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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700010
Report Date: 10/12/2023
Date Signed: 10/12/2023 12:21:06 PM

Document Has Been Signed on 10/12/2023 12:21 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:VICTORY VALLEY CHILD CARE CENTERFACILITY NUMBER:
195700010
ADMINISTRATOR:BRENDA SHAWFACILITY TYPE:
850
ADDRESS:6451 ST CLAIR AVENUETELEPHONE:
(818) 764-1679
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY: 50TOTAL ENROLLED CHILDREN: 7CENSUS: 0DATE:
10/12/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Brenda Shaw, DirectorTIME COMPLETED:
12:35 PM
NARRATIVE
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Licensing Program Analyst (LPA) Silva Garibyan conducted an unannounced Required - 1 year inspection. Upon arrival, LPA met with director, Brenda Shaw. A COVID-19 risk assessment was conducted. LPA provided Director with a copy of the LIC 125 Entrance Checklist to facilitate the inspection. Business hours are from Monday to Friday, 9:00 AM to 4:00 PM. The entrance to the facility is locked and parents enter using a call/buzzer system.

At around 9:20 am, LPA was guided to a facility tour by the director. All areas identified on the Facility Sketch were inspected. The facility has a total of two classrooms ( Classroom A 114 and Classroom B 115). Facility was observed to have cameras indoors and outdoors with no sound available. LPA observed facility to be equipped to isolate and care for any child who becomes ill during the day. The isolation area was observed in a designated isolation room next to the director office. The isolation area was observed to have a cot for each ill child.

LPA observed the following children and staff present during inspection: Classroom A 114: five children / three staff; Classroom B 115: no children. Teacher child ratios were observed to be in accordance with Title 22 Regulations. Staff names were recorded. All children were observed to be under visual supervision of a teacher. The facility was observed to be within the license capacity and limitations. The facility roster was up to date and emergency disaster drills were conducted on during February 2023. LPA reminded the Facility Representative that Fire/Disaster Drill should be conducted every 6 months. Emergency disaster plan is updated and reflected to the current year. Children's roster was reviewed and is current. Page 1

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2023
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: VICTORY VALLEY CHILD CARE CENTER
FACILITY NUMBER: 195700010
VISIT DATE: 10/12/2023
NARRATIVE
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Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. The number of children present matched the number of children signed-in. Licensing documents. Age appropriate sinks and toilets were inspected for availability and good repair. General sanitation was observed.
LPA observed the following postings located in the entrance way: License LIC203A, LIC 613A, PUB 393, Child Care Center Notification of Parents' Rights Poster, LIC 610 Emergency Disaster Plan with the telephone number of the local health department, information on child passenger restraint systems, and a contingency plan for action during fires, floods and earthquakes. Menus were observed to be in writing and posted to be review by the child's authorized representative.

LPA observed working carbon monoxide detectors in the facility. LPA observed a working telephone service on the premises.

Cots used for napping were observed to be maintained in a safe condition. Cots are wiped with a detergent/disinfectant weekly or when soiled or wet. Sheets are provided to cover the cots and blankets for each child. Facility launders the sheets and blankets.

The licensee provides a variety of age-appropriate equipment, toys and materials in good condition and in sufficient quantity to allow children present to fully participate in planned activities.

All toilets and hand-washing areas were observed to be maintained in safe and sanitary operating condition.

Drinking water from a non-contaminating fixture was observed to be readily available both indoors and in the outdoor activity area.

Per Director City of Los Angeles Department of Recreation and Parks Forestry Division assists in measures to keep the center free of flies, other insects, and rodents. All containers used for storage of solid wastes, including moveable bins, were observed to have a tight-fitting cover that is kept on; in good repair; and leakproof and rodent-proof. Page 2

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023
LIC809 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: VICTORY VALLEY CHILD CARE CENTER
FACILITY NUMBER: 195700010
VISIT DATE: 10/12/2023
NARRATIVE
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LPA observed cleaning solutions, poisons and other items that could pose a danger if readily available to children be stored where inaccessible to children. LPA advised storage areas for poisons to be locked. LPA observed the following first–aid supplies located in the isolation room a current edition of a first-aid manual, sterile first-aid dressings, bandages or roller bandages, adhesive tape, scissors, tweezers, thermometer, and antiseptic solution. Director stated medication are maintained labeled with child's name and date in secure location in the office. The refrigerator in the director's office is used to store any medication that requires refrigeration. The 4A80BC fire extinguishers were observed in both classrooms and in the hallway with the service tags indicating last inspected on 5/08/23. Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. All materials accessible to children were observed to be toxic free. There are no firearms stored on the premises. All toilets and hand-washing areas were observed to be maintained in safe and sanitary operating condition.The food preparation and storage areas were observed be kept clean and free of litter and rubbish and free of rodents and other vermin. Menus were observed to be current. Two snacks and lunch is provided by the facility.

Outdoor area is located outside of Room A 114 and Room B 115. Outdoor area was observed with a climbing structure with an appropriate age range of two years to five years old, plastic log balance beam with an age appropriate sticker for ages two years – five years old. LPA observed a swing area with two swings. LPA observed a shaded rest area for the children. LPA observed the areas around and under high climbing equipment, swings, slides and other similar equipment to be cushioned with material that absorbs falls. LPA observed the playground to be enclosed by a concrete wall to protect children and to keep them in the outdoor activity area. The fence was observed to be at least four feet high. No bodies of water was observed at facility.

LPA advised smoking is prohibited on the premises of a child care center as specified in Health and Safety Code Section 1596.795(b).

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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023
LIC809 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: VICTORY VALLEY CHILD CARE CENTER
FACILITY NUMBER: 195700010
VISIT DATE: 10/12/2023
NARRATIVE
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Children’s Records were reviewed. Inspection of required forms was made and documented on the LIC 857. Children's roster was reviewed. LPA also reviewed staff records. The review of Staff records was documented on the LIC 859. There is at least one person trained in EMSA approved CPR and Pediatric First Aid present during this inspection.

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

Director 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.

LPA discussed the safe sleep regulations with 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 licensee [or facility representative] 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.

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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: VICTORY VALLEY CHILD CARE CENTER
FACILITY NUMBER: 195700010
VISIT DATE: 10/12/2023
NARRATIVE
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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/.

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


CCC COMPLETED TESTING AND IS IN THE PROCESS OF REMEDIATING LEAD EXCEEDANCES.

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

Exit interview conducted and report was reviewed with the director, Brenda Shaw.

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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023
LIC809 (FAS) - (06/04)
Page: 5 of 5