376600869-9-27-2019-20-CC-VWIN-BGETAU-20190927143408

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376600869
Report Date: 09/24/2019
Date Signed: 09/27/2019 02:34:23 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 CENTER-INFANT		FACILITY NUMBER:	376600869
ADMINISTRATOR:	ELIZABETH CORTESE		FACILITY TYPE:	830
ADDRESS:	5921 JACKSON DRIVE		TELEPHONE:	(619) 463-5126
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	22	CENSUS: 18	DATE:	09/24/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:16 AM
MET WITH:	Elizabeth Cortese		TIME COMPLETED:	01:30 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	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. There were 18 infants present with 5 teachers and 1 aide. Appropriate teacher to child ratio was observed. Infants were observed to be under visual supervision. The facility operates Monday-Friday from 6:00 am to 6:00 pm. The facility has indoor and outdoor activity space for infants physically separate from space used by the preschool. The classrooms and restroom have adequate lighting, heating, and ventilation. All floors appeared to be clean and safe. Furniture, children's cubbies, toys and napping equipment (cribs & cots) appeared to be in good condition. LPA observed detergent on the floor in infant classroom #1 accessible to daycare children. Director removed the detergent and placed in a locked cabinet. Trash cans containing discarded food have tight-fitting covers. The Medication policies and procedures were reviewed. Food and formulas for infants are labeled with names and dates. The kitchen and storage areas appeared to be clean. All food was inspected and protected from contamination. Facility appears to be free of flies, other insects and rodents. The surface of the outdoor activity space is maintained in a safe condition, free of hazards and has sufficient shade. Drinking water is available inside the classrooms and in the outdoor play area. Sign in/out sheets were reviewed. A sample of the children's records, including medical assessment and identification & emergency information were all reviewed. Infant needs & services plan including individual feeding plan for each infant were reviewed and are being updated every 3 months or as necessary. Staff records including transcripts, verification of teacher qualifications and experiences, and health screening requirements were reviewed and are in compliance for staff members. Opening and closing staff members have current CPR and First Aid certifications. There were no firearms/weapons or bodies of water present on the premises. The last fire drill was conducted and documented on 8/9/19. The Director's office is designated for use by children who are ill. 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 Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky Williamson	TELEPHONE: (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 CENTER-INFANT	FACILITY NUMBER: 376600869
	VISIT DATE: 09/24/2019

NARRATIVE

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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 assuring that disinfectants and cleaning solutions are made inaccessible to children, 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.

See LIC 809D for deficiency citations. Director 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 Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky Williamson	TELEPHONE: (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)

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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CHARLEY BROWN CHILDREN'S CENTER-INFANT	FACILITY NUMBER: 376600869
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/24/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/24/2019 Section Cited	1 2 3 4 5 6 7	Disinfectants, cleaning solutions, poisons and other items that are dangerous to children, shall be inaccessible to children. Requirement was not met as evidenced by: LPAs observed detergent on the floor in infant classroom #1 accessible to daycare children. This poses a potential health and safety risk to children in care.
	8 9 10 11 12 13 14		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: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky Williamson	TELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:	DATE: 09/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019

LIC809 (FAS) - (06/04)

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