198013923-9-4-2019-33-CC-JDOY-BFPUH9-20190904153533

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198013923
Report Date: 09/04/2019
Date Signed: 09/04/2019 03:35:46 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	SUNSHINE SHACK, THE		FACILITY NUMBER:	198013923
ADMINISTRATOR:	MELISSA CORLETO		FACILITY TYPE:	850
ADDRESS:	1027 N. COLE AVENUE		TELEPHONE:	(323) 466-4381
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90038
CAPACITY:	40	CENSUS: 35	DATE:	09/04/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Rebecca		TIME COMPLETED:	03:50 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 Analyst (LPA) Justin Dorsey conducted an unannounced Annual Random Inspection. LPA met with Office Manager Rebecca Everhart and Director Melissa Corleto, who guided LPA on a tour of the facility. Arriving later to the facility was Owner, Sara Perets The following staff were observed in each classroom during this visit: Room 1: Staff #1, Staff #2 and Staff #3 with 11 children; Room 2: Staff #4 and Staff #5 with 11 children; Room 3: Staff #6 and Staff #7 with 13 children. LPA inspected all areas identified on the Facility Sketch. Students have access to the classrooms, restrooms, library, patio, multi-purpose room and outdoor play area. Students of the program are signed in by parents at their designated classrooms. The facility does not provide transportation. Furniture and equipment are safe and in good repair. There is telephone service, heating, lighting and ventilation available at the facility. Drinking water is available indoors and outdoors. LPA observed each classroom had its own pitcher of water, two water coolers were also observed on the playground by LPA. Restrooms used were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. On 09/04/19 based on interview LPA found that the facility uses the kitchen as a isolation area and the restroom in classroom 3 as the isolation restroom. Per Owner and Office Manager the children will no longer use the kitchen as an isolation area, children will instead be isolated in room #3 away from other children. LPA advised facility to have a staff members walk any sick children to the staff restroom so they are not using the same restroom as the children who are not sick.

SUPERVISOR'S NAME: Adriana Hernandez	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019

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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: SUNSHINE SHACK, THE	FACILITY NUMBER: 198013923
	VISIT DATE: 09/04/2019

NARRATIVE

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The kitchen is located towards the back of the facility near the multi-purpose room. The facility provides A.M. and P.M. snack, lunch is provided by parents. Parents also have the option to bring fresh fruits and vegetables as additional snacks for their children. Containers used to discard food have tight fitting lid at this time. Snack menus were posted in each classroom. Snacks were reviewed for availability, quantity and appropriateness to children in care. Cleaning compounds and sharp items are inaccessible.

The outdoor area includes a play structure for the children to play which is padded by sand. Shade sails provide shade for the children. The play area is fully fenced. A review of records was conducted for staff and participants. LPA observed that staff have current First Aid and CPR (Expires 8/2020). Staff has met all immunization requirements. Ratios were observed to be in compliance. First Aid supplies are available. Disaster drills are documented and all posting requirements have been met.

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
REMINDER: Failure to obtain a criminal record background check clearance prior to initial presence will result in an immediate $100.00 dollar or more.

LPA advised how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov. Also, discussed new requirements for providers, including mandate reporting training for staff which can be found at: http:/www.mandatedreporterca.com/training /training.htm. This is a new regulatory requirement beginning January 2018. According to staff, training has been completed through Community Care Licensing. Please review all elements outlined in AB 1207- Mandated Reporting Training.

No deficiencies were cited in accordance with California Code of Regulations Title 22. 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 reprehensive. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Adriana Hernandez	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019

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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: SUNSHINE SHACK, THE	FACILITY NUMBER: 198013923
	VISIT DATE: 09/04/2019

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	Exit interview was conducted with Office Manager Rebecca Everhart, Notice of Site Visit and Appeal Rights were given.

SUPERVISOR'S NAME: Adriana Hernandez	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019

LIC809 (FAS) - (06/04)

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