191870874-8-2-2024-54-CC-CKAM-D7RR7D-20240802124609

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191870874
Report Date: 08/02/2024
Date Signed: 08/02/2024 12:46:27 PM

Document Has Been Signed on 08/02/2024 12:46 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	MOUNT ST. MARY'S CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	191870874
ADMINISTRATOR/ DIRECTOR:	WENDY GALAN		FACILITY TYPE:	850
ADDRESS:	10 CHESTER PLACE		TELEPHONE:	(213) 477-2977
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90007
CAPACITY: 74	TOTAL ENROLLED CHILDREN: 74	CENSUS: 34	DATE:	08/02/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Eugenia Sabado		TIME VISIT/ INSPECTION COMPLETED:	01:30 PM

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On 8/2/2024 at 9:00 am Licensing Program Analyst (LPA), Claudia Kam made an unannounced required visit at above licensed facility. LPA disclosed the purpose of the inspection and was granted entry into the facility.

LPA met with Assistant Director Eugenia Sabado and was taken on a guided tour of both indoors and outdoors of the facility. LPA observed Teacher-child ratios, and staff names recorded. All center staff that was present during today’s inspection had fingerprint clearance and are associated to the designated license number. Care and supervision evaluated, it is determined that the basic needs and personal rights of children are met and appropriate.

The hours of operation are 7:00 am – 5:30 pm, Monday - Friday. Facility is currently licensed for a capacity of 74. At the initial start of the site visit, there is a total census of 34 children and a total census of 8 staff present. The facility is made up of 5 classrooms. Room 1 Rainbow Room: had 13 children and 2 staff, Room 2 Cloud Room: had 12 children and two staff, Room 3 Star Room: 9 children and 4 staff present at time of inspection. Rooms 4 Sky Room and 5 Sunshine Room are not in use at this time and were observed to be used for storage. LPA observed all posting requirements for operation on the posting board and the following documents were observed LIC 203A-License, LIC 610 A-Emergency Disaster Plan, LIC 9148-Earthquake Preparedness Check List, PUB 394-Notification of parent’s rights poster, LIC 613A- Personal Rights, PUB 269- Child Car Seat Law, Menus, and Activity Schedule.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. Children napping equipment met the requirement regulation at time of inspection. The facility washes and provides all bedding. Bedding is kept in labeled ziplock bags for each child.

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MOUNT ST. MARY'S CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191870874
	VISIT DATE: 08/02/2024

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Storage for children's belongings, bathrooms facilities, and isolation areas were inspected. The Rainbow and Cloud Rooms have a shared bathroom with 4 toilets and 4 sinks in addition the Cloud room has its own bathroom with one toddler size toilet and sink. Room 1 the Rainbow Room was observed to have a music corner and dramatic play area and paint area, child size tables and chairs for activities, cubbies with blocks, dinosaurs and other age appropriate toys. In Room 2 the Cloud room LPA observed craft cubbies, reading corner with bookshelves with books, a dramatic play area, science corner in addition to cubbies with wood blocks and age appropriate toys. Room 3 the Star Room for toddlers 18 months to 2.5 years old is detached from the main building with its own playground. It was observed to have a corner for quiet time, a toddler size wooden play structure, agility toys, and dramatic play area. Bathroom is equipped with 2 child size sinks and 2 child size toilets, cubbies with a change of clothes and diapers and a changing table. Sleep log observed for all children in the Star Room. All rooms were observed to be clean and free of hazards at time of inspection. LPA observed carpets and age-appropriate tables and chairs in each classroom. LPA observed red backpacks for first aid kept in each classroom. First Aid supplies were inventoried and were found to be in compliance with regulation.

Facility provides breakfast, snack and lunch, menus were reviewed at time of inspection. All food items delivered daily to the facility by a third party vendor. Food and snack items were observed to be properly stored. Food preparation area was toured and found in compliance for safety, cleanliness, and drinking water is provided via filtered bottle water delivered by Sparkletts. Carbon monoxide were not present at time of visit. Smoke detectors and Heat detectors are present in the facility. LPA confirmed detectors at time of inspection with maintenance and facility representative and and were determined to be in operable condition. Fire extinguishers were observed as serviced on 11/08/2023. Last fire drill was held on 7/16/2024.

At 9:45 AM, LPA observed outdoor play area for room 1 Rainbow Room and room 2 Cloud Room which consists of a Gazebo with a paint center, craft cubbies, and toys for solitary play. The playground consists of 2 play areas one large structure with sand for cushion, a second play area has a music center, tunnel, water play and play house. Room 3, the Star Room has its own play area for the toddlers which was observed to have a tunnel, an age appropriate play structure, play house, and toddler size tables and chairs. In addition it is also equipped with a basketball hoop, and large built in sandbox that is kept covered when not in use to ensure that it is sanitary. Outdoor equipment was inspected for safety, cushioning material, good repair, and age-appropriateness. Required shade and fencing were inspected. LPA advised Director that the children need to be always within the direct care and visual supervision by the teachers.
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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MOUNT ST. MARY'S CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191870874
	VISIT DATE: 08/02/2024

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Per Assistant Director, the children have access to drinking water via the water dispenser with disposable paper cups for the children's use. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed at time of inspection.

Staff and Children’s Records were reviewed. Criminal Record Clearances were reviewed for adults. LPA observed current CPR and First Aid Certification for center staff. CPR card expires on 08/2024 for Staff Member. Mandatory Forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. Role and responsibilities of being a Mandated Reporter were reviewed. The Director was advised how to access forms and Regulations online at www.ccld.ca.gov. to ensure the most current information regarding regulations for all those who assists in providing care at the facility.

The following were discussed with the Director: The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and Carbon Monoxide detectors should be checked, and batteries replaced as needed. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location. The Director was also advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCLD within the time frame specified by the regulation.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods,

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MOUNT ST. MARY'S CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191870874
	VISIT DATE: 08/02/2024

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please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Center was reviewed for lead compliance and center meets standards for lead. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

LPA discussed the safe sleep regulations with assistant director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Assistant Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

LIC809 (FAS) - (06/04)

Page: 4 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MOUNT ST. MARY'S CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191870874
	VISIT DATE: 08/02/2024

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Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Based on this information the following deficiencies on the LIC 809 D are being cited today 8/2/2024.

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

Exit interview conducted and report was reviewed with Assistant Director, Eugenia Sabado.

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 08/02/2024 12:46 PM - It Cannot Be Edited

Created By: Claudia Kam On 08/02/2024 at 12:29 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: MOUNT ST. MARY'S CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191870874
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/02/2024

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, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/09/2024
	Plan of Correction
1 2 3 4	Maintenance will install the carbon monoxide detector and will send verification of installation and location of the detector for both the main building and toddler building.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Denise Gibbs

LICENSING EVALUATOR NAME:

Claudia Kam

LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

LIC809 (FAS) - (06/04)

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