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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191806026
Report Date: 02/21/2023
Date Signed: 02/21/2023 04:16:37 PM

Document Has Been Signed on 02/21/2023 04:16 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:GREGORY PARK HEAD START/STATE PRE SCHOOLFACILITY NUMBER:
191806026
ADMINISTRATOR:MARCIE HOUCHENFACILITY TYPE:
850
ADDRESS:5807 GREGORY AVE.TELEPHONE:
(323) 463-3061
CITY:LOS ANGELESSTATE: CAZIP CODE:
90038
CAPACITY: 60TOTAL ENROLLED CHILDREN: 63CENSUS: 42DATE:
02/21/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Liliana Aguirre, Child Development SupervisorTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Mireya Garcia conducted an unannounced Annual Required Inspection. LPA met with Child Development Supervisor, Liliana Aguirre, who guided LPA on a tour of the facility indoors and outdoors. This is a preschool program. This program consists of four (4) classrooms; RM1: Class 1, RM 2: Class 2, RM3: Class 3 and RM 4: Class 4, 5, 6. Facility operation hours are Monday through Friday from 7:45 AM to 4:30 PM. This facility has a capacity of 60 children; (48) preschool children ages 2 until entry into Kindergarten with a Toddler Option (12) capacity from Age 18 months until 36 months.

Upon arrival, the following staff were present during this inspection: RM 1: Staff #1 and #2 with 14 preschoolers; RM 2: Staff #3, #4 and #5 with 11 preschoolers, RM 3: Staff #6, and #7 with 12 preschoolers and RM 4: Staff #8, #9, #10 and #11 with 5 toddlers. Teacher-child ratio is met. All individuals present have obtained a criminal record clearance or criminal record exemption. All staff have received an active criminal record clearance as a condition of their employment. All children were observed to be under visual supervision of a teacher at all times.

REPORT CONTINUES ON NEXT PAGE 1 OF 5.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2023
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: GREGORY PARK HEAD START/STATE PRE SCHOOL
FACILITY NUMBER: 191806026
VISIT DATE: 02/21/2023
NARRATIVE
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LPA observed the facility to be clean, safe, sanitary and in good repair. Furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. Indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. All toilets and hand washing facilities are in safe and sanitary operating conditions. All materials and surfaces accessible to children are toxic free. At this time, there is an office located in building 1 and there is an additional office in building 2 that are used as an isolation area. There are chairs and a mat/cot in the offices. Parents are contacted immediately when children are determined to be ill and staff are ensuring that children with obvious symptoms of illness are not being accepted.

Food menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. Children are provided with Breakfast, Lunch and PM Snack through a catering agency named Chefables. All kitchen, food preparation, and storage areas are clean, free of litter, rubbish, and rodents/vermin. All food is protected from contamination, and LPA inspected that any contaminated food is discarded immediately. Per Supervisor, the facility provides children with water. Water jugs were visible in all classrooms and observed in the outdoors. Supervisor states water bottles are readily available in case of an emergency. LPA García observed water bottles stored inside building 1. The number of water bottles were observed in quantities to meet the needs of children in care. All storage containers for solid waste, including moveable bins, have tight fitting covers on and are in good repair. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are stored in an area inaccessible to children. Supervisor, Liliana states that there are no poisons stored at the facility.



REPORT CONTINUES ON NEXT PAGE 2 OF 5.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: GREGORY PARK HEAD START/STATE PRE SCHOOL
FACILITY NUMBER: 191806026
VISIT DATE: 02/21/2023
NARRATIVE
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Facility has one functioning carbon monoxide detector that meets statutory requirements. The dual smoke and carbon monoxide detector is located inside building 2 above children's restroom across from kitchen area, which was tested at 11:46 am, and it is in operable condition. The facility representative takes measures to keep the facility free of flies, other insects and rodents.

Outdoor play equipment was observed to be in good condition, free of sharp, loose or pointed parts. Outdoor activity space surface is maintained in a safe condition as is free of hazards. The Supervisor states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this visit. Areas around and/or under climbing equipment and slides have soft cushioning to absorb a fall.

Sign in and out digital records were not available for reviewed. Per Supervisor, the digital system failed to record sign in signatures on this date. LPA reviewed hard Sign in and out sheets for RM 1, RM 3, and RM 4 and observed 28 out of 42 children were sign in. LPA reviewed Sign in and out records to ensure that children who are present where sign in. Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. LPA did not review staff files during the inspection due to the staff files being stored at the administrative office. LPA will review staff files at a later time and date. If staff files were to be incomplete during the time and date that LPA reviews files, a case management inspection will occur at the facility to reflect the incomplete files. The LIC 857 and the LIC 859 documents the staff names recorded and children’s files that were reviewed during this inspection. There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

