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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016244
Report Date: 06/21/2022
Date Signed: 06/21/2022 02:35:43 PM

Document Has Been Signed on 06/21/2022 02:35 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:PLAZA CS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198016244
ADMINISTRATOR:MARIA PEREZFACILITY TYPE:
850
ADDRESS:4198 UNION PACIFIC AVENUETELEPHONE:
(323) 780-4882
CITY:LOS ANGELESSTATE: CAZIP CODE:
90023
CAPACITY: 98TOTAL ENROLLED CHILDREN: 98CENSUS: 38DATE:
06/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Site Supervisor Maria Villegas TIME COMPLETED:
02:50 PM
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On 6/21/22 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced required 1 year inspection. LPA met with Site Supervisor Maria Villegas who guided analyst on a tour of the facility. Site Supervisor left facility at 1:40 PM. LPA continued visit with Lead Teacher Maria D. Perez. This is a preschool program which consists of 4 classrooms. Facility operates from Monday through Friday 6:30 AM to 6:00 PM. Present during today's inspection were 9 children with 2 staff in the yellow class, 10 children with 2 staff in the Red class, 11 children with 2 staff in the Blue class and 8 children with 2 staff in the purple class.

All areas identified on the facility sketch were inspected. There are two separate buildings at this facility. There are two classrooms in each building. The Yellow and Red classes are in building 1 and the Blue and Purple classes are in building 2. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated (there is central air and heating in each building). Children have their own cubbies to store their belongings. Bed linens are laundered weekly at the facility. Napping equipment (cots) were observed in each class. The isolation area is the Site Supervisor's office which is in building 1 and children use the staff restroom in building 1 as the isolation restroom. Age appropriate sinks and toilets were inspected for availability and good repair in both restrooms. There is one restroom available for children in building 1 with 3 toilets, 1 urinal and 4 sinks. There are two restrooms in building 2. Each restroom has 2 toilets and 2 sinks. General sanitation was observed in the restrooms. Availability of indoor drinking water was observed in classrooms via water dispensers. Per Site Supervisor, children bring personal water bottles and there are also disposable cups available to use.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Per facility representative, there are no poisons stored at the facility and medications are stored in emergency backpacks in the classrooms inaccessible to children. Carbon monoxide detectors were observed in the classrooms and they are operable. Operable smoke detectors were also observed in the classrooms. There is a centralized fire alarm in the buildings.

Valarie Cook
Jeanette Estrada
DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2022
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 3
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: PLAZA CS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198016244
VISIT DATE: 06/21/2022
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There are several fire extinguishers throughout the facility. One is available in each classroom. Fire extinguishers indicated they were full and the date on the service tags was 7/2021. The outdoor playground area was evaluated. Outdoor equipment is in a safe condition, free of sharp, loose, or pointed parts. All areas around or under high climbing equipment and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed via a water dispenser. Children are escorted to the restroom in building 2 during outside play time.

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 shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids or solid waste bags shall be discarded immediately after each meal.

All floors were observed to be clean and safe. All materials accessible to children were observed to be toxic-free There are no firearms stored on the premises. There are no pools or bodies of water at the facility.

There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

Children’s Records were reviewed for completeness; Inspection of required forms was made and documented on the LIC 857. LPA also reviewed staff records. The review of Staff records was documented on the LIC 859. Staff present did have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present did have proof against TB, measles, pertussis, and influenza (or had a written declination on file).

Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in. Disaster drill logs were available. Each class documents their own drills. Last drills documented on 6/2022.

Menus are posted weekly and a copy is provided to authorized representatives via the Learning Genie App. Menus for the past 30 days are available upon request. Snacks were reviewed for availability, quantity and appropriateness to children in care. The facility provides breakfast, lunch and PM Snack .

First Aid supplies were observed in the classrooms.

SUPERVISOR'S NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2022
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: PLAZA CS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198016244
VISIT DATE: 06/21/2022
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Facility representative was reminded 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.

Medication: This facility provides Incidental Medical Services – IMS. LPA discussed storage of medication and equipment/supplies with Facility Representative, 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 advised the facility representative how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

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/tion-process. A current email address was collected during today's visit.

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.

No deficiencies were cited during this visit. Exit interview conducted and report was reviewed with Facility Representative Maria D. Perez.
SUPERVISOR'S NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2022
LIC809 (FAS) - (06/04)
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