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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890358
Report Date: 04/20/2022
Date Signed: 04/20/2022 03:55:30 PM

Document Has Been Signed on 04/20/2022 03:55 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:GRANT STREET EARLY EDUCATION CENTERFACILITY NUMBER:
191890358
ADMINISTRATOR:DAVID ZENDEJASFACILITY TYPE:
850
ADDRESS:1559 N. ST. ANDREWS PL.TELEPHONE:
(323) 463-4112
CITY:LOS ANGELESSTATE: CAZIP CODE:
90028
CAPACITY: 164TOTAL ENROLLED CHILDREN: 46CENSUS: 35DATE:
04/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:27 AM
MET WITH:Rosamaria Garcia, Office ManagerTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Mireya Garcia conducted an unannounced Annual Required Inspection. LPA met with Office Manager, Rosamaria Garcia, who guided LPA on a tour of the facility indoors and outdoors. Principal was not available during this inspection. This is a preschool program which is operated by LAUSD. This program consists of 5 classrooms; RM 1, RM 2 RM 3, RM 4 and RM 5. Facility operation hours are Monday through Friday from 7:00 AM to 4:30 PM. This facility has a capacity of 164 children; preschool children ages 2 through entry to First grade.

Upon arrival, the following staff were present during this inspection: RM 1: Staff #1, #2, and #3 with 12 preschoolers; RM 2: Staff #4, #5 and #6 with 5 preschoolers, RM 3: Staff #7, #8 #9 and #10 with 7 preschoolers, RM 4: Staff #11, #12, and #13 with 3 preschoolers and RM 5: Staff #14, #15, and #16 with 8 preschoolers. 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 with the Los Angeles Unified School District. 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: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/20/2022
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: GRANT STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191890358
VISIT DATE: 04/20/2022
NARRATIVE
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LPA observed the indoors of 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, the outside is used as the primary isolation area when weather permits. There is a canopy with table and chairs. The staff lounge is also available for isolation and there is a restroom, chairs and a mat/cot can be placed. 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. Preschoolers are provided with Breakfast, Lunch and PM Snack by the Los Angeles Unified School District. 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 Office Manager, children bring their water bottles from home and water bottles are provided if needed. 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. Office Manager, Rosamaria states that there are no poisons stored at the facility.

Facility has one functioning carbon monoxide detector that meets statutory requirements. The carbon monoxide detector is located inside the kitchen, which was tested at 12:21 pm, and it is in operable condition. The facility representative takes measures to keep the facility free of flies, other insects and rodents. Report continues on next page 2 of 5.

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

DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022
LIC809 (FAS) - (06/04)
Page: 2 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: GRANT STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191890358
VISIT DATE: 04/20/2022
NARRATIVE
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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. However, there are areas in the outdoor space that are not cleaned. The three floor sand boxes are not kept clean (LPA took pictures) per Office Manager, sand boxes have not been in use and will be removed. The climbing structure near the outside area of Room 2 is not kept clean there is dirt on slide and spider webs were observed (LPA took pictures). The pretend wooden playhouse has dirt inside/outside, spider webs and pieces of vinyl flooring that are loose (pictures were taken.) Per Office Manager she will report to Principal and staff schedules will be review to ensure the outdoor yard area is kept clean and orderly. Areas around and/or under climbing equipment and slides have soft cushioning to absorb a fall. There is adequate shade in the play yard. The Office Manager, states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this visit.

Sign in and out sheets were reviewed by LPA to ensure that children who are present where sign in. Staff Records were not available for review. Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. LPA issued the Children’s Record Review (LIC 857) and the Review of Staff records (LIC 859) to the Office Manager during this inspection. 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 Pediatric CPR and First Aid present during this inspection. Health preventative practices documentation were not available for review.



Report continues on next page 3 of 5.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022
LIC809 (FAS) - (06/04)
Page: 3 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: GRANT STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191890358
VISIT DATE: 04/20/2022
NARRATIVE
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SB792 (Immunization Requirements for Staff and Employees) was discussed with the facility representative.

