198018055-12-4-2020-54-CC-AJLO-BVYTRH-20201204135733

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018055
Report Date: 12/03/2020
Date Signed: 12/04/2020 01:58:03 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:	CHILDRENS INSTITUTE/IMPERIAL COURTS		FACILITY NUMBER:	198018055
ADMINISTRATOR:	AKIDA CROSBY		FACILITY TYPE:	850
ADDRESS:	11425 GORMAN AVE.		TELEPHONE:	(213) 385-5100
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90059
CAPACITY:	27	CENSUS: 0	DATE:	12/03/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Carmelita Shorts, Site Supervisor		TIME COMPLETED:	02:45 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	This was a Case Management Inspection conducted by A. Lucero, Licensing Program Analyst (LPA). Due to COVID-19 and precautionary measures, this inspection was conducted with Site Supervisory Carmelita Shorts via tele-inspection by use of FaceTime. A physical inspection to the facility was conducted on 11/12/2020 for the purpose of measuring the facility’s classrooms and playgrounds. Also present at the physical inspection was LPA J. Estrada. LPAs did not observe any children present at the time of the physical inspection. LPA on a video tour of the facility at 2:05pm. LPA did not observe any children present as all classes are being conducted virtually. Facility is currently licensed for 27 children. Licensee is requesting a capacity increase from 27 children to 32 children from 3 years to 5 years of age. A granted fire clearance was received by the licensing department. The program will operate Monday through Friday from 8:00am to 4:30pm. All indoor and outdoor areas identified on the facility sketch were toured during this inspection and on the physical inspection dated 11/12/2020. Measurements were taken and noted of Classroom HS 1 and Classroom HS 2. Measurements were also taken of the playground and noted. A first aid kit was observed in the classrooms on the date of the physical inspection. Carbon monoxide detectors were tested on the date of the physical inspection and in operable condition. Smoke detectors are present and are hardwired through the facility. Fire extinguishers have been serviced in 2020. The facility states that the director's office will be used as the ill isolation area and children will use the staff restroom. The facility will provide hot lunch, AM and PM snack. The facility will administer prescription and non-prescription medications. Medications will be stored in the director's office, unless refrigeration is needed. In this case, medication will be stored in the kitchen.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2020

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: CHILDRENS INSTITUTE/IMPERIAL COURTS	FACILITY NUMBER: 198018055
	VISIT DATE: 12/03/2020

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

Sign in/out procedures will be implemented at the entrance to the facility. LPA observed sufficient storage space for children’s belongings. There is water available indoors and outdoors. Containers used to discard food have tight fitting lids. Cleaning compounds and any poisons are locked inaccessible to children.

The playground was toured via FaceTime at 2:18pm. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. There is cushioning material under the play equipment. There is outside shade in the playgrounds. The outdoor area is completely fenced. No bodies of water were observed during this visit.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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.htm

COVID-19 Technical Assistance was provided on the date of the physical inspection. Facility was provided with a Self-Assessment Guide, posters, and information on COVID-19. Facility was provided with a Self-Assessment Guide, posters, and information on COVID-19. Technical Assistance was also provided on the date of the tele-inspection at 2:35pm. LPA Lucero discussed protocol in place regarding COVID-19. Staff stated protocol in place is not having parents fully enter the facility and sign-in/out will take place at the front entrance. The child care are is big enough to meet the six feet distance. Staff will evaluate children for any symptoms such as fever, running nose, cough or child's behavior and will inform authorized representative child cannot stay if any symptoms related to COVID-19; or if symptoms appear during the day, staff will isolate the child and call authorized representative for immediate pick-up. Children will wash their hands during arrival, entering from outdoor play, meal times, covering their cough, and from using the restroom. LPA Lucero observed hand-washing posters posted in the restrooms and it was stated that the staff of the facility are aware of cleaning, disinfecting, sanitizing and the importance of constant hand-washing.

The following was discussed with the Applicant/Licensee/Representative:
Rooms that are off-limits need to be made inaccessible during operating hours. Smoking is prohibited.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2020

LIC809 (FAS) - (06/04)

Page: 2 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: CHILDRENS INSTITUTE/IMPERIAL COURTS	FACILITY NUMBER: 198018055
	VISIT DATE: 12/03/2020

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

The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and Carbon Monoxide detectors should be checked and batteries replaced as needed. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location.

Mandatory Forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. Role and responsibilities of being a Mandated Reporter were reviewed. The Applicant/Licensee/Representative was advised how to access forms and Regulations online at www.ccld.ca.gov. Applicant/Licensee/Representative was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care.

LPA advised Applicant/Licensee/Representative that all adults 18 years of age and older providing Care & Supervision and/or have continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check.

The Applicant/Licensee/Representative was also advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.

Applicant/Licensee/Representative advised that indoor and outdoor supervision required at all times. If outdoor area not adequately fenced, provider must be with children at all times when outdoors.

LPA will submit facility’s request for capacity increase from 27 children to 32 children for approval.

There were no deficiencies cited during today's visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1

Exit interview was conducted with Site Supervisor, via tele-inspection, during which appeal rights were explained. This report along with a copy of the appeal rights will be sent to the Applicant via email with a read receipt or confirmation of receipt of email, which will act as the Applicants signature.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2020

LIC809 (FAS) - (06/04)

Page: 3 of 3