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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013151
Report Date: 06/05/2019
Date Signed: 06/05/2019 01:34:27 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:SUNNYSIDE PRESCHOOLFACILITY NUMBER:
198013151
ADMINISTRATOR:LINDA ROSE COATESFACILITY TYPE:
850
ADDRESS:3646 COLDWATER CYN. AVENUETELEPHONE:
(818) 763-7476
CITY:STUDIO CITYSTATE: CAZIP CODE:
91604
CAPACITY:90CENSUS: 93DATE:
06/05/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Sarah Thomas, Licensee/OwnerTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Denise Do Amaral Miranda met with Sarah Thomas License/owner - for the purpose of conducting Annual/Random. LPA toured the facility indoors and outdoors as identified per facility sketches. Pre school hours are from 8:30am to 2:00pm, Monday through Friday.

Upon LPA arrival, 93 children were observed in care. LPA observed sign/sign out sheets. Facility is operating over capacity. LPA observed five classrooms.

Classroom A - Grasshoppers: 3 teachers with 18 children, Classroom B - Dragonflies: 3 teachers with 23 children, Classroom C- Butterflies 2 teachers with 18 children, Classroom D- Bumblebee: 3 teachers with 18 children and Classroom Ladybugs: 2 teachers with 16 children.

Furniture was found to be in good repair and age appropriate. There is adequate heating, lighting and ventilation in each classroom. Drinking water is readily available in each classroom.



Director states that the isolation area for sick students is located in the Director's office. Children nap in individual classrooms, LPA observed mats..

The bathroom area(s) were inspected, there are sufficient toilets and sinks to accommodate the facility capacity. Toilets flush properly, toilet and sinks are reachable by the children in care. Each rest-room has adequate Toilet paper and paper towels available and soaps.

Bathrooms were found to be clean. There is adequate lighting/ventilation in the bathroom areas. Toilets, faucets and sinks are in operable condition.

SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: SUNNYSIDE PRESCHOOL
FACILITY NUMBER: 198013151
VISIT DATE: 06/05/2019
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Update on Incidental Medical Services: Facilities that provide Incidental Medical Services (IMS) must identify those services in their facility’s Plan of Operation and submit an updated Plan of Operation to the Department. Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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.

LPA observed facility been over capacity. Copy of title 22 101161 was provided to Sarah Thomas, Owner.

The facility was found no to be in compliance per Title 22 regulations, Type A deficiencies will be cited today 6/5/2019.

Parents shall be provided a copy of this report and the LIC 9224 - Acknowledgement of Receipt if Licensing Reports. Copy of LIC9224 was provided to Licensee, Appeal Rights were discussed and provided to the Licensee and maintain a copy of children's file.


A copy of this report along with an advisory notes and Notice of Site Visit and appeal rights were issued and explained to the Owner Sarah Thomas. An exit interview was conducted.

SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: SUNNYSIDE PRESCHOOL
FACILITY NUMBER: 198013151
VISIT DATE: 06/05/2019
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Facility provide snacks and lunch are provided by the parents and a menu was observed posted at the facility.

Cleaning supplies are out of reach to the children. LPA observed the cleaning supplies storage at classroom B – Dragonfly.

Inspection of the outdoor play area was conducted climbing structures, slides, play equipment are securely anchored. LPA observed the resilient cushioning material underneath and around the perimeter, some area the playground equipment shall be cushioned with material that will absorb a fall.


Drinking water is readily available on the outdoor play space. There is adequate shade for the children in care. There is appropriate fencing around the perimeter of the outdoor play area.
First Aid supplies were stored appropriately in the classroom.

Required postings were observed by LPA. LPA observed required postings in the facility (Facility License, Emergency Disaster Plan, Parents Rights Poster).

Children and staff records were reviewed for completeness records were found to be complete.

Director advised that records for all children and staff must be maintained for 3 years after separation from the facility.

LPA observed CPR/First Aid for Staff#1,2, and #3 expires 04/2021 and mandated reporter is on staff’s file .

The required fire extinguisher, smoke detectors and carbon monoxide detector are in operable condition.

The following was discussed with the licensee:
Mandatory Forms for the children’s files and provider’s files, Requirements for fire drills, earthquake drills and documentation for both. Role and responsibilities of being a mandated reporter were discussed. The licensee was advised how to access forms and Regulations for Family Child Care online at www.ccld.ca.gov
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SUNNYSIDE PRESCHOOL
FACILITY NUMBER: 198013151
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/05/2019
Section Cited
CCR
101161(a)
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a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.This requirement is not met as evidenced by
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Effective immediately the Director has agreed to get her capacity to 90 children or below.

Licensee shall operate within capacity before the request of increase of capacity will be granted.
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The facility was found to be over the license capacity of 90 children as approved by the State Licensing Department in certain dates. LPA observed 93 children in care.
This is a Type A deficiency which poses an immediate Health and Safety risk to children in care.
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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: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019
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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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: SUNNYSIDE PRESCHOOL
FACILITY NUMBER: 198013151
VISIT DATE: 06/05/2019
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The following was discussed with the licensee:
Mandatory Forms for the children’s files and provider’s files, Requirements for fire drills, earthquake drills and documentation for both. Role and responsibilities of being a mandated reporter were discussed. The licensee was advised how to access forms and Regulations for Family Child Care online at www.ccld.ca.gov . Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov.
The licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified. Regulation prohibits the smoking of tobacco on the premises.
Licensee was advised that each child care licensed under this chapter, or Chapter 3.5, Chapter 3.6 shall reveal its license number in all advertisements, publications, or announcements made with the intent to attract clients. LPA provided a copy of title 22 101162 - Advertisement and license Number.

LPA provided the following brochure: healty Beverages in Child Care and information.
Senate Bill 792: this bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the visit. New Immunization Requirement: Law enacted by SB 277, beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.
New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment. Nutrition Requirement: Beginning January 1, 2016, AB 290 will require for each new license issued, at least one director or teacher at each child care center or family child care home to have at least one hour of training in the importance of childhood nutrition. This applies to anyone submitting a new application, relocating their facility, selling their facility or transferring their license. Please note this training cannot be completed online or by home study programs. The training must be taken from an Emergency Medical Services Authority (EMSA) approved training program OR an accredited college or university.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019
LIC809 (FAS) - (06/04)
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