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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370800939
Report Date: 09/24/2019
Date Signed: 09/27/2019 03:10:47 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:CHARLEY BROWN CHILDREN'S CTRFACILITY NUMBER:
370800939
ADMINISTRATOR:ELIZABETH CORTESEFACILITY TYPE:
850
ADDRESS:5921 JACKSON DRTELEPHONE:
(619) 463-5126
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:94CENSUS: 78DATE:
09/24/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Elizabeth CorteseTIME COMPLETED:
04:15 PM
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THIS IS AN ELECTRONIC COPY FROM A HANDWRITTEN REPORT

Licensing Program Analysts Vicky Williamson and Gloria Gonzalez conducted an annual random inspection. LPA met with Director, Elizabeth Cortese. The facility operates Monday-Friday from 6:00 am to 6:00 pm.

The indoor and outdoor of the facility was inspected. There were 78 preschool children present with 9 teachers and 2 aides. Children were observed to be under visual supervision. The classrooms and restrooms have adequate lighting, heating, and ventilation. All floors appeared to be safe and clean. Furniture, children's cubbies, toys and napping equipment (cots) appeared to be in good condition. Trash cans have tight-fitting covers and are in good repair. Disinfectants, cleaning solutions and other hazardous items are stored behind latched cabinets. Menu are posted monthly. All food was inspected and protected from contamination. Facility has an electronic sign in/sign out system showing parent/guardian’s signature and time of day recorded. Sign in/ sign out system was reviewed by LPA during time of inspection. The kitchen and storage areas appeared to be clean. Facility appeared to be free of flies, other insects and rodents. The surface of the outdoor activity space is maintained in a safe condition with sufficient shade. Drinking water is available inside the classrooms and in the outdoor play area. There are no bodies of water or weapons present on the premises. The last fire drill was documented on 8/9/19. The Director's office is designated for use by children who are ill. A sample of the children's records, including medical assessment and emergency information were reviewed. Staff's records, including transcripts, teacher qualifications and experiences and health screenings were reviewed. Opening and closing staff members have current CPR and First Aid certifications.

A review of staff records on 9/24/19 indicated that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: CHARLEY BROWN CHILDREN'S CTR
FACILITY NUMBER: 370800939
VISIT DATE: 09/24/2019
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 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 at: http://www.ada.gov/childqanda.htm

LPAs and Director discussed reporting requirements, Safe Sleep Regulation Concept, SIDS and Shaken Baby Syndrome. Director was provided information on the Effects of Lead Exposure (pamphlet)

To access our Regulation and Forms please use our WEBSITE: http://ccld.ca.gov

Please update and submit forms LIC 308, LIC 309, LIC 610, LIC 500 and the Articles of Incorporation to the Licensing Agency by October 24, 2019. Director provided a copy of the Parent handbook to LPA during time of inspection.

No deficiencies cited during today’s inspection. Licensee was provided appeal rights (LIC9058 01/16) and their signature on this form acknowledges receipt of these rights. Notice of Site Visit (LIC 9213) was provided to be posted at the facility for 30 days. LPA observed Notice of Site Visit (LIC 9213) posted.

SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
LIC809 (FAS) - (06/04)
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