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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600356
Report Date: 10/20/2022
Date Signed: 10/20/2022 12:36:17 PM

Document Has Been Signed on 10/20/2022 12:36 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:WHITEWOOD CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191600356
ADMINISTRATOR:LISA PAIONIFACILITY TYPE:
850
ADDRESS:5511 WHITEWOOD AVETELEPHONE:
(562) 461-2227
CITY:LAKEWOODSTATE: CAZIP CODE:
90712
CAPACITY: 136TOTAL ENROLLED CHILDREN: 57CENSUS: 23DATE:
10/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Teacher, Rebecca SanchezTIME COMPLETED:
12:45 PM
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On October 20, 2022 at 11:10 am, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced inspection at the facility noted above and met with Teacher, Rebecca Sanchez. The purpose of the inspection was to conduct the Required 1 Year inspection at the facility. Entrance Checklist – Child Care Centers (LIC 125) was provided to the Teacher upon arrival. Per Teacher, the preschool program operates Monday through Friday from 8:30 am to 11:30 am and 12:30 pm to 3:30 pm.

All areas on the facility sketch were inspected. Upon arrival, the following staff were present: Staff (S1) and S2 with 13 children in Room 5, and Staff (S3), S4, and S5 with 10 children in Room 6.

The following documents are posted in a prominent, publicly accessible area: Facility License, Menu, Child Passenger Restraint System Poster (PUB 269), Notification of Parents' Rights (PUB 393), Emergency Disaster Plan (LIC 610), Waiver, Personal Rights (LIC 613A), Daily Activity Schedule, and Earthquake Preparedness (LIC 9148).

The facility has verification of disaster and fire drills. The last drill was conducted on 10/20/2022. Children's roster was reviewed and is current. Sign-in and sign-out sheets were reviewed; all children present were signed in. Per Director, children enrolled in the program that have special needs are provided with transportation with the Bellflower Unified School District (BUSD).
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2022
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WHITEWOOD CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191600356
VISIT DATE: 10/20/2022
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Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Napping equipment was not inspected as the program operates a separate AM and PM session. Per Teacher, the isolation area is in Room 10 and is located on the adjacent Intensive Learning Center (elementary school) due to COVID-19 protocols set in place by the BUSD. In Room 10, a cot may be placed for an ill child and a separate restroom located near Room 10 or the staff restroom is readily available if an ill child requires it. Age appropriate sinks and toilets were inspected for availability and good repair. General sanitation was observed.
Availability of indoor and outdoor drinking water was observed (drinking fountains and water bottles). Disinfectants, cleaning solutions, medication and other items that are hazardous to children, were made inaccessible to children in all areas. Teacher confirmed that there are no poisons stored at the facility. The program provides snacks and meals to the children. The snacks and meals are prepared by the BUSD.

Smoke detector and carbon monoxide detector was tested and is operable. The fire extinguisher is fully charged and was last serviced on 8/10/2022. First Aid supplies were observed and kept in each classroom. According to the Teacher, medication is only administered to a child when accompanied with a doctor's note and medication is stored in a locked cabinet in each classroom.

Outdoor playground equipment is in a safe condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that could absorb a fall. There is adequate shade in the outdoor play yard. No bodies of water were observed on the premises.

All staff have fingerprint clearances through BUSD as a condition of employment. There is at least one person present with a valid Pediatric First Aid and CPR certification (EMSA-approved) during this inspection.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WHITEWOOD CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191600356
VISIT DATE: 10/20/2022
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LPA conducted a record review of 5 children’s records for completeness. Based on the record reviews, children's records were complete with all the required documents per licensing regulations. The names of children's whose records were reviewed were documented. Per Teacher, personnel records are on file at the BUSD Early Childhood Education (ECE) Office. Staff files will be reviewed at a later date. If any deficiencies are observed during the personnel file review, citations will be issued to reflect this report.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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.

Teacher 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.

LPA advised the Teacher on how to access forms, regulations, quarterly updates, and Provider Information Notices (PINs) on the Department website at: www.ccld.ca.gov.

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.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WHITEWOOD CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191600356
VISIT DATE: 10/20/2022
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No deficiencies were cited during today's inspection.

A Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with Teacher, Rebecca Sanchez.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
LIC809 (FAS) - (06/04)
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