191203231-4-27-2023-58-CC-MREN-CRAT3X-20230427142304

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191203231
Report Date: 04/27/2023
Date Signed: 04/27/2023 02:23:15 PM

Document Has Been Signed on 04/27/2023 02:23 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	YMCA OF METRO LA/MID VALLEY PRESCHOOL		FACILITY NUMBER:	191203231
ADMINISTRATOR:	CLAUDIA VALDES		FACILITY TYPE:	850
ADDRESS:	6901 LENNOX AVENUE		TELEPHONE:	(818) 989-3800
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91405
CAPACITY: 45	TOTAL ENROLLED CHILDREN: 28	CENSUS: 24	DATE:	04/27/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Claudia Valdes		TIME COMPLETED:	02:35 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

On 04/27/2023 Licensing Program Analysts (LPAs) Deborah Lowe and Maria Rendon conducted an unannounced Annual Required Inspection and met with Director Claudia Valdes. LPAs toured the facility indoors and outdoors and a census was taken; 24 children under care and supervision of 4 teaching staff.

Days and hours of operation are Monday - Friday 7:00am to 6:00 pm.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Tables and chairs meet the needs of the children in care.

Outdoor area was observed to be located just outside classrooms. Outdoor area was observed with a climbing structure, tricycle area, and a garden.

LPAs advised per CC Regulation 1596.954 Licensure Requirements Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. Per interview with the director facility does not have a carbon monoxide detector. Facility will receive a Type B citation for this violation.

LPAs advised per CC Regulation 101238(g) Buildings and Grounds (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. LPA Rendon observed an unlocked cabinet located in room 3 with cleaning chemicals inside with bleach and Lysol spray to be accessible to children. Cabinet was observed to have a locking mechanism however cabinet was left unlocked with the cabinet lock left on top of the cabinet. LPA Rendon advised the director and director immediately locked the cabinet with padlock to make it inaccessible. Facility will receive a type B citation for this violation.

All toilets and handwashing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Maria Rendon
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

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 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: YMCA OF METRO LA/MID VALLEY PRESCHOOL	FACILITY NUMBER: 191203231
	VISIT DATE: 04/27/2023

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
26
27
28
29
30
31
32

Facility has a kitchen and kitchen was observed to be clean and orderly. Facility provides morning and afternoon snacks. All children bring lunch from home. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair.

Drinking water is available both indoors and outdoors with use of a water cooler system. Children have water bottles, and the facility has disposable cups available.

Facility has conducted water lead testing to comply with Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test.

LPAs Lowe and Rendon observed the following postings on the parent board located on the wall in the hallway: Facility License, LIC 613A (9/96), the PUB 393 (8/02), Child Care Center Notification of Parents' Rights Poster, LIC 610 Emergency Disaster Plan with the telephone number of the local health department, information on child passenger restraint systems, and a contingency plan for action during fires, floods and earthquakes. Menu was observed on the parent board. LPAs observed disaster drill log posted on the parent board showing facility is conducting disaster drills monthly.

LPAs reviewed a sample of children’s files and observed files to be complete. LPAs Lowe and Rendon reviewed facility medication policy with Director, medications observed at the facility during the time of this inspection was in its original container with authorization forms and inaccessible to children.

Review of staff files show staff files to be complete with mandated reporter, immunization verification of Tdap, MMR, and flu, and health screening.

Review of facility file shows Director has CPR/First Aid completed in 01/2023 and has Preventive Health Practices with nutrition and lead components.

The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. LPAs observed sign out sheets with a section for parent/ guardian to sign out using a full legal signature.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Maria Rendon
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: YMCA OF METRO LA/MID VALLEY PRESCHOOL	FACILITY NUMBER: 191203231
	VISIT DATE: 04/27/2023

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
26
27
28
29
30
31
32

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPAs and facility representative discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and appeal rights and this report was reviewed with Director Claudia Valdes.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Maria Rendon
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

Document Has Been Signed on 04/27/2023 02:23 PM - It Cannot Be Edited

Created By: Maria Rendon On 04/27/2023 at 01:36 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: YMCA OF METRO LA/MID VALLEY PRESCHOOL	FACILITY NUMBER: 191203231
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/27/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.954

Licensure Requirements

Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above in facility which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/05/2023
	Plan of Correction
1 2 3 4	Facility will obtain a carbon monoxide detector and will provide proof of purchase and installation to LPA Lowe on or before end of business on 5/5/2023 via an email.

Type B

Section Cited

CCR

101238(g)

Buildings and Grounds

(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in that LPA Rendon observed an unlocked cabinet located in room 3 with cleaning chemicals inside with bleach and Lysol spray to be accessible to children, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/27/2023
	Plan of Correction
1 2 3 4	Director immediately locked the cabinet with padlock to make it inaccessible. Director spoke with staff.

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:

Lisa Rios

LICENSING EVALUATOR NAME:

Maria Rendon

LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

LIC809 (FAS) - (06/04)

Page: 4 of 4