<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012292
Report Date: 07/22/2021
Date Signed: 07/22/2021 12:25:29 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:KINDER PREP PRESCHOOL CENTERFACILITY NUMBER:
198012292
ADMINISTRATOR:EVELYN GOMEZFACILITY TYPE:
850
ADDRESS:3208 FLOWER STREETTELEPHONE:
(310) 639-4190
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:26CENSUS: 10DATE:
07/22/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Amber Johnson, TeacherTIME COMPLETED:
12:45 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 Analysts (LPAs) Rita Ramos and Thelma Razo conducted an unannounced annual inspection on 07/22/2021 at 9:00AM. LPAs met with Amber Johnson, Teacher, who guided analyst on a tour of the facility. This is a preschool program which consists of 3 classrooms; Main Room, Circle Time Room, and Reading Room. Facility operation hours are Monday to Friday from 6:00 AM to 6:00 PM.

All areas identified were inspected. Upon arrival, the following staff were present during this inspection: Main Room: Staff #1 and #2 with 10 preschoolers. The facility was observed to be within the license capacity and limitations. The following was observed during the tour of the facility:

While inspecting the furniture and equipment, at 9:09AM LPAs observed that there is a torn child-size sofa in the Reading Room. LPAs also observed at 9:09AM that there is paint chipping off from the ceiling portion between Main Room and Reading Room (pictures were taken). Children have their own cubby to store their belongings. Linens are washed weekly at the facility. Napping equipment (cots) were observed to be stored in the Circle Time Room and in the Reading Room. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. However, LPAs did smell a strong scent of urine. LPAs advised the Teacher to open the restroom window for ventilation or clean and disinfect the restroom frequently throughout the day. Availability of indoor drinking water was observed via a faucet.

Teacher states there are no poisons stored at the facility. Carbon monoxide detectors were observed and are operable.

All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. ----Page 1 of 3

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021
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 8
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: KINDER PREP PRESCHOOL CENTER
FACILITY NUMBER: 198012292
VISIT DATE: 07/22/2021
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
26
27
28
29
30
31
32
 All storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on and in good repair. Trash cans used to discard food have lids that are kept on.

When inspecting the outdoor playground equipment, at 9:14AM LPAs observed that the drinking faucet was covered in dirt and not functioning (pictures were taken). At 9:15AM LPAs observed dirt and spider webs inside play structures and play tunnels. At the same time LPAs observed that one of the play structures is a play house and inside the play house there is a toy sink and cabinet that were covered with dirt and broken (pictures were taken), another play house made of wood has splinters exposed, and there is a broken gazebo. LPAs advised Teacher that the play house should be discarded due to the broken areas exposing sharp edges, in addition, LPAs observed a large spider (pictures were taken). When inspecting the surface of the outdoor activity space, at 9:19AM. LPA observed that the rubber matting under the slide is worn down and in another area a piece is missing and can cause a tripping hazard (pictures were taken). There is adequate shade in the play yard. Availability of outdoor drinking water was not observed. At 9: 54AM LPAs observed children going outside to play in the outdoor area and at 10:01AM LPAs observed Child #10 walk into the facility from being outdoors to drink water indoors and walk back out to go outside. LPAs advised that no children shall be left without the supervision of a teacher at any time and that water should be readily available both indoors and outdoors.

All floors were observed to be clean and safe. All materials accessible to children were observed to be toxic-free There are no firearms stored on the premises. There are no pools or bodies of water at the facility.

All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

Children’s Records were reviewed. In reviewing children's records, LPAs observed that Child #2, #4, #6, and #7 had incomplete medical and emergency information.

LPAs also reviewed staff records. The review of Staff records was documented on the LIC 859. Staff present did have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present did have proof against TB, measles, pertussis, and influenza. All staff have been given on the-job training sanitation principles, housekeeping, including universal health precautions. -----Page 2 of 4

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021
LIC809 (FAS) - (06/04)
Page: 2 of 8
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: KINDER PREP PRESCHOOL CENTER
FACILITY NUMBER: 198012292
VISIT DATE: 07/22/2021
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
26
27
28
29
30
31
32
Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed, however, in review of sign-in and out sheets at 10:36AM, LPAs observed that Child #1, #2 and #6 were not signed-in. Menus are posted one month in advance. LPAs advised that the menu should be posted where it is visible by the child's authorized representative.

