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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191606222
Report Date: 03/15/2023
Date Signed: 03/15/2023 03:15:33 PM

Document Has Been Signed on 03/15/2023 03:15 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:MCKINLEY STATE PRESCHOOLFACILITY NUMBER:
191606222
ADMINISTRATOR:FREDRICKA BROWNFACILITY TYPE:
850
ADDRESS:14431 S. STANFORD AVENUETELEPHONE:
(310) 898-6329
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 14DATE:
03/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Monique Pugh, Facility RepresentativeTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced annual required inspection at the above facility on 3/15/23 at 11:30AM. LPA met with Monique Pugh, Facility Representative (FR) who guided analysts on a tour of the facility.

There were 14 children and five staff present when LPA arrived. This facility operates an AM program, 8AM-11:30AM and a PM Program from, 12PM-2:45PM in Room B-1 and a full day program in Room B-2, 8AM-2:45PM. Facility is on the campus of McKinley Elementary. All individuals present have obtained a criminal record clearance or criminal record exemption as a condition of employment with the Compton Unified School District.

LPA toured Room B-2, full day classroom. Children were observed to be sleeping on cots. LPA observed that some cots did not have sheets to cover the cot. Per staff, parents do not bring them back when sent home to wash weekly. LPA observed a staff backpack on the floor towards a corner in the classroom. Per, staff they do have adequate storage space and are in need of cabinets that lock. Water is made readily available by via a filtered water station in the classroom and cups. Children also bring in water bottles to fill with the water dispenser. In both Rooms B-1 and B-2 furniture was in good condition, free of loose, sharp and/or pointed parts. Classrooms have age appropriate toys and material for children. Rugs were observed to be flat on the ground to avoid tripping hazards. Floors and surfaces of the classrooms were clean and safe. In Room B-1, part time, water is made available via an operable water fountain. There is also a water dispenser and cups and children bring water bottles. Children do not nap at in this room due to having a part time program. LPA observed a cabinet in B-1 containing sealed individual cereal containers and sealed packages of juice stored on the lower shelves in the cabinet and cleaning supples stored on the top shelf of the cabinet. LPA informed that cleaning supplies must be stored separate from the food. Facility has completed required water lead testing with no Action Level Exceedance (ALE) found. Lead results are posted accessible to parents. ---------------------PAGE 1
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Denise Gibbs
LICENSING EVALUATOR SIGNATURE: DATE: 03/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/15/2023
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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: MCKINLEY STATE PRESCHOOL
FACILITY NUMBER: 191606222
VISIT DATE: 03/15/2023
NARRATIVE
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LPA toured the children restrooms. Restroom are located inside each preschool classroom and are used only by preschool children. Both rooms have two restrooms in each class with one toilet and one sink per restroom. Both classrooms have one changing table each. In B-1, restrooms were observed to be safe and sanitary with operable sinks and toilets. In Room B-2, LPA observed sealed containers of Germicide wipes in a storage box on the floor, a box of sealed eating utensils on top of the Germicide box and a bag of disposable plates on top of the changing table. Changing table is currently not used for children. Per staff they do not have adequate storage space.

LPA reviewed Sign In/Out sheets located in each classroom. All children present were signed in with the date and full signature of guardian. In Room B-1, 6 out 16 children were missing sign in or sign out times. LPA discussed the importance of parenting documenting time with staff.

Outdoor space has age appropriate toys and material. Preschool yard is used only by preschool children. LPA observed required cushioning under climbing structure to absorb fall. Shade was observed in the outdoor area. Per staff, water is taken outside in pitchers/jugs and cups are provided for children. Children also take water bottles outside if they have them.

LPA observed required posted documentation in the classroom which included, Facility License, Publication (PUB) 393- Notification of Parent Rights, PUB 269- Child Passenger Restraint System, Licensing Form LIC 613A- Notification of Personal Rights, Daily Schedule and Lunch/Snack Menu.