SB792 (Immunization Requirements for Staff and Employees) was discussed with the facility representative. REPORT CONTINUES ON NEXT PAGE 3 OF 5.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: GREGORY PARK HEAD START/STATE PRE SCHOOL
FACILITY NUMBER: 191806026
VISIT DATE: 02/21/2023
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AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018 any person who works in a child care facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers

Incidental Medical Services (IMS) policy was discussed. 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. 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



The following was discussed:
  • Reporting Requirements.
  • The facility shall ensure that each child is accorded the following personal rights: to be accorded safe, healthful and comfortable accommodations.
  • All personnel shall be in good health and shall be physically and mentally capable of performing assigned tasks; personnel that pose a threat to the health and safety of children shall be relieved of their duties.
  • All personnel shall be given on the job training in housekeeping, sanitation principles and universal health precautions.
REPORT CONTINUES ON NEXT PAGE 4 OF 5.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023
LIC809 (FAS) - (06/04)
Page: 6 of 8
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: GREGORY PARK HEAD START/STATE PRE SCHOOL
FACILITY NUMBER: 191806026
VISIT DATE: 02/21/2023
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LPA advised the facility representative to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

The following deficiencies are being cited in accordance to Title 22 of the California Code of Regulations. Please refer to LIC809D for documentation of deficiencies cited.

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

Exit interview conducted and report was reviewed with facility representative, Liliana Aguirre.

REPORT ENDS HERE PAGE 5 OF 5.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/21/2023 04:16 PM - It Cannot Be Edited


Created By: Mireya Garcia On 02/21/2023 at 03:16 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: GREGORY PARK HEAD START/STATE PRE SCHOOL
FACILITY NUMBER: 191806026

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/21/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Deficiency Dismissed
Type B
Section Cited
CCR
101224(a)
Telephones
(a) All child care centers shall have working telephone service on the premises.

This requirement is not met as evidenced by:
Deficient Practice Statement
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3
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Based on LPAs observation and staff disclosure the center telephone is not in service. This poses a potential health and safety risk to children in care.
POC Due Date: 02/22/2023
Plan of Correction
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Per Supervisor a ticket has been issued for the telephone line to be serviced. Supervisor will send LPA Garcia an email confirmation of facility telephone lines in operation by POC due date. Supervisor has posted cellular phone number at the front gate and in the classroom doors.
Deficiency Dismissed
Type B
Section Cited
CCR
101217(d)
Personnel Records
(d) All personnel records shall be maintained at the child care center and shall be available to the licensing agency for review.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPAs observation and staff disclosure the center does not maintain personnel records and Supervising staff on site have no access to staff records. This poses a potential health and safety risk to children in care.
POC Due Date: 03/07/2023
Plan of Correction
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Per Supervisor, the agency will meet to discuss systems to ensure that staff records are mainatined at the center and available for future review of licensing staff. Records of staff will be send via email to LPA Garcia by POC due date of 03/07/2023.
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:Brandi VanOosten
LICENSING EVALUATOR NAME:Mireya Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 02/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/21/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/21/2023 04:16 PM - It Cannot Be Edited


Created By: Mireya Garcia On 02/21/2023 at 03:16 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: GREGORY PARK HEAD START/STATE PRE SCHOOL
FACILITY NUMBER: 191806026

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/21/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Deficiency Dismissed
Type B
Section Cited
CCR
101229.1(d)
Sign In and Sign Out
(d) The sign-in and sign-out sheets with the signatures required by this section and by Section 101226.1 shall be kept for one month and shall be available at the center for review by the Department.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on records review and staff disclosure, Sign in and out digital records were not available for reviewed. Per Supervisor, the digital system failed to record sign in signatures on this date. LPA reviewed hard Sign in and out sheets for RM 1, RM 3, and RM 4 for today and observed 28 out of 42 children were sign in. This poses a potential health and safety risk to children in care.
POC Due Date: 02/24/2023
Plan of Correction
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Per Supervisor executive assistant has been informed of the digital error system and will email system carrier about the problem. Supervisor will use paper sign in and out sheets until this problem is resolved. Supervisor will email LPA Garcia by POC due date 2/24/23 to confirm the problem resolved.
Request Denied
Type B
Section Cited
CCR
101216.4(a)(1)
Preschool Program with Toddler Component
(1) A child who is between 18 months and 36 months of age may participate in the toddler program with written permission from the child's authorized representative. No child in the toddler program shall be placed in the preschool program before the age of 30 months without written permission from the child's authorized representative.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on records review no written permission to participate in the toddler program were available for review for child #1, #3, #4 and #7. This poses a potential health and safety risk to children in care.
POC Due Date: 03/07/2023
Plan of Correction
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Per Supervisor written permission to participate in the toddler program will be obtained and placed in children's file. Supervisor will email copies of child #1, #3, #4 and #7 written permissions to LPA Garcia by POC due date of 03/07/23.
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:Brandi VanOosten
LICENSING EVALUATOR NAME:Mireya Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 02/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/21/2023


LIC809 (FAS) - (06/04)
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