198400217-6-1-2022-54-CC-JESA-CEYQXD-20220601123322

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400217
Report Date: 06/01/2022
Date Signed: 06/01/2022 12:33:29 PM

Document Has Been Signed on 06/01/2022 12:33 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:	BESA SCHOOL, THE		FACILITY NUMBER:	198400217
ADMINISTRATOR:	BRIDGETTE ROBINSON		FACILITY TYPE:	840
ADDRESS:	15014 STUDEBAKER RD		TELEPHONE:	(562) 474-1848
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY:	45	CENSUS: 15	DATE:	06/01/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:57 AM
MET WITH:	Director Bridgette Robinson		TIME COMPLETED:	12:45 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	On 6/1/22 Licensing Program Manager (LPM) Karen Chambers and Licensing Program Analysts (LPAs) Jeanette Estrada and Monique Ayala conducted a Case Management inspection for the purpose of a capacity decrease. LPAs met with Director Bridgette Robinson and her Spouse, Jose Hernandez who guided LPAs on a tour of the facility. The program is requesting a decrease in capacity from 45 children to 22 children and will only utilize classroom 16. Currently the school age program utilizes classrooms 16 and 17. There were 15 children present and two staff in classroom 16 during the inspection. Operating hours are Monday to Friday 7 AM to 5:30 PM. During this visit, the following was observed. There is an office on the this property that is used by the Director and is used as the isolation area for an ill child. There is a cot available in this office. There is a staff restroom next to this office that also serves as the isolation restroom for ill children. Director was advised to correct tripping hazards on the play yard such as uneven cement areas and the grassy area would require cushioned flooring to absorb a child's fall. There is a section in the yard fenced off that includes a large climbing structure which is used by the school-age program. Per Director, a gate will be installed to block access next to one of the off limit storage buildings. There is a fenced garden on the side of the yard which is used for educational purposes. Drinking water is available for outdoor use. Per Director, children bring out their water bottles and there is a portable water container that will be used outdoors to refill the water bottles. There is an elevator in front of classrooms 16 and 17. The elevator was observed to only be operable with a key. The Director also indicated that the Church which the facility is located in, also utilizes a portion of this property. Per Director, the church uses classroom 18 and the upstairs area on Tuesdays at 6PM and on the weekends. Director was advised to notify the church that those areas mentioned shall not be used during hours of operation. Director was advised that disinfecting and cleaning solutions shall not be stored next to food preparation areas.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2022

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: BESA SCHOOL, THE	FACILITY NUMBER: 198400217
	VISIT DATE: 06/01/2022

NARRATIVE

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Director was advised that all electrical outlets/ boxes shall be made inaccessible. LPAs observed an open electrical box in classroom 16 near the entrance door. In classroom 16 there are also two rabbit cages. Director was advised to ensure that materials are kept inside the rabbit cages. There is a licensed Infant Program (198020117) and a licensed preschool program (198020118) on this church property. Director was advised that the licensed programs on this property shall remain on their appropriate licensed locations and not co-mingle with other programs.
At this time the Director has indicated that the capacity decrease application will be withdrawn, as the school age program will close on 7/29/22.

A civil penalty is being assessed today due as Dianna Topete was present during the visit on 5/16/22 & was not associated as required and has been employed as of 8/9/21.
The deficiencies listed on the following page were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

The notice of site visit was posted where the parent/guardian of children enter and exit the facility. A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility. Both the notice of site visit and licensing report shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt.

A notice of site visit was given and must remain posted for 30 days.
Exit interview was conducted with the Director Bridgette Robinson. Appeal Rights and report were reviewed. A copy of this report was provided to the Director. The report that was not able to be provided on 5/16/22 was also provided during this visit.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2022

LIC809 (FAS) - (06/04)

Page: 3 of 3

Document Has Been Signed on 06/01/2022 12:33 PM - It Cannot Be Edited

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: BESA SCHOOL, THE	FACILITY NUMBER: 198400217
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/01/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 06/02/2022 Section Cited	1 2 3 4 5 6 7	101170(e)(2) All individuals subject to a criminal record review...shall prior to working, residing or volunteering in a licensed facility Request a transfer of a criminal record clearance as specified in Section 101170(f)
	8 9 10 11 12 13 14	This requirement was not met as evidenced by Based on record review staff 1 - Dianna Topete was present in the facility on 5/16/22. Staff 1 is not associated to the facility. This is an immediate risk to the health and safety to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2022

LIC809 (FAS) - (06/04)

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