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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197409872
Report Date: 06/29/2023
Date Signed: 06/30/2023 08:24:43 AM

Document Has Been Signed on 06/30/2023 08:24 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:SCOTCH, INC. CHILD CARE CENTERFACILITY NUMBER:
197409872
ADMINISTRATOR:MAYES, ANNAFACILITY TYPE:
850
ADDRESS:9115 S. NORMANDIE AVENUETELEPHONE:
(323) 756-4680
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY: 30TOTAL ENROLLED CHILDREN: 1CENSUS: 0DATE:
06/29/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Anna Mayes, LicenseeTIME COMPLETED:
01:35 PM
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On 06/29/2023 Licensing Program Analyst (LPA) Shandra Powell conducted an unannounced annual inspection to the above facility. LPA arrived at the facility identified self and met with Anna Mayes, Licensee, who guided analyst on a tour of the facility. LPA provided the Licensee with a copy of the LIC 125 Entrance Checklist to help facilitate the inspection. This is a preschool program. The facility also has a School Age license #197409873 at the same location. Hours of operation are Monday thru Friday 24 hour care.

There were no children and no staff present when LPA arrived. All individual’s present have obtained a criminal record clearance.

The following was observed during the tour of the facility:
Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. LPA observed mats for napping located in the cubbies during inspection. Linens will be washed weekly by licensee. Age-appropriate sinks and toilets were inspected for availability and good repair in the restroom. Room 1
is used for the Preschoolers per licensee. Availability of indoor drinking water (bottle water) was observed in the facility.

Disinfectants, cleaning solutions, medication (Licensee states no medication in facility at this time) and other items that are dangerous to children, were inaccessible.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE: DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/29/2023
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: SCOTCH, INC. CHILD CARE CENTER
FACILITY NUMBER: 197409872
VISIT DATE: 06/29/2023
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LPA observed licensee putting cleaning solutions underneath kitchen sink cabinet which has a key lock, Disaster drill log was available, last drill was conducted on June 2023. Smoke and Carbon monoxide detectors were observed and tested during inspection both were operable. LPA did observe First Aid supplies in the classroom.

LPA observed License and Pub 393 Notification of Parents Rights posted on a bulletin board in kitchen area. All other required documents were not posted during inspection.

LPA did not observed menus posted. Menus for the past 30 days were not available upon request. The facility provides snacks to children only due to the time children are in care at this time. All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids or solid waste bags shall be discarded immediately after each meal.


Outdoor playground equipment is in a 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. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. LPA observed the climbing equipment to be dirty/dusty during inspection. The porch of the facility provides a shaded area for the children in care. Availability of outdoor drinking water was observed by bottle water. LPA advised that no children shall be left without the supervision of a teacher at any time. Per licensee the outdoor space is shared with the School Age Children. The children alternate the yard. Waiver on file and posted.

All floors were observed to be clean and safe. All materials accessible to children were observed to be toxic-free. Per licensee, there are no firearms stored on the premises. LPA did not observe pools or bodies of water at the facility.

Children’s Records were reviewed. Inspection of required forms was made and documented on the LIC 857. Children's roster was not up to date during inspection. Sign-In and Sign-Out sheets were not completed during inspection.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
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: SCOTCH, INC. CHILD CARE CENTER
FACILITY NUMBER: 197409872
VISIT DATE: 06/29/2023
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Staff Records were reviewed. There were one staff records in the facility for LPA to review. Missing documentation was documented on the LIC 859. Licensee and staff did not have proof of the AB 1207 Mandated Reporter Training certificate on file. www.mandatedreporterca.com

Staff present did have proof against TB, measles, pertussis, and influenza.

There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

Per licensee all ill children will lay on a mat in the isolation area which is located in kitchen nook area next to cubbies to wait for child to be picked up by their representative.



Criminal Record Clearance - Licensee 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.

Review of records to be maintained - Child Care Centers LPA reviewed with [applicant, licensee, or facility representative] the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

LPA will refer the facility and licensee to the Technical Support Program (TSP) to provide consultative and supportive services to help providers achieve and maintain compliance with laws and regulations.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
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: SCOTCH, INC. CHILD CARE CENTER
FACILITY NUMBER: 197409872
VISIT DATE: 06/29/2023
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Lead Testing - 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 not completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. LPA referred licensee to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

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/

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.

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

Notice of Site Visit - A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with licensee Anna Mayes.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
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Document Has Been Signed on 06/30/2023 08:24 AM - It Cannot Be Edited


Created By: Shandra Powell On 06/29/2023 at 12:31 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: SCOTCH, INC. CHILD CARE CENTER
FACILITY NUMBER: 197409872

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, 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: 07/05/2023
Plan of Correction
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Licensee will complete documents needed to test water and send a copy of completed docuements to LPA by POC date of 07/05/2023.
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 observation and record review, 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: 07/05/2023
Plan of Correction
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Licensee and Assistant will complete the Mandated Reporter Training and send a copy of the Certificate to the LPA by POC 07/05/2023
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: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/30/2023 08:24 AM - It Cannot Be Edited


Created By: Shandra Powell On 06/29/2023 at 12:31 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: SCOTCH, INC. CHILD CARE CENTER
FACILITY NUMBER: 197409872

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101229.1(d)
Sign In and Sign Out
(d) The sign-in and sign-out sheets with the signatures required by this section and by Section 101226.1 shall be kept for one month and shall be available at the center for review by the Department.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/30/2023
Plan of Correction
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Licensee will have parents sign the sign in and out log everytime there is a pickup and or drop off. Licensee will send a copy of completed sign in/out sheet to LPA by POC 06/30/2023.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023


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