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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370987
Report Date: 03/11/2020
Date Signed: 03/11/2020 04:41:43 PM

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:KIDDIE ACADEMY OF HUNTINGTON BEACHFACILITY NUMBER:
304370987
ADMINISTRATOR:CARREON, NICOLEFACILITY TYPE:
850
ADDRESS:19342 BEACH BLVDTELEPHONE:
(714) 968-0078
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92648
CAPACITY:124CENSUS: 80DATE:
03/11/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Assistant Director Amber Prinzi ( Lopez)TIME COMPLETED:
03:15 PM
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An unannounced, Required-1 year inspection was conducted on this date by Licensing Program Analyst (LPA) Ketki Desai. Upon arrival, LPA was greeted by a staff at the entrance and Assistant Director (AP) Amber Prinzi came and gave access to the LPA into the facility. LPA explained the purpose of the inspection and a tour was taken. This is a combination facility with separate infant and school age licenses. .

Census: There are five classrooms utilized by the Preschool children and following was observed.
Room # 5: 18 preschoolers napping with 2 staff members. Room # 6 : 15 napping preschoolers with 2 staff. Room # 8 : 18 napping preschoolers with 2 staff . Room # 9 : 12 napping preschoolers with 2 staff and Room # 10: 17 napping preschoolers with one staff. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios.

The Center's days and hours of operation are Mon.-Fri. 6.30 am to 6.30 PM.
Posting requirements: All posting requirements were observed on the Parent Boards. The license and the snack menu are posted on the Board along with the required Licensing forms.

Physical Plant: Director guided LPA on a tour of the classrooms and the playground. (floor and yard plan were verified). Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating and air-conditioning, lighting and ventilation were evaluated. The facility appeared clean and orderly. The items which could pose a danger to children (disinfectants and cleaning solutions) were stored out of the reach of children. Poisons/Hazardous Items are locked in the janitor's closet in the facility. Storage for children's belongings and an isolation area with a sink and toilet was inspected. Ill children will remain in Director's office and additional cot was observed Availability of drinking water was reviewed. Classroom has a drinking water pitcher with small cups is available. There is a carbon monoxide detector mounted on the wall and is operable.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: KIDDIE ACADEMY OF HUNTINGTON BEACH
FACILITY NUMBER: 304370987
VISIT DATE: 03/11/2020
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Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. There is concrete area, grass area and rubber cushioning underneath the playground equipment. Appropriate shade was observed. The playground is surrounded on all four sides by a fence. The play area was inspected for hazards and inaccessibility to bodies of water. No hazards observed. The toys are stored on the playground.

Food Service: Food is prepared on site; lunch and snacks are provided. Food prep areas appear clean and sanitary. Food is properly stored. On site kitchen is free from hazards. Solid waste receptacles have a tight-fitting cover and are in good repair. A current menu is posted in a prominent location viewable by an authorized representative. Allergy list is also posted in the kitchen area and in each classrooms.

Health related Services: There is one First Aid Kit is on the top shelf in the classroom. A review of medication policy, including administering, labeling, storage, and records was made. All medication is kept in a locked cabinet in the Director's office and there is first aid kit in each classroom. Director is current on the required First Aid and CPR training, which is valid through 06/27/2021

This facility provides Incidental Medical Services – IMS. information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173
101226. 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 athttp://www.ada.gov/childqanda.htm www.ada.gov/childqanda.html.

Currently there are enrolled children who receive this services. Staff are trained to provide treatment.

Transportation: This facility does provide transportation . They have designated three staff members and three vans used for Pickup and Drop off to the near by schools.

An Emergency Disaster Drill log is kept. The last fire drill was ran 01/22/2020.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: KIDDIE ACADEMY OF HUNTINGTON BEACH
FACILITY NUMBER: 304370987
VISIT DATE: 03/11/2020
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Information on the additional nutrition training, immunization requirements for children, and Health Schools Act (http://www.cdpr.ca.gov/docs/pestmgt/schoolipm.htm) were provided. The Facility Director was informed, and website given, about the California Child Care Disaster Plan has been posted to the UCSF California Childcare Health Program website: cchp.ucsf.edu/content/disaster-preparedness Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org A copy of the California Department of Social Services Lead Information Brochure was explained and provided to the facility representative.

A random sample of ten children's files were reviewed for documentation of the child’s name, address, and telephone number of the child’s authorized representative and of relatives or others that can assume responsibility for the child if the authorized representative cannot be reached when necessary (LIC 700) and a medical assessment. In the areas reviewed the children’s files were found to be in full compliance.

Staff files for staff present during today’s inspection were reviewed for a health screening, immunization’s and mandated reporter training. At least one staff member present possesses current CPR/First Aid certifications, which expires 06/2021, also contained health screening along with proof of immunization's against influenza (or written decline), pertussis and measles for employee and volunteers present during today’s inspection were reviewed and within compliance of 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. LPA reminded the Director, to renew Mandated training every two years.

In the areas that were evaluated, there were no deficiencies observed under California Code of Regulations, Title 22, Division 12 at the time of the visit.

Exit interview was conducted. The report was reviewed and discussed. Appeal Rights discussed and provided to the facility Director.

The 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 $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3