197400633-6-12-2023-30-CC-SPOL-CSLU26-20230608151124

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197400633
Report Date: 06/08/2023
Date Signed: 06/12/2023 04:23:15 PM

Document Has Been Signed on 06/12/2023 04:23 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	WORLDTOTS LA		FACILITY NUMBER:	197400633
ADMINISTRATOR:	PAMEL DALE		FACILITY TYPE:	830
ADDRESS:	100 W. FIFTH STREET		TELEPHONE:	(310) 732-7697
CITY:	SAN PEDRO	STATE: CA	ZIP CODE:	90731
CAPACITY: 12	TOTAL ENROLLED CHILDREN: 8	CENSUS: 6	DATE:	06/08/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:11 AM
MET WITH:	Pamela Dale, Director		TIME COMPLETED:	03:17 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Shandra Powell conducted an unannounced Required - 1 Year Inspection on 06/08/2023. A Risk Assessment for COVID-19 was completed. LPA met with Pamela Dale, Director. A copy of the Entrance Checklist for Child Care Center form (LIC 125) was provided to the Director upon entry. Director stated the facility is operating Monday-Friday 7:000am-5:00pm. Facility is licensed to serve 12 infants ages zero to 2 years old. The Director stated that she has 8 Infant children enrolled at this time. This is a Infant Center license who shares grounds with the Preschool/Toddler License. Per Director all staff present and working in the facility are fingerprint cleared and associated to the facility. LPA confirmed eligible clearance via Guardian Website during inspection. LPA observed 6 infants present with 2 teachers during inspection. Director, guided analyst on a tour of the facility inside and outside. LPA observed Facility License, Menus, Child Passenger restraint system poster (PUB269), Notification of Parents Rights (PUB 393), Emergency Disaster Plan (LIC 610) posted in a prominent, publicly accessible area at the facility (Parent Board). LPA reviewed the Disaster and Fire Drill Log (last fire drill conducted 04/2023) Sign in/out sheets, Daily Activity Schedule and Earthquake Preparedness (LIC 9148) during inspection(printed/completed during inspection).

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WORLDTOTS LA	FACILITY NUMBER: 197400633
	VISIT DATE: 06/08/2023

NARRATIVE

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There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions are kept in the locked cabinet in the kitchen. LPA observed cabinet to have a child safety latch making the content and area inaccessible to the children in care. Teachers do the day to day cleaning.

Medication is not being administer and facility does not have any children who need medication. Medications will be stored in a locked cabinet in the kitchen area. No poisons were observed inside of the facility.

Furniture and equipment are in fair condition, free of sharp, loose or pointed parts. Playground equipment is in fair condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is gated and maintained in a safe condition and is free of hazards. Floors in the facility are clean and safe. Director stated rugs are cleaned monthly.

All kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Dirty Diapers are discarded immediately. Families who bring in children’s bottles and milk supply will label everything that is brought into facility. Water and baby food is provided by the facility. Older infants are served Breakfast, Lunch and Afternoon Snack. LPA observed all infant bottles to be labeled during inspection.

Areas around high climbing equipment have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility contracts with a pest control vendor to ensure facility stays pest fee. There is a working carbon monoxide and facility has a pull fire alarm, fire extinguisher that was serviced on 05/30/2023, a Fire Prevention Inspection was completed May 2023 by the Fire Department. LPA observed director test carbon monoxide during inspection.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WORLDTOTS LA	FACILITY NUMBER: 197400633
	VISIT DATE: 06/08/2023

NARRATIVE

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Prior to working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at off site activities. Director’s CPR and Pediatric First Aid was taken on 11/23/2022 . Mandated Reporter Training has been completed by all staff members; Director’s Mandated Reporter Training was taken on 09/10/2021.

The name of the childcare center director or fully qualified teacher(s) designated to act in the director’s absence has been reported to the Department. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. During inspection LPA observed one infant had not been signed in by child's representative. This is a potential Health and Safety Risk to children in care.

All children are under supervision, including visual supervision, of a teacher always. There is a ratio of one teacher supervising no more than four infants in care. LPA reviewed a total of 6 infant files during inspection. contact information for authorized representative and or relatives or others who can assume responsibility for the child, medical assessment, individual feeding plan, and Infant Needs and Services Plan.

LPA reviewed all files for staff present during inspection and observed files were complete with qualification requirements, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training, CPR, LIC508, LIC9108 and LIC9052. LPA did not observe a completed LIC503 Health Screening Report for staff present during inspection. This is a potential Health and Safety Risk to children in care.

Menus are posted at least one week in advance where an authorized representative can view them. Facility posted menu's a month in advance.
The facility has sufficient age-appropriate furniture, and equipment including cribs, cot, changing table and feeding chairs. There is indoor and outdoor activity space for infants that is physically separate. LPA observed the outdoor space to be gated.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WORLDTOTS LA	FACILITY NUMBER: 197400633
	VISIT DATE: 06/08/2023

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Each crib, mat or cot is occupied by only one infant at time and cribs are kept free from all loose articles including blankets and pillows and there are no objects hanging above or attached to the crib. Infants are not swaddled while in care. Staff physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. LPA did not observed fifteen minute log for infants in care. Individual Infant Sleeping Plan is completed for only one infant during inspection. This poses a potential health and safety risk to children in care. Infants up to 12 months of age are placed on their backs for sleeping unless otherwise noted on the form LIC 9227 Individual Infant Sleeping Plan.
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/inspection-process.

Incidental Medical Services (IMS) currently NOT being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and facility representative discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations. LPA gave copies of Safe Sleep Regulations and Safe Sleep Infant Pamphlets during inspection.
A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Director, Dale Appeal Rights were provided

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/12/2023 04:23 PM - It Cannot Be Edited

Created By: Shandra Powell On 06/08/2023 at 02:00 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WORLDTOTS LA	FACILITY NUMBER: 197400633
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/08/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101429(a)(2)(B)

Responsibility for Providing Care and Supervision for Infants

(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above inwhich poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/12/2023
	Plan of Correction
1 2 3 4	Director will send a copy of completed 15 min Logs for Infants under 12months of Age to LPA by POC date of 06/12/2023 and continue to have staff complete logs daily and place into infant files.

Type B

Section Cited

CCR

101229.1(a)(1)

Sign In and Sign Out

(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. 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 in which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/12/2023
	Plan of Correction
1 2 3 4	Director will verbally speak with parent due to this is the first time for parent missing to sign the child into the center and post a reminder sign for parents to sign in and out daily. Director will take photo of sign and send to LPA by POC date 06/12/2023.

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:

Karren Starks

LICENSING EVALUATOR NAME:

Shandra Powell

LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023

LIC809 (FAS) - (06/04)

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