Facility records were reviewed for LIC 9148- Earthquake Preparedness form, LIC 9040- Children's Roster and LIC 610- Facility Disaster Plan. Disaster drill was last drill conducted 3/3/23 . All documents observed.

Children’s records were reviewed for LIC 700- Identification and emergency information, LIC 627- Consent for Medical, Immunization Records, LIC 995 Notification of Parents’ Rights, LIC 701- Physician’s Report, LIC 613A- Personal Rights, and signed Admissions Agreement. All records were complete.

Staff records were reviewed at for approved Pediatric First Aid and CPR certification, LIC 9052- Employee Rights, Proof of immunization against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse, Teacher's ------------------------PAGE 2
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Denise Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023
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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: MCKINLEY STATE PRESCHOOL
FACILITY NUMBER: 191606222
VISIT DATE: 03/15/2023
NARRATIVE
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Permit and current Mandated Reporter Training Certificate. 3 out of 5 staff are missing immunization records and 4 out 5 staff are missing Mandated Reporter training. Per FR, it is Staff five last day today.

LPAs observed the kitchen located on the elementary campus. Facility provides Breakfast and Lunch for the part time program and breakfast lunch and snack for the full day program. Food is not cooked at the facility. Prepackaged food is delivered daily and warmed at the facility. Extra perishable food is stored is discarded daily. Kitchen was observed to be clean, free of litter, insects and rodents. All trash cans have tight fitting lids for solid waste. Cleaning supplies are stored separate from the food. Carbon Monoxide detector is wired with smoke and fire alarm.

During inspection all children were observed to be treated with dignity and respect, they were observed to be receiving safe, healthful and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment.

Incidental Medical Services (IMS):
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a plan for providing 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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

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.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Facility Representatives, Domonique Pugh --------------PAGE 3

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Denise Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023
LIC809 (FAS) - (06/04)
Page: 3 of 6
Document Has Been Signed on 03/15/2023 03:15 PM - It Cannot Be Edited


Created By: Denise Gibbs On 03/15/2023 at 02:41 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MCKINLEY STATE PRESCHOOL
FACILITY NUMBER: 191606222

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/15/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(a)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above. LPA observed sealed containers of Germicide wipes in a storage box on the floor, a box of sealed eating utensils on top of the Germicide box and a bag of disposable plates on top of the changing table. Changing table is currently not used for children. Staff personal items were also observed accessible to children, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/16/2023
Plan of Correction
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Per FR, the items will be temporarily relocated inaccessible to children. Long term correction will be to request storage cabinets with locks from the district office. FR email a picture of temporary correction to LPA by POC date 3/16/23
Type B
Section Cited
CCR
101238.4(d)
Storage Space
(d) Combustibles, cleaning equipment and cleaning agents shall be stored in an area separate from food supplies in a locked cabinet or in a location inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above. LPA observed sealed individual cereal containers and sealed packages of juice stored on the lower shelves in the cabinet and cleaning supples stored on the top shelf of the cabinet, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/16/2023
Plan of Correction
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Per FR, the items will be temporarily relocated inaccessible to children. Long term correction will be to request storage cabinets from the district office. FR email a picture of temporary correction to LPA by POC date 3/16/23
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:Karen Chambers
LICENSING EVALUATOR NAME:Denise Gibbs
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2023


LIC809 (FAS) - (06/04)
Page: 4 of 6
Document Has Been Signed on 03/15/2023 03:15 PM - It Cannot Be Edited


Created By: Denise Gibbs On 03/15/2023 at 02:41 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MCKINLEY STATE PRESCHOOL
FACILITY NUMBER: 191606222

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/15/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101217(a)
Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in four out of five staff files which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/14/2023
Plan of Correction
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Per FR, staff will bring in all documents, a file will be crated and LPA will be sent an email with documents requested by POC date 4/14/23
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Karen Chambers
LICENSING EVALUATOR NAME:Denise Gibbs
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2023


LIC809 (FAS) - (06/04)
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