When inspecting the children's files, LPAs observed that Child #10 has an LIC 9168 Nebulizer Care Consent form on file. Per Teacher, the facility does not administer medication. When LPAs asked about the nebulizer form for Child #10, Teacher informed LPAs at 10:27AM that child has a nebulizer that parent administers but it is stored in child's cubby. LPAs discussed medication storage and advised Teacher to store medication in a locked container and to make it inaccessible to children in care. The facility was observed to be equipped with an isolation area for any child who becomes ill and it is located in the office or it can also be the reading room.

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

LPAs advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. LPA provided the Teacher with a copy of the Effects of Lead Exposure form during the inspection and discussed the following Provider Information Notices (PINs) Required Lead Testing: PIN 20-01 CCP Effects of Lead Exposure, and Guardian User Account Access - PIN 20-20-CCLD.



The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22.

----Page 3 of 4

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021
LIC809 (FAS) - (06/04)
Page: 3 of 8
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: KINDER PREP PRESCHOOL CENTER
FACILITY NUMBER: 198012292
VISIT DATE: 07/22/2021
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
26
27
28
29
30
31
32
A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Teacher was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the licensee/Director.

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. Exit interview was conducted with Amber Johnson, Teacher, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

----Page 4 of 4

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021
LIC809 (FAS) - (06/04)
Page: 4 of 8
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: KINDER PREP PRESCHOOL CENTER
FACILITY NUMBER: 198012292
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/05/2021
Section Cited

1
2
3
4
5
6
7
Buildings and Grounds

(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
8
9
10
11
12
13
14
This requirement is not met as evidenced by LPAs observing that there is chipped paint on the ceiling, child size sofa is torn, the restroom smells of urine, and the outdoor faucet is not functioning. This poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14
Type B
08/05/2021
Section Cited

1
2
3
4
5
6
7
Outdoor Activity Space

(d)(2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

This requirement is not met as evidenced
8
9
10
11
12
13
14
LPAs observing that there is dirt on play structures, spiderwebs, spiders, broken gazebo, 2 missing or worn down areas on the play structure matting, the playhouse has splinters. This poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14
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: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:
DATE: 07/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/22/2021
LIC809 (FAS) - (06/04)
Page: 5 of 8
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: KINDER PREP PRESCHOOL CENTER
FACILITY NUMBER: 198012292
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/23/2021
Section Cited

1
2
3
4
5
6
7
Health-Related Services

(e)(1)(A) Medications shall be kept in a safe place inaccessible to children.

This requirement is not met as evidenced by Teacher disclosing that Child #10s medication
8
9
10
11
12
13
14
is stored in the cubby. This poses an immediate health and safety risk to chldren 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: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:
DATE: 07/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/22/2021
LIC809 (FAS) - (06/04)
Page: 6 of 8
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: KINDER PREP PRESCHOOL CENTER
FACILITY NUMBER: 198012292
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/05/2021
Section Cited

1
2
3
4
5
6
7
Drinking Water

(a) Drinking water from a noncontaminating fixture or container shall be readily available both indoors and in the outdoor activity area.

This requirement is not met as evidenced by
8
9
10
11
12
13
14
LPAs observing that outdoor drinking water was not avaiable outdoors during the inspection. This poses a potential health and safety risk to chldren in care.
8
9
10
11
12
13
14
Type B
08/05/2021
Section Cited

1
2
3
4
5
6
7
Sign In and Sign Out

The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

This requirement is not met as evidenced by
8
9
10
11
12
13
14
LPAs observing that Child #1, #2 and #6 were not signed in.
8
9
10
11
12
13
14
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: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:
DATE: 07/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/22/2021
LIC809 (FAS) - (06/04)
Page: 7 of 8
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: KINDER PREP PRESCHOOL CENTER
FACILITY NUMBER: 198012292
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/05/2021
Section Cited

1
2
3
4
5
6
7
Child's Records

(b)(8) Each record shall contain information including, but not limited to, the following: Medical assessment, including ambulatory status
8
9
10
11
12
13
14
This requirement is not met as evidenced by LPAs observing that Child #2, #4, #6 did not have coomplete medical assessment and emergency information completed on file. This poses a potential health and safety risk to 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: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:
DATE: 07/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/22/2021
LIC809 (FAS) - (06/04)
Page: 8 of 8