198013696-8-5-2021-54-CC-DGIS-C5LVRP-20210805164016

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198013696
Report Date: 08/05/2021
Date Signed: 08/05/2021 04:40:24 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	SPIRIT EARLY INTERVENTION PROGRAM		FACILITY NUMBER:	198013696
ADMINISTRATOR:	KEENA TAYLOR		FACILITY TYPE:	830
ADDRESS:	1412 WEST JEFFERSON BLVD.		TELEPHONE:	(323) 228-3060
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90007
CAPACITY:	28	CENSUS: 3	DATE:	08/05/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Susie Guijardo, Director		TIME COMPLETED:	04:45 PM

NARRATIVE

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Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced annual inspection on 8/5/2021 at 2:45PM. LPA met with Susie Guijardo, Director, who guided analyst on a tour of the facility. This is an infant program which consists of two classrooms. Facility operation hours are Monday to Friday from 6:45 AM to 6:00 PM. Infant center is in a separate location from preschool component #197416919.

All areas identified on this report were inspected. Upon arrival, there were three children present and one staff. This program consists of two classrooms, younger infants and older infants. This facility also houses two programs, Early intervention and General Infant. Teacher-child ratios were observed to be in accordance with Title 22 Regulations. All children were observed to be under visual supervision of a teacher at all times.

The following was observed during the tour of the facility:

Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. Three children present were signed in. Menus were observed in each classroom and posted at least one week in advance. Indoor/outdoor drinking water is readily available via a water dispenser and cups. Children also have their own Sippy cup.

Furniture and equipment were inspected for age appropriateness and good repair. Toys were observed to be safe, and do not have sharp points, edges, splinters and are not made of small parts that can pose a choking hazard. LPA did not observe any baby walkers or any items that fall into that category present in the facility. All materials and surfaces accessible to children are toxic free. All indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean.

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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SPIRIT EARLY INTERVENTION PROGRAM	FACILITY NUMBER: 198013696
	VISIT DATE: 08/05/2021

NARRATIVE

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Children have their own cubby to store their belongings. LPA observed Cribs use for infants. Facility enough cribs to occupy one infant at a time. Cribs were observed to be free of loose articles and objects including blankets and pillows. LPA informed Director of the new Safe sleep regulation, including LIC 9227 Infant Sleep Plan for infants up to 12 months, 15 minute sleep check and provided PIN 20-24-CCP. Per Director, when children are almost two years old they transition to a mat. Linens are changed daily or more frequently, as needed by staff. LPA did not observe infant sleep check documentation. There were no infants sleeping during inspection.

Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. LPA observed that infant changing tables have a padded surface covered with washable vinyl or plastic. LPA observed that infant changing tables are within an arm’s reach of a sink.

Telephone service, heating, lighting and ventilation were evaluated and are in operating condition. Per Director, the isolation area is located in the office. Parents are contacted immediately when children are determined to be ill.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were observed to be inaccessible. According to the Director, medication is only administered to a child when accompanied by a doctor's note and is stored in the classroom inaccessible to children with the child’s name and date. Per Director there are no children with medication at this time. Director states that there are no poisons stored at the facility and understands that storage areas for poisons must be locked with a key or combination lock.

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. All storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. All foods/beverages are stored in covered containers at 45˚ (F) or less.

Outdoor play equipment was observed to be in good condition, free of sharp, loose or pointed parts. Outdoor activity space surface is maintained in a safe condition as is free of hazards. Areas around and/or under climbing equipment, swings and slides have cushioning material to absorb a fall. The outdoor area has adequate shade. The Director states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this visit. Director states there are no weapons or firearms on the premises. ---------------------PAGE 2

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

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: SPIRIT EARLY INTERVENTION PROGRAM	FACILITY NUMBER: 198013696
	VISIT DATE: 08/05/2021

NARRATIVE

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All individuals present have obtained a criminal record clearance or criminal record exemption.

Staff record was reviewed. LPA observed Staff has required units, Pediatric first aid and CPR (exp 10/2022), immunization's, Mandated Reporter training and health screening on file. Children’s Records were reviewed to ensure that Identification and Emergency, Needs and Services Plan, and LIC 9227- Infant Sleep Plan (0-12 months) are on file.

LPA conducted COVID-19 Technical Assistance visit with licensee. LPA observed that licensee is still implementing COVID-19 precautions and procedures.

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.html

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

At this time, the Director is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today 8/5/2021.

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 Director, Susie Guijardo, including, but not limited to Appeal Rights, Appeal Procedures and Agencies Consultative Role.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

LIC809 (FAS) - (06/04)

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