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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600479
Report Date: 06/01/2022
Date Signed: 06/01/2022 12:39:55 PM

Document Has Been Signed on 06/01/2022 12:39 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:PLAY MOUNTAIN PLACEFACILITY NUMBER:
191600479
ADMINISTRATOR:ACCARDI, JUDYFACILITY TYPE:
850
ADDRESS:6063 HARGIS STREETTELEPHONE:
(323) 870-4381
CITY:LOS ANGELESSTATE: CAZIP CODE:
90034
CAPACITY: 44TOTAL ENROLLED CHILDREN: 45CENSUS: 33DATE:
06/01/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:01 PM
MET WITH:Joseph Ringlehan, Director Assistant TIME COMPLETED:
12:55 PM
NARRATIVE
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On 06/01/2022, Licensing Program Analyst (LPA) Denise Miranda conducted a Case Management for the purpose of the health and safety of the child care center.

The following were observed:
Per Joseph Ringlehan, Director Assistant, Director Ms. Accardi, is no longer working for Play Mountain Place since September 2021, and per facility requested, on 7/2021, LPA sent an email to Mr. Joseph Ringlehan, with a list of documents to qualify a new Director. The Department has not received formal notification and required documentation with the new director's qualifications.

In additional, Facility was unable to produce a copy of LIC9040 – Children’s Facility Roster.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D).

An exit interview was conducted and a copy of this report, appeal rights and Notice of Site Visit was provided to Joseph Ringlehan, Director Assistant.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Denise Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 06/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/01/2022
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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Document Has Been Signed on 06/01/2022 12:39 PM - It Cannot Be Edited


Created By: Denise Miranda On 06/01/2022 at 12:17 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: PLAY MOUNTAIN PLACE
FACILITY NUMBER: 191600479

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/08/2022
Section Cited
CCR
101215.1

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Child Care Center Director Qualification and Duties:
(1) If the child care center director is absent for more than 30 consecutive calendar days, the substitute director shall meet
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Facility will submit director's paperwork to LPAs for review for the new director Joseph Ringlehan. Via mail to LPA Miranda . LPA provided a business card to Mr. Ringlehan, with El Segundo Office’s address. The documents shall submit no later than 06/8/2022.
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the qualifications of a director.
Base on interview, Mr.Ringlehan, informed LPA, that Director Ms. Accardi is no longer employee since September/2021. The Department has not received formal notification and required documentation with the new director's qualifications. This is a potential risk the health and safety to children in care.
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Type B
06/01/2022
Section Cited
HSC1596.841

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1596.841 Current roster of children provided care in facility required: Each child day care facility shall maintain a current roster of children who are provided care in the facility.
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Director assistant agreed to submit no later than today copy of lic9040 Children’s Roster to LPA Miranda via email, no later than today (business hours).
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 The roster shall include the name, address, and daytime telephone number of the child's parent or guardian,
and the name and telephone number of the child's physician. This is not met by evidence: 06/1/2022 Director Assistant was unable to provide a copy of roster. This is a potential health and safety risk to 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:Claudia Escobedo
LICENSING EVALUATOR NAME:Denise Miranda
LICENSING EVALUATOR SIGNATURE:
DATE: 06/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/01/2022


LIC809 (FAS) - (06/04)
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