198011350-9-13-2021-33-CC-JMOA-C6TTYS-20210913150915

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198011350
Report Date: 09/13/2021
Date Signed: 09/13/2021 03:09:24 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	CDCLA - TINY DOTS EARLY EDUCATION CENTER		FACILITY NUMBER:	198011350
ADMINISTRATOR:	MICHELLE JOHNSON		FACILITY TYPE:	830
ADDRESS:	100 S. MAIN STREET		TELEPHONE:	(213) 897-0049
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90012
CAPACITY:	13	CENSUS: 8	DATE:	09/13/2021
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Elvira Valencia		TIME COMPLETED:	03:30 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	Licensing Program Analyst (LPA) Judy Mora conducted an unannounced Case Management inspection on this day. LPA met with Elvira Valencia, Infant Teacher. Director, Michelle Johnson, was not available during this inspection. The purpose of this visit was to ensure that the Licensee is in compliance with Title 22 regulations and to address an incident which occurred on 08/18/21. LPA conducted interviews and obtained documentation during this visit. The incident which occurred on 08/18/21 was reported to the Department on 08/19/21. The facility reported the incident within the required 24 hours. During this inspection, LPA observed the play equipment where the incident occurred and visually observed the equipment to be age appropriate and safe. Based on all information obtained on this date, and interviews conducted with teachers, no follow-up is necessary regarding the incident. The incident appears to be an unusual accident. It appears to be nothing the facility staff could have done to prevent the incident from occurring. Some of the equipment was moved around in an attempt to prevent a similar incident in the future. During the course of a complaint investigation conducted on 09/13/21 it was found that infant children and toddler children are being placed in one group when there is an insufficient amount of staff to provide care. Interviews were conducted and disclosures were made. The Health and Safety Code Section 1596.956 (a)(6) states that the toddler program shall be conducted in areas separate from those used by older or younger children. Upon receipt of this report, the licensee shall post ANY licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year. *REPORT CONTINUES ON NEXT PAGE

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy Mora	TELEPHONE: (323) 896-6847
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CDCLA - TINY DOTS EARLY EDUCATION CENTER	FACILITY NUMBER: 198011350
	VISIT DATE: 09/13/2021

NARRATIVE

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A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided.

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

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during 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.

The deficiency listed on the following page was observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809d.

Deficiency that is being cited needs to be cleared to protect the children’s health & safety.

Exit interview was conducted with Licensee. Appeal rights explained & provided.

*END OF REPORT

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy Mora	TELEPHONE: (323) 896-6847
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CDCLA - TINY DOTS EARLY EDUCATION CENTER	FACILITY NUMBER: 198011350
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/13/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 09/14/2021 Section Cited	1 2 3 4 5 6 7	Child day care centers serving infants; optional toddler program; departmental guidelines and regulations The toddler program shall be conducted in areas separate from those used by older or younger children. Plans to alternate use of outdoor play space may be approved to achieve separation.
	8 9 10 11 12 13 14	This requirement is not being met and is evidenced by staff disclosures being made. It was found that infant children and toddler children are being placed in one group when there is an insufficient amount of staff to provide care.This is an immidiate risk to the health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy Mora	TELEPHONE: (323) 896-6847
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021

LIC809 (FAS) - (06/04)

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