility is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

Notice of Site Visit

A notice of site visit was given and posted and must remain posted for 30 days.

Exit Interview

Exit interview conducted and report was reviewed with administrator Jazmin Munoz Peralta.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021
LIC809 (FAS) - (06/04)
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