198013102-7-26-2022-54-CC-MRIA-CGPUZF-20220726160127

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198013102
Report Date: 07/26/2022
Date Signed: 07/26/2022 04:01:45 PM

Document Has Been Signed on 07/26/2022 04:01 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:	NEW LIBERTY CHILD DEVELOPMENT CENTER/DREW		FACILITY NUMBER:	198013102
ADMINISTRATOR:	MATTHEW KENNEDY		FACILITY TYPE:	850
ADDRESS:	5328 CENTRAL AVENUE		TELEPHONE:	3232343167
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90011
CAPACITY:	82	CENSUS: 25	DATE:	07/26/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:25 AM
MET WITH:	LaTisha Edwards, Site Supervisor		TIME COMPLETED:	04:10 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 Tuesday, July 26, 2022 at 10:22 a.m. Licensing Program Analyst Mayra Rivera conducted an annual inspection and met with program Site Supervisor LaTisha Edwards who guided LPA Rivera on a tour of the facility.

This is a preschool program with a toddler component. This program consists of toddler classrooms 6F, 7G, and 5E. Preschool classrooms 8HA, 8HB, 9IA, 9IB and early intervention. This full-time preschool with toddler component program operates from 6:00 a.m. to 6:00 p.m. Sign in and out takes place at the main entrance area. All areas identified on the facility sketch were toured both indoors and outdoors.

At approximately 10:30 a.m. LPA entered toddler classroom 6F to conduct an inspection. LPA Rivera did not observe toddler children inside the classroom. The children were outside playing. LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. Right outside the classroom (hallway) LPA observed individual personal bin containers with children names inside their cubbies with their personal items. LPA observed cleaning solutions stored high up in the shelf making it inaccessible for children to reach. LPA Rivera observed a step trash bin with a tight-fitting lid.

At approximately 10:38 a.m. LPA entered toddler classroom 7G to conduct an inspection. Per site supervisor LaTisha, the classroom has not been active and is only used for changing diapers. LPA observed the diapering station to be arm’s length from hand washing sink.

At approximately 10:45 a.m., LPA entered toddler classroom 5E to conduct an inspection. LPA Rivera observed 4 toddler children with staff 3. LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. Right outside the classroom (hallway) LPA observed individual personal bin containers with children names inside

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

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 6

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: NEW LIBERTY CHILD DEVELOPMENT CENTER/DREW	FACILITY NUMBER: 198013102
	VISIT DATE: 07/26/2022

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

their cubbies with their personal items. LPA observed cleaning solutions stored high up in the shelf making it inaccessible for children to reach. LPA Rivera observed a step trash bin with a tight-fitting lid.

At approximately 10:55 a.m., LPA entered preschool classroom 8HB to conduct an inspection. LPA Rivera did not observe preschool children inside the classroom. The children were outside playing. LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. Right outside the classroom (hallway) LPA observed individual personal bin containers with children names inside their cubbies with their personal items. LPA observed cleaning solutions stored high up in the shelf making it inaccessible for children to reach. LPA Rivera observed a step trash bin with a tight-fitting lid.

At approximately 11:05 a.m., LPA entered preschool classroom 8HA to conduct an inspection. LPA Rivera did not observe preschool children inside the classroom. The children were outside playing. LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. Right outside the classroom (hallway) LPA observed individual personal bin containers with children names inside their cubbies with their personal items. LPA observed cleaning solutions stored high up in the shelf making it inaccessible for children to reach. LPA Rivera observed a step trash bin with a tight-fitting lid.

At approximately 11:14 a.m., LPA entered preschool classroom 9IB to conduct an inspection. LPA Rivera observed 2 preschool children inside the classroom playing with staff 4. LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. Right outside the classroom (hallway) LPA observed individual personal bin containers with children names inside their cubbies with their personal items. LPA observed cleaning solutions stored high up in the shelf making it inaccessible for children to reach. LPA Rivera observed a step trash bin with a tight-fitting lid.

At approximately 11:17 a.m., LPA entered preschool classroom 9IA to conduct an inspection. LPA Rivera observed 5 preschool children inside the classroom playing with staff 7. LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. Right outside the classroom (hallway) LPA observed individual personal bin containers with children names inside their cubbies with their personal items. LPA observed cleaning solutions stored high up in the shelf making it inaccessible for children to reach. LPA Rivera observed a step trash bin with a tight-fitting lid.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

LIC809 (FAS) - (06/04)

Page: 2 of 6

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: NEW LIBERTY CHILD DEVELOPMENT CENTER/DREW	FACILITY NUMBER: 198013102
	VISIT DATE: 07/26/2022

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

At approximately 11:17 a.m., LPA entered the early intervention classroom to conduct an inspection. LPA Rivera observed 2 preschool children with staff 6 and 9. LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. LPA observed cleaning solutions stored high up in the shelf making it inaccessible for children to reach. LPA Rivera observed a step trash bin with a tight-fitting lid.

At approximately 11:25 a.m LPA Rivera observed the bathrooms located in the hallway to be in good condition with working toilets, sinks, hand soap dispenser, paper towels and toilet training seats. LPA observed a total of 5 toilets and 5 sinks. Ill/isolation area children utilize the restroom located in the hallway next to the staff restroom and a mat is available to utilize to change the toddlers diapers.

At approximately 11:37 a.m. LPA Rivera entered the outdoor playground to conduct an inspection. LPA observed toddler classroom 6f playing outside in their assigned area. LPA observed 3 toddlers with staff 1 and 2. LPA also observed preschool classrooms 8HB and 8HA playing outside in their assigned area. LPA observed 9 preschool children with staff 5 and 8. LPA observed the equipment to be age appropriate and in safe condition, free of sharp, no loose 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 climbing equipment, are cushioned with padding that absorbs a fall. LPA observed the cushioned padding to have gaps. LPA informed the gaps are a tripping hazard and advised to replace the cushion padding. LPA observed the play structures to be age appropriate. For outdoor drinking water, LPA observed water jugs and disposable water cups. For adequate shade, LPA observed a sun sail triangle.