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. Per Office Manager, the facility currently has no children enrolled who required the administration of any medication. LPA Garcia provided technical assistance to Office Manager in the storage of medication and record keeping. 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





Report continues on next page 4 of 5.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022
LIC809 (FAS) - (06/04)
Page: 4 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: GRANT STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191890358
VISIT DATE: 04/20/2022
NARRATIVE
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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.

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 and Health & Safety codes. 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, Rosamaria Garcia.

Report ends here page 5 of 5.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022
LIC809 (FAS) - (06/04)
Page: 5 of 8
Document Has Been Signed on 04/20/2022 03:55 PM - It Cannot Be Edited


Created By: Mireya Garcia On 04/20/2022 at 02:44 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: GRANT STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191890358

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/20/2022

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 LPAs observation and interview with Office Manager there are areas in the outdoor space that are not cleaned. The three floor sand boxes are not kept clean. The climbing structure near the outside area of Room 2 is not kept clean there is dirt on slide and spider webs were observed. Also the pretend wooden playhouse has dirt inside/outside, spider webs and pieces of vinyl flooring that are loose. This poses a potential health and safety risk to children in care.
POC Due Date: 04/29/2022
Plan of Correction
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Per Office Manager, the sand boxes have not been in use and will be removed. In addition, the climbing structure and playhouse will be clean, pictures of the outdoor will be taken and will be submitted to LPA Garcia via email on or before POC due date 04/29/2022.
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview disclosure from Office Manager all staff immunization records are not available for review which poses potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/06/2022
Plan of Correction
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Per Office Manager, she will began to create a staff records binder for future review and will obtain getting immunization records for all daycare staff and will submit proof of correction on or before 05/06/2022 to LPA Garcia via e-mail.
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: 04/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/20/2022


LIC809 (FAS) - (06/04)
Page: 6 of 8
Document Has Been Signed on 04/20/2022 03:55 PM - It Cannot Be Edited


Created By: Mireya Garcia On 04/20/2022 at 02:44 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: GRANT STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191890358

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/20/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview disclosure from Office Manager all staff Mandated Reporter Training certificates of completion are not available for review which poses potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/06/2022
Plan of Correction
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Per Office Manager, she will began to create a staff records binder for future review and will obtain getting certificates of completetion of the Mandater Reporter Training for general and AB1207 courses for all daycare staff and will submit proof of correction on or before 05/06/2022 to LPA Garcia via e-mail.
Type B
Section Cited
CCR
101215.1(m)
Child Care Center Director Qualifications and Duties
(m) A child care center director shall complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview disclosure from Office Manager she does not have record proof of Principal's completetion of 16 hours of health and safety training which poses potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/06/2022
Plan of Correction
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Per Office Manager she will obtain and file the proof of completion of the 16 hours of health and safety training for Principal and will submit proof of correction on or before 05/06/2022 to LPA Garcia via e-mail.
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: 04/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/20/2022


LIC809 (FAS) - (06/04)
Page: 7 of 8
Document Has Been Signed on 04/20/2022 03:55 PM - It Cannot Be Edited


Created By: Mireya Garcia On 04/20/2022 at 02:44 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: GRANT STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191890358

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/20/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
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 interview disclosure from Office Manager all staff records are not available for review which poses potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/06/2022
Plan of Correction
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2
3
4
Per Office Manager she will began to create a staff records binder for future review and will obtain getting documents for all daycare staff and will submit proof of correction on or before 05/06/2022 to LPA Garcia via e-mail.
Section Cited
Deficient Practice Statement
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2
3
4
POC Due Date:
Plan of Correction
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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:Brandi VanOosten
LICENSING EVALUATOR NAME:Mireya Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 04/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/20/2022


LIC809 (FAS) - (06/04)
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