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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411657
Report Date: 03/12/2024
Date Signed: 03/12/2024 01:59:35 PM

Document Has Been Signed on 03/12/2024 01:59 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CHILDREN'S COLLECTIVE - YOU CHILD DEVELOPMENTFACILITY NUMBER:
197411657
ADMINISTRATOR:JEANETTE BANUELOSFACILITY TYPE:
850
ADDRESS:932 W. 85TH STREETTELEPHONE:
(323) 789-1873
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY: 10TOTAL ENROLLED CHILDREN: 10CENSUS: 5DATE:
03/12/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:DONNA BELVIN, SITE SUPERVISORTIME COMPLETED:
02:30 PM
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On 03/12/2024, Licensing Program Analyst (LPA) Lisa Clayton conducted an unannounced Required Inspection for the Child Care Center. LPA Clayton met with Site Supervisor Donna Belvin. LPA Clayton toured the facility indoors and outdoors and observed 5 children, ages 3 – 5 in care, being supervised and cared for appropriately 3 fingerprint cleared staff. Facility hours of operation are Monday – Friday, 7:30am – 4:30pm. CCC provides breakfast, lunch, afternoon snack, milk and water.

Capacity and limitations as specified on the license are being maintained.

All children are under visual supervision of a teacher at all times. The CCC is in compliance with Title 22 regulations regarding Staff to Student ratios. LPA Clayton advised Site Director to revise the sign in/out sheet to instruct parents and/or authorized representatives to use full first and last name when signing the children in and/or out of the CCC.

There are no swimming pools, ponds, or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. All poisons are kept in a locked cabinet area.

LPA Clayton observed a fully charged 2A:K Fire Extinguisher in the kitchen, a fully charged 3A:40B:C Fire Extinguisher in the hallway outside of the staff restrooms and a fully charged 3A:40B:C Fire Extinguisher in the classroom. The CCC has a pull Fire Alarm System.

All toilets and hand washing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. LPA Clayton inspected the classroom and observed age-appropriate toys, books and furnishings. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. Playground equipment is in safe condition. The surface of the outdoor activity spaces are maintained in a safe condition and are free of hazards.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CHILDREN'S COLLECTIVE - YOU CHILD DEVELOPMENT
FACILITY NUMBER: 197411657
VISIT DATE: 03/12/2024
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LPA Clayton conducted a Health and Safety inspection of the food storage area, and all kitchen storage areas are clean, free of litter/rubbish and free of rodents/vermin. LPA Clayton reminded kitchen manager and Site Supervisor that the open food containers are to be labeled and dated appropriately. 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. LPA Clayton reminded kitchen manager that pesticides and other similar toxic substances such as detergents, soaps or cleaning compounds shall not be stored in food storerooms, kitchen areas, food-preparation areas, or areas where kitchen equipment or utensils are stored.

LPA Clayton reviewed 5 children’s files and observed files to be in compliance including current contact information for authorized representatives and/or relatives who can assume responsibility for the child, immunization records, and authorization for medical treatment.

LPA Clayton reviewed 5 employee files which were found to be in compliance with immunization for childcare providers and CPR/First Aid.

CCC COMPLETED SAMPLING AND WILL PROVIDE TEST RESULTS AND REQUIRED FORMS TO THE DEPARTMENT.



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.

This facility does not currently provide Incidental Medical Services - IMS. For IMS information see PIN 22-02-CCP. 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/.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2024
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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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CHILDREN'S COLLECTIVE - YOU CHILD DEVELOPMENT
FACILITY NUMBER: 197411657
VISIT DATE: 03/12/2024
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Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

LPA Clayton reminded Director to access the Community Care Licensing website www.ccld.ca.gov for 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. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations and/or Health and Safety Codes, Deficiencies were cited (see LIC 809D).

Exit interview conducted, and report was reviewed with Site Supervisor Donna Belvin. A Notice of Site Visit was provided and must remain posted for 30 days.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/12/2024 01:59 PM - It Cannot Be Edited


Created By: Lisa Clayton On 03/12/2024 at 01:31 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: CHILDREN'S COLLECTIVE - YOU CHILD DEVELOPMENT

FACILITY NUMBER: 197411657

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/12/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101227(a)(16)
Food Service
(16) Pesticides and other similar toxic substances shall not be stored in food storerooms, kitchen areas, food-preparation areas