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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197406974
Report Date: 12/20/2024
Date Signed: 12/23/2024 09:44:30 AM

Document Has Been Signed on 12/23/2024 09:44 AM - 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:GIVING TREE ACADEMY: SCHOOL-AGE PROGRAMFACILITY NUMBER:
197406974
ADMINISTRATOR/
DIRECTOR:		YUN JEONG YIFACILITY TYPE:
840
ADDRESS:1111 CRENSHAW BOULEVARDTELEPHONE:
(323) 935-7971
CITY:LOS ANGELESSTATE: CAZIP CODE:
90019
CAPACITY: 59TOTAL ENROLLED CHILDREN: 59CENSUS: 8DATE:
12/20/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Yun Jeong YiTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On 12/20/24 at 2pm, Licensing Program Analyst (LPA) V. Wheatley conducted an unannounced Annual Inspection for the school aged license. LPA met with director Yun Jeong Yi and toured the facility. Days and hours of operation are Monday – Friday, school days 10am to 6pm and after school program is 1pm to 6pm. The parents enter and exit the rear. The front entrance is for emergency only.

There is no swimming pool or other bodies of water on the premises. LPA observed no disinfectants, cleaning solutions, medication and other hazardous accessible. LPA did not observe any poisons on the premises. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Floors in the facility are clean and safe.

LPA observed the food preparation area which is the kitchen. The kitchen is clean and free of litter/rubbish and free of rodents/vermin. All food is protected against contamination and any contaminated food is discarded immediately. Menus for snack are posted for the entire month where an authorized representative can view them. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors. The drinking fountains work and past lead testing.

LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment. LPA reviewed a sample of staff files and observed files without health screening and no immunization records for influenza, pertussis and measles. LPA observed documentation of completed mandated reporter training which expires February 2025. At least one staff member trained in CPR and Pediatric First Aid is always present when children are at the facility. Director and staff CPR/first aid expire February 2025.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2024
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: GIVING TREE ACADEMY: SCHOOL-AGE PROGRAM
FACILITY NUMBER: 197406974
VISIT DATE: 12/20/2024
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The facility is free of flies, insects and rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption. Capacity and limitations as specified on the license are being maintained.

The name of the child care 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. All children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 14 children in care.

Incidental Medical Services (IMS) are not currently 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 Director 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, Guardian for prints, Lead Poisoning Facts, Forms and Regulations.Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, Type B deficiencies are cited.

LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

Exit interview with director. Report was provided.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/23/2024 09:44 AM - It Cannot Be Edited


Created By: Veronica Wheatley On 12/20/2024 at 04:36 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: GIVING TREE ACADEMY: SCHOOL-AGE PROGRAM
FACILITY NUMBER: 197406974

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(g)(2)
Personnel Requirements
(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA's observation, staff interview, and record review, the licensee did not comply with the section cited above in that two staff members do not have completed health screenings. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/20/2025
Plan of Correction
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The licensee and director will have the staff go to the doctor and have the forms completed as well as submit TB test and immunizations to the Department by 1/20/2025. May be sent via email.
Type B
Section Cited
CCR
101216.1(b)(1)
Teacher Qualifications and Duties
(1) A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1) below; or shall have obtained a Child Development Assistant Permit issued by the California Commission on Teacher Credentialing.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA's observation, staff interview, and record review, the licensee did not comply with the section cited above in that two staff members do not have transcripts in the file showing they are qualified teachers. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/27/2024
Plan of Correction
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The licensee and director will have the staff contact their colleges online to submit copies of their transcripts to prove that they are qualified to teach in the classrooms with the children. The unfamilar course descriptions will be printed as well to clarify the courses are adequate. The transcripts will be submitted to the Department via email by 12/27/24.
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:Maureen Neal
LICENSING EVALUATOR NAME:Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE: 12/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2024


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