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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018059
Report Date: 12/03/2020
Date Signed: 12/04/2020 01:44:36 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:C11/NICKERSON GARDENS HEAD STARTFACILITY NUMBER:
198018059
ADMINISTRATOR:MARGARITA PARRAFACILITY TYPE:
850
ADDRESS:11253 S. COMPTON AVE.TELEPHONE:
(213) 385-5100
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY:68CENSUS: 8DATE:
12/03/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Cesar Sarmiento, HS ManagerTIME COMPLETED:
11:05 AM
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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 HS Manager Cesar Sarmiento 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 observed six children present with three staff during the physical inspection. LPA on a video tour of the facility at 10:33am.

Facility is currently licensed for 68 children. Licensee is requesting a capacity decrease from 68 children to 40 children. Specifically, Licensee is requesting for eight toddler children ages 18 months to 3 years and 32 preschool children ages 3 years to 5 years old. A granted fire clearance was received by the licensing department.

The programs 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 the Toddler Classroom, Classroom HS 1 and Classroom HS 2. Measurements were also taken of the Toddler playground and of the preschool playground and noted. At 10:36am Department of Health current ratios were discussed and HS Manager was made aware to be informed of the Department of Health's ratios as they may change in the future regarding COVID-19.

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 March 2020.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (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: C11/NICKERSON GARDENS HEAD START
FACILITY NUMBER: 198018059
VISIT DATE: 12/03/2020
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The applicant 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. 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.

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 10:40am. 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.

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.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (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: C11/NICKERSON GARDENS HEAD START
FACILITY NUMBER: 198018059
VISIT DATE: 12/03/2020
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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. The Applicant/Licensee/Representative was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.

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. 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 decrease from 68 children to 40 children (eight toddlers and 32 preschool 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 HS Manager, 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 VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (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