304370316-10-30-2019-06-CC-WPOT-BHFMV3-20191030095603

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370316
Report Date: 10/30/2019
Date Signed: 10/30/2019 09:56:13 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	KELLIE'S ACADEMY FOR KIDS, CHILD DEV. CTR.		FACILITY NUMBER:	304370316
ADMINISTRATOR:	FERRIA, DANAE		FACILITY TYPE:	830
ADDRESS:	5702 CLARK DRIVE		TELEPHONE:	(714) 377-0533
CITY:	HUNTINGTON BEACH	STATE: CA	ZIP CODE:	92649
CAPACITY:	28	CENSUS: 15	DATE:	10/30/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Darralynn Vadeboncoeur, Office Manager and Danae Ferria, Director		TIME COMPLETED:	10:15 AM

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	An inspection was conducted at the facility by Licensing Program Analyst (LPA) Port.. A review of the personnel report on file indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Operating hours are 6:30 AM to 6:00 PM, Monday- Friday. Upon arrival LPA met with Darralynn Vadeboncoeur who guided LPA on a tour of the facility. The facility was toured inside and outside and the floor and yard plan were verified. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. LPA observed 7 infants and 2 staff members in Room #4 (Infant Room) and 8 infants and 3 staff members Room #3 (Toddler Room). This is a combination center with a separate preschool and school age license and is located on the Meadowview Campus. Indoor and outdoor activity space for infants is separate from other age groups.The items which could pose a danger to children (detergents, cleaning compounds, and medications) were inaccessible to children. Poisons/hazardous items are not stored on site and none were observed during today's inspection. There is a working smoke detector, carbon monoxide detector and fire extinguisher in the facility that meet statutory requirements. The toys, floors and other equipment appeared clean, safe and age appropriate for infants. A baby walker is not allowed on the premises of a child care center. There is sufficient napping equipment. The changing table is within arm’s reach of a sink, and appears clean and sanitary. Infant changing tables have a padded surface no less that one inch thick and are covered by washable vinyl/plastic. Infant changing tables have raised sides at least three inches high. Page 1 of 3 (Continued of Page 2)

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Wendy Port	TELEPHONE: (714) 293-9315
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2019

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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KELLIE'S ACADEMY FOR KIDS, CHILD DEV. CTR.	FACILITY NUMBER: 304370316
	VISIT DATE: 10/30/2019

NARRATIVE

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A random sample of ten children’s files were reviewed for a medical assessment and individual feeding plan, and infant needs and services plans. In the areas reviewed, children’s files were found to be in full compliance.

Facility was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov A copy of the 2016 “A Child Care Providers Guide to Safe Sleep” was provided to the facility representative.
English: https//www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf
Spanish: https//www.cdph.ca.gov/programs/SIDS/Documents/ChildCareProvSleepSPAN2011.pdf
AAP:https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx
NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative
Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials

There were no Title 22 deficiencies cited during today's inspection.

Exit interview was conducted with Darralynn Vadeboncoeur, Office Manager and Danae Ferria, Director. Report reviewed and discussed. Notice of Site Visit was posted during the visit. Facility representative was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Appeal rights provided and explained. The director/licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. Licensee was informed of how/where to access regulations and forms from CCLD website: www.ccld.ca.gov. This report is to be on file and accessible for public review at the facility for at least 3 years.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Wendy Port	TELEPHONE: (714) 293-9315
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2019

LIC809 (FAS) - (06/04)

Page: 3 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KELLIE'S ACADEMY FOR KIDS, CHILD DEV. CTR.	FACILITY NUMBER: 304370316
	VISIT DATE: 10/30/2019

NARRATIVE

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A current menu was posted. Food prep areas appear clean and sanitary. The facility takes measures to keep the facility free of flies, other insects, and rodents. Food is properly stored. Bottles and food containers brought from home are properly labeled with name and date. Trash receptacles containing solid waste have tight fitting lids. Firearms and other weapons are not allowed or stored on the premises.

The director stated no children are left without the supervision, including visual supervision, of a teacher at any time. The director stated facility staff ensures that each infant is never left unattended.

The playground is completely fenced and free of hazards. The playground equipment appeared in safe condition. There is sufficient cushioning underneath climbing structures and/or play equipment to absorb falls.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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.

Staff files for staff present during LPA’s inspection were reviewed for education requirements, immunization’s and mandated reporter training. At least one staff member present posses a current First Aid/CPR certification which expires 05/03/2020. Personnel files reviewed show infant care teachers have completed at 3 units in early childhood education related to the care of infants. Proof of immunization's against pertussis and measles for employees present during today's inspection were reviewed for compliance with SB 792. Beginning March 31, 2018, Health and Safety Code 1596.8662 requires all directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years, per A.B. 1207. Proof of completion as required by AB 1207 was observed in staff files.

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SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Wendy Port	TELEPHONE: (714) 293-9315
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2019

LIC809 (FAS) - (06/04)

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