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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371172
Report Date: 10/02/2019
Date Signed: 10/02/2019 10:37:10 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:L'HERITAGE FRANCAISFACILITY NUMBER:
304371172
ADMINISTRATOR:SI, MAYFACILITY TYPE:
850
ADDRESS:222 NORTH EUCLID STREETTELEPHONE:
(562) 475-5039
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:29CENSUS: 12DATE:
10/02/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:May Si, DirectorTIME COMPLETED:
11:00 AM
NARRATIVE
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An unannounced annual inspection was conducted by the Licensing Program Analyst (LPA) Torrence on 10/02/2019. During this inspection, LPA Torrence met with Director May Si, who guided analyst on a tour of the Early Childhood Setting indoors and outdoors. Census was taken. LPA observed eight preschool children in the Catepiller room with two staff supervising and four preschool children in the Butterfly room with one staff supervising. A review of staff records on this date indicates that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions. This program serves children ages 2-5 years old. Operation hours are as follows: 8:00 AM to 3:00 PM, Monday through Friday. This program has a waiver to share playground with the private elementary school.

The facility was reviewed to ensure compliance with license conditions and limitations, staffing and ratios, inaccessibility to poisons, medication, and hazardous items that can pose a danger to children. Equipment and furniture were inspected to ensure it's in good condition, free of sharp, loose or pointed parts. Toilets and sinks were inspected to ensure they are safe and in a sanitary operating condition, floors were inspected for safety and cleanliness. The parents provide lunch and snacks. This program also provides AM and PM snacks. Per the Director there was no weapons or firearms at the facility. LPA observed no bodies of water in the facility. The playground was inspected for safety, good condition of equipment, including appropriate cushioning material around and under high climbing equipment.

Staff's files were reviewed for education verification, and required immunization's for (Measles, Pertussis, and Influenza vaccines). Staff 2, 3, and 4 are missing proof of immunization's for Measles, Pertussis, and Influenza. At least one staff member present had current Pediatric CPR & First Aid on file. Staff have not completed the mandated reporter training.

A sample of children's files were reviewed for completeness. There was a carbon monoxide detector present at the facility.

SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2019
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: L'HERITAGE FRANCAIS
FACILITY NUMBER: 304371172
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/02/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/16/2019
Section Cited

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H&S 1596.7995(a)(1) Immunizations. Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
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The requirement is not met as evidenced by record review of Staff #2, 3, and 4. Staff # 2, 3, and 4 are missing proof of Pertussis, Measles, and Influenza vaccines. This poses a potential risk to the health of children in care.
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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: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:
DATE: 10/02/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/02/2019
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: L'HERITAGE FRANCAIS
FACILITY NUMBER: 304371172
VISIT DATE: 10/02/2019
NARRATIVE
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LPA reviewed and discussed the following with the facility Director: Quarterly updates and Child Care Advocate Program childcareadvocatesprogram@dss.ca.gov.

During this inspection, LPA observed the following deficiency and is being cited in accordance with California Code of Regulations, Title 22, Division 12, H&S 1596.7995(a)(1) Immunizations. This deficiency is being cited on the attached LIC 809D. A Technical Violation Advisory Note was also given for H&S 1596.8662 Mandated Reporter Training.

Exit Interview conducted. Report was reviewed and discussed with Director. The licensee was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. The first level appeal is to regional manager, address is above on the report. The Notice of Site Visit was posted. 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. LPA informed the licensee of how to access regulations and forms from CCLD websites. http://www.ccld.ca.gov/http://ccld.ca.gov/PG411.htmThis report is to be on file and accessible for public review at the facility for at least 3 years.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3