198020954-5-27-2022-33-CC-AEIN-CETRT5-20220527131747

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020954
Report Date: 05/27/2022
Date Signed: 05/27/2022 01:17:57 PM

Document Has Been Signed on 05/27/2022 01:17 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	BRELLA HOLLYWOOD		FACILITY NUMBER:	198020954
ADMINISTRATOR:	WILLIAMS, DARIEN		FACILITY TYPE:	830
ADDRESS:	909 N. ORANGE DR.		TELEPHONE:	(213) 300-5962
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90038
CAPACITY:	36	CENSUS: 0	DATE:	05/27/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Darien Williams, Applicant		TIME COMPLETED:	01:30 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) Anomeh Eivazian conducted an announced pre-licensing site inspection to ensure the facility is following the state laws and the health and safety regulations and to measure the requested Infant component for capacity determination. LPA arrived at the facility at 8:40 AM and met with Darien Williams, Applicant and Alessandra Pinheiro, Director. Entrance Checklist, LIC 125 was provided to applicant at 9:00 a.m.. The applicant is requesting a total capacity of 36 infant children. There will be Preschool Program on Site with facility number 198020953. Per applicant, Darine Williams, the facility hours of operation will be Sunday-Thursday 7 am-7 pm, and Friday- Saturday 7 am-10 pm. At 9:15 AM, LPA began the facility tour with Applicant, Darine Williams and Director, Alessandra Pinheiro starting at the walkway entrance to the school located off the street named N. Orange Drive, where the infant children's parents will enter and exit to the facility. Per applicant, parents can either park in the street or in the parking structure which is located at the back of the building. Parents will sign the child in/out at a table located at reception area where the walk way starts to the classrooms. Parent board is located by the entrance with Licensing and Covid-19 posting which are visible for all to see. Use of hand sanitizer will also be available. Parents will sign in children by the reception area and walk through the children to their classrooms, only stop at the door of classroom and not enter the classrooms at this time, unless they request to enter the entire classroom, which at that time all precautionary measures will be taken for that individual entering. Licensing staff observed COVID- 19 postings posted in different areas of the day care for parents, as well as for children at eye level in their classrooms and in the bathrooms. REPORT CONTINUES ON NEXT PAGE 1 OF 5

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2022

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BRELLA HOLLYWOOD	FACILITY NUMBER: 198020954
	VISIT DATE: 05/27/2022

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LPA was then guided through the proposed three infant classrooms (room 2, Room 3, and Room 4) which were inspected and measured for capacity determination. Infant classrooms are labeled with a name and number. LPA observed the classrooms to contain age appropriate furniture and equipment which were also inspected and observed to be in good condition. There is a crib room in Room 4. LPA observed 12 cribs in crib room. Refrigerator was observed in each class room.

LPA observed children 1 toilet and 1 sink in Room 2 and Room 3. LPA observed 1 changing table, and 1 sink in Room 4. LPA observed the infant to have 2 toilets, 3 sinks, and 3 changing tables arm reach from sink. All toilets and sinks are in safe and sanitary operating conditions. Infant changing tables have a padded surface no less than one inch thick and are covered with washable plastic and have raised sides at least three inches high. There is a sink within arms reach of the infant changing table with hot and cold running water.

Licensing staff was then guided to the Infant outdoor play area at 10:00 AM. The outdoor playarea is located at the end of the hallway of classrooms. The play yard is self-contained by a gate around it. Per applicant water pitcher and labeled plastic cups/bottles will be used for children while outdoors. LPA observed age appropriate outdoor toys and play equipment to be clean, safe and in good repair, as well as adequate shade available via retractable awning. All areas around and under play equipment are cushioned with material to absorb a fall. LPA observed the outdoor playarea ground was covered with artificial grass. Measurements were taken of the outdoor play yard and the total outside capacity allows for 13 children. Per applicant a waiver request will be submitted to Monterey Park Regional office to use the outdoor playarea on staggered schedule among Preschoolers and Infants. LPA advised applicant that the children need to be within the direct care and supervision, including visual observation and supervision of the teacher(s) at all times. LPA advised applicant that no standing water is allowed and needs to be empty after each use.

REPORT CONTINUES ON NEXT PAGE 2 OF 5

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2022

LIC809 (FAS) - (06/04)

Page: 2 of 5

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: BRELLA HOLLYWOOD	FACILITY NUMBER: 198020954
	VISIT DATE: 05/27/2022

NARRATIVE

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Napping equipment (cots/mats) were inspected and observed to be in good condition.

Children will be provided a sheet by the facility, and facility will wash it at the facility daily. LPA observed a washing machine and dryer in staff room. Individual storage space will be available for each child inside the classroom. There are 12 cribs which are arranged so as to provide a walkway and work space between the cribs to permit staff to reach each infant without having to step over or reach over any other infant. Evacuation/Emergency crib is also available. The napping room is adjacent to the play area.

AM/PM snack will be provided by the facility to older infants and infants will bring their own formula or cold lunch. Snack Menus were observed on the parent board. Containers used to discard food have tight fitting lids. Food preparation area will be in the staff room where a refrigerator is located and and a microwave will be located. The space will be inspected for safety and cleanliness once it is set up. There is a fully equipped first aid kit available in each classroom containing all the required supplies. Heating, lighting and ventilation were evaluated by the LPA.

Carbon monoxide detectors and smoke detectors were observed to be operable condition and located in each class room. Smoke and Carbon Monoxide detectors should be checked regularly, and batteries replaced as needed. LPA observed fire extinguishers located in each classroom which were type 2A-10BC and the valve on each indicated that they are all fully charged, and each has a tag with a service date of 05/17/2022. Fire extinguishers need to be serviced annually or as often as necessary. Hazardous items including poisonous cleaning compounds were observed to be stored inaccessible to children.

The ill/isolation area is located in the Directors office located by the entrance next to the reception area. The ill child will use the staff rest room located in the hallway next to the staff room. The ill/isolation area has a cot/mat for a child to rest if needed.

REPORT CONTINUES ON NEXT PAGE 3 OF 5

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2022

LIC809 (FAS) - (06/04)

Page: 3 of 5

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: BRELLA HOLLYWOOD	FACILITY NUMBER: 198020954
	VISIT DATE: 05/27/2022

NARRATIVE

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Per applicant at 11:05 AM, Facility does not provide transportation for preschool children. LPA reviewed with Applicant, Darine Williams the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

LPA discussed the safe sleep regulations with applicant Joshua Goldman 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 [applicant, licensee, or 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.

Medication: This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

REPORT CONTINUES ON NEXT PAGE 4 OF 5

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2022

LIC809 (FAS) - (06/04)

Page: 4 of 5

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: BRELLA HOLLYWOOD	FACILITY NUMBER: 198020954
	VISIT DATE: 05/27/2022

NARRATIVE

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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Based on LPA measurements taken on this date and observations of the facility, the total indoor capacity of the (3) infant classrooms can accommodate 36 infants. The measurements obtained for the outdoor space can accommodate a total of (13) infants. The Department has received an approved Fire Clearance from the City of Los Angeles Fire Department on 05/18/2022 for capacity of 36 infants.

The following corrections will need to be made prior to submitting the application for approval.

1) Applicant submitted a waiver request for staggered use of outdoor playarea among Infants and Preschoolers.

Exit interview conducted, and report was reviewed with the applicant, Darien Williams at 1:30 p.m..

REPORT END 5 of 5

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2022

LIC809 (FAS) - (06/04)

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