198018990-10-21-2022-54-CC-AMOY-CKETET-20221021144026

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018990
Report Date: 10/21/2022
Date Signed: 10/21/2022 02:40:36 PM

Document Has Been Signed on 10/21/2022 02:40 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:	CDCLA GRACE IINO CHILDREN'S CENTER		FACILITY NUMBER:	198018990
ADMINISTRATOR:	EVELIN HERNANDEZ		FACILITY TYPE:	830
ADDRESS:	231 E. THIRD ST.		TELEPHONE:	(213) 617-8596
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90013
CAPACITY:	48	CENSUS: 15	DATE:	10/21/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Evelin Hernandez, Director		TIME COMPLETED:	01:30 PM

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Licensing Program Analysts (LPA) Alicia Mooberry conducted an unannounced annual required inspection to the above facility. Upon Arrival LPA met with Staff Jasmine Cleveland, who provided tour of the facility. Evelin Hernandez arrived shortly after. This is an infant program which consists of 2 classrooms; Infant Room: (6 weeks-17 months) and Toddler Room: (17 months-36 months). Facility operation hours are Monday through Friday from 7:00 AM to 6:00 PM.

All areas identified on this report were inspected. There were four (4) staff and six (6) infants in infant room, and two (2) staff and nine (9) children in toddler classroom upon arrival.

All staff present have obtained the required background clearance. LPA observed the required posted documentation which included, Facility License, Publication (PUB) 393- Notification of Parent Rights, Licensing Form (LIC) 610- Facility Disaster Plan, PUB 269- Child Passenger Restraint System, and LIC 613A- Notification of Parent’s Rights.

Facility records were reviewed for LIC 9040- Facility Roster, 9148- Earthquake Preparedness form, Daily schedule and Disaster drill log. Disaster drill were conducted on 9/2022 . LPA reviewed Sign In/Out sheets. All children present were signed in. LPA discussed facility roster with Director.

Indoor space for the infant class is physically separate from the toddler component.

Furniture and equipment were inspected for age appropriateness and good repair. Toys were observed to be safe, and do not have sharp points, edges, splinters and are not made of small parts that can pose a choking hazard. LPA did not observe any baby walkers or any items that fall into that category present in the facility. All materials and surfaces accessible to children are toxic free. Classroom was inspected to ensure that the floors have a surface that is safe and clean. ----------------PAGE 1

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2022

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CDCLA GRACE IINO CHILDREN'S CENTER	FACILITY NUMBER: 198018990
	VISIT DATE: 10/21/2022

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Children have their own cubby to store their belongings. Napping equipment observed in both classrooms. LPA observed enough cribs in good repair for each child enrolled. Napping equipment does not block entrances or exits. Infant mattresses were observed to be firm with tightly fitted sheets. The facility launders the crib sheets on site weekly or as needed. Napping equipment is labeled with individual child's names. Per Director wet or soiled sheets are changed as needed throughout the day. LPA observed that infant changing tables have a padded surface no less than one-inch-thick and are covered with washable vinyl or plastic. The infant changing tables have raised sides that are at least 3 inches high. Sinks were observed to be located within arm's reach.

LPA observed forms documentation 15-minute sleep check for infants 0-24 months

Telephone service, heating, lighting and ventilation were evaluated and are in operating condition. Disinfectants, cleaning solutions, and other items that are dangerous to children, were observed to be inaccessible. According to the Director, medication is only administered to a child when accompanied with a doctor's note and is stored in the facility office area inaccessible to children. No children are currently requiring medication. Director states that there are no poisons stored at the facility and understands that storage areas for poisons must be locked with a key or combination lock. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Carbon Monoxide and Smoke detector was tested and found operable

Bottles are kept in refrigerator, observed to be labeled with child's name and current date. The facility provided breakfast, lunch and 2 snacks. Menus are posted at least one week in advance and visible to an authorized representative. All 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 and refrigerated.

The facility used the outdoor space which belongs to the building where it's located. The resident are not allowed to use the space during the daycare hours, LPA observed signs posted on the doors visible to the building residents. Per director the infant and toddler classes have scheduled playtime at different hours of the day. Outdoor play equipment was observed to be in good condition, free of sharp, loose or pointed parts. Outdoor activity space surface has cushioned material. The outdoor area has adequate shade. LPA did not observe any bodies of water or firearms during this visit. --------------------------PAGE 2

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2022

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: CDCLA GRACE IINO CHILDREN'S CENTER	FACILITY NUMBER: 198018990
	VISIT DATE: 10/21/2022

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Children’s records were reviewed and found complete. Staff records were reviewed. Staff files were missing the following documents: Mandated Reporter was expired for 2 out of 6 files reviewed. LPA discussed PIN 21-21-CCP Written Directives for Lead Testing of Water in Licensed Child Care Centers per AB2370. Director provided proof of lead testing conducted on 10/10/22.

Director 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a plan for providing 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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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/process.

Based on the LPA's observations and records review no deficiencies will be cited on this date. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Facility Representative Evelin Hernandez. Appeal rights were discussed and a copy provided.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2022

LIC809 (FAS) - (06/04)

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