Heating lighting and ventilation were evaluated by LPA Rivera. LPA observed central AC/heater and vents located on the ceiling wall. LPA observed the thermostat located in the staff lounge to be set at 69 degrees and controls the preschool area. The thermostat located in the lobby, LPA observed the current room temperature to be at 77 degrees and controls the toddler section. LPA observed the fire extinguishers located inside the classrooms and kitchen and the valve on the required 2A10BC fire extinguishers indicating fully charged and serviced on 02/09/2022. LPA Rivera did not test the smoke detectors because they are wired with the pull-down fire alarm. LPA observed the fire and earthquake drill log and last fire drill conducted on 7/22/22. LPA also observed the first aid kits in each classroom and fully stocked.

At approximately 12:15 p.m., fire inspector Guzman arrived at the facility to check on the fire alarm control panel. Per inspector, the panel is marking green which means is operable, but the panel needs to be serviced as soon as possible. Inspector informed LPA Rivera during the fire inspection conducted 11/2021, he informed

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

LIC809 (FAS) - (06/04)

Page: 3 of 6

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: NEW LIBERTY CHILD DEVELOPMENT CENTER/DREW	FACILITY NUMBER: 198013102
	VISIT DATE: 07/26/2022

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

the previous director Matthew Kennedy that the panel needs to be serviced and left a voicemail message to administrator Raymond Hernandez. Inspector advised LPA Rivera to inform Raymond and for Raymond to connect back with inspector Guzman. During the visit, Site Supervisor LaTisha called Raymond to informed about fire inspector Guzman visit and that the panel needs to be serviced as soon as possible.

This program provides breakfast, lunch and p.m snack. The meals are provided by an outside vendor. A monthly snack menu is available and posted in each classroom. For water drinking LPA observed disposable water cups and water pitchers in each classroom. LPA observed the food preparation area to be clean and free of litter, rubbish, rodents, and/or any other vermin and storage containers for solid waste, including moveable bins with tight-fitting covers that are kept on, and in good repair. The facility was observed to be free of flies, other insects and rodents.

For napping equipment, LPA observed cots and mats inside each classroom. LPA advised to place the blankets inside individual bags to prevent cross contamination. For ill/isolation area children utilize the director's office and a cot is available for children to rest if needed. At approximately 1:12 p.m. LPA Rivera reviewed staff, children files, children roster and sign in/sign out sheets. LPA observed siblings sharing files, children files missing LIC 627 Consent for Emergency Medication Treatment Children, Child 1 missing safe sleep log. LPA observed staff files to be complete and up to date. LPA informed sibling cannot share files, the importance of having the parents complete LIC 627 and children under the age of 24 months required a safe sleep log,

Facility administers medication. Before administrating medication, parents sign a medication consent form, provides the medication in original container with Dr's prescription. During this inspection the facility does not have any children on or with medication.

Site Supervisor LaTisha Edwards has proof of pediatric First Aid/CPR certification expires 5/21/23, preventative health and safety training with the nutrition and lead component dated 3/1/22, child abused mandated certification AB 1207 dated 10/15/21 and immunization against pertussis, and measles, and influenza declination. Site supervisor has been informed the required mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

LIC809 (FAS) - (06/04)

Page: 4 of 6

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: NEW LIBERTY CHILD DEVELOPMENT CENTER/DREW	FACILITY NUMBER: 198013102
	VISIT DATE: 07/26/2022

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

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
Site Supervisor LaTisha Edwards was informed 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.

Two Type B violations were given during the inspection for children files missing LIC 627 Consent for Emergency Medication Treatment and Child 1 not having a safe sleep log. LPA also provided technical violations for fire alarm control panel not being serviced per fire inspector Guzman, the padding cushion underneath the preschool structure tripping hazard and for siblings in care sharing personal files.

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.

Notice of Site Visit

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

Exit Interview

Exit interview conducted and report was reviewed with Site Supervisor LaTisha Edwards.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

LIC809 (FAS) - (06/04)

Page: 5 of 6

Document Has Been Signed on 07/26/2022 04:01 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: NEW LIBERTY CHILD DEVELOPMENT CENTER/DREW	FACILITY NUMBER: 198013102
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/26/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101221(b)(8)(C)

Child's Records

(C) A signed consent form for emergency medical treatment unless the child's authorized representative has signed the statement specified in Section 101220(f). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, LPA Rivera did not observe LIC 627 Emergency Medical Treatment form in child 1 and 2 files in which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/26/2022
	Plan of Correction
1 2 3 4	Site Supervisor LaTisha Edwards,contacted the enrollment department to inform if LIC 627 is part of the enrollment packet and if not, then the form needs to be added to the enrollment packet. LaTisha informed enrollment specialist Gabriela Aguilar that the form LIC 627 needs to be added to the enrollment pack and in the current children files. LaTisha will provide proof to LPA Rivera by due date.

Type B

Section Cited

CCR

101429(a)(2)(B)

Responsibility for Providing Care and Supervision for Infants

(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review the licensee did not comply with the section cited above in not having a safe sleep log for child 1 which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/26/2022
	Plan of Correction
1 2 3 4	Per Site Supervisor LaTisha she stated, Administrator Raymond Hernandez will create a safe sleep form and inform staff that children between ages 18 to 24 months will need a safe sleep log and document every 15 minutes the childs sleeping condition. LaTisha will provide proof to LPA Rivera by due date.

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: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

LIC809 (FAS) - (06/04)

Page: 6 of 6