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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013885
Report Date: 05/24/2023
Date Signed: 05/24/2023 01:31:09 PM


Document Has Been Signed on 05/24/2023 01:31 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:LAS FLORES PRESCHOOLFACILITY NUMBER:
198013885
ADMINISTRATOR:JUANITA BERNALFACILITY TYPE:
850
ADDRESS:1075 S. EASTMAN AVENUETELEPHONE:
(323) 980-5015
CITY:LOS ANGELESSTATE: CAZIP CODE:
90023
CAPACITY:22CENSUS: 7DATE:
05/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Site Supervisor - Maria MendozaTIME COMPLETED:
01:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Randy Derraco conducted an unannounced required one year inspection on 05/24/23 at 9:30 AM. LPA met with Maria Mendoza, Site Supervisor, who guided analyst on a tour of the facility. This is a half day preschool program which consists of one classroom. Facility operation hours are Monday to Friday from 8:30 AM to 11:30 AM

All areas identified on this report were inspected. Upon arrival, the following staff were present during this inspection: Staff S2 with 7 children. 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:

Children's roster was reviewed and is current. 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. Children present were signed in. Disaster drill log was available, last drill was conducted on 04/11/23. LPA observed required licensing documents posted on bulletin board on the wall behind the front door.

Furniture and equipment were inspected for age appropriateness and good repair. LPA observed material and equipment in the class room to be free of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated and are operable. Children have their own cubby to store their belongings. Per site director, naps are not taken at the facility because they are a half day program. Per Site Supervisor, the isolation area is located in the office. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed.



Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were
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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:
DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/24/2023
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 12


Document Has Been Signed on 05/24/2023 01:31 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: LAS FLORES PRESCHOOL
FACILITY NUMBER: 198013885

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.954
Licensure Requirements
Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview , the supervisor could not provide proof that the child care center has one or more carbon monoxide detectors which poses a potential Health, safety and/or personal rights risk to persons in care.
POC Due Date: 06/02/2023
Plan of Correction
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Supervisor states she will send LPA proof of carbon monoxide detector via email.
Type B
Section Cited
CCR
101238(g)(1)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. (1) Storage areas for poisons shall be locked.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the supervisor did not store ant spray in a locked area which poses a potential Health, safety and/or personal rights risk to persons in care.
POC Due Date: 06/02/2023
Plan of Correction
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Supervisor states she will store all poisons in a locked cabinet in the employee bathroom. The cabinet will be locked by a key.
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 ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:
DATE: 05/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/24/2023
LIC809 (FAS) - (06/04)
Page: 2 of 12


Document Has Been Signed on 05/24/2023 01:31 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: LAS FLORES PRESCHOOL
FACILITY NUMBER: 198013885

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101227(a)(16)
Food Service
(16) Pesticides and other similar toxic substances shall not be stored in food storerooms, kitchen areas, food-preparation areas, or areas where kitchen equipment or utensils are stored.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the supervisor stored bleach in an area where kitchen equipment or utensils were stored, which poses a potential Health, safety and/or personal rights risk to persons in care.
POC Due Date: 06/02/2023
Plan of Correction
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Supervisor states she will remove bleach and store it in a locked cabinet in the employee bathroom.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:
DATE: 05/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/24/2023
LIC809 (FAS) - (06/04)
Page: 3 of 12


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LAS FLORES PRESCHOOL
FACILITY NUMBER: 198013885
VISIT DATE: 05/24/2023
NARRATIVE
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inaccessible to children. According to the supervisor, medication is only administered to a child when accompanied with a doctor's note. Medication is stored in the supervisors office. Currently no children enrolled require the use of medication. Raid ant spray was observed in wire basket above the kitchen sink. LPA advised supervisor that poisons must be locked in a separate storage area. LPA advised that a citation under California Code of Regulation (CCR) section 101238(g)(1) will be issued. Per supervisor, carbon monoxide detectors and smoke alarms are 3-in1 devices that were installed by the property manager. Supervisor also states that she is unable to provide documentation showing that the device is a 3-in1 smoke detector/carbon monoxide detector. LPA advised supervisor that a citation under Health and Safety Code section 1596.954 will be issued. LPA advised supervisor to provide proof that smoke alarm and carbon monoxide are the same device. First Aid supplies were observed in the classroom.

Menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. The facility provides AM snack and lunch. . LPA observed that water is readily available indoors via a water jug. The water jug is filled using filtered water from the kitchen sink.

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. LPA observed a bottle of bleach on a shelf located in the food preparation area where utensils and paper plates were stored. LPA advised supervisor that a citation under CCR section 101227(a)(16) will be issued.

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 and is free of hazards. Areas around and/or under climbing equipment, swings and slides have cushioning material to absorb a fall. The outdoor area had adequate shade. LPA observed that water is readily available outdoors via a water jug. The supervisor 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.

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 and are complete. Per supervisor, employee records are kept at Amistad Pre-School located


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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC809 (FAS) - (06/04)
Page: 11 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LAS FLORES PRESCHOOL
FACILITY NUMBER: 198013885
VISIT DATE: 05/24/2023
NARRATIVE
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at 2037 N Lincoln Park Ave, Los Angeles CA 90031. A letter on Department of Social Services letter head was observed at the facility. The letter was dated 11/12/12 and singed by Maria Hendrix - Regional Manager.

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 supervisor to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov

The following deficiencies listed on the attached deficiencies page LIC809D are being cited in accordance with California Code of Regulations Title 22

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with teacher Marina De Ita

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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC809 (FAS) - (06/04)
Page: 12 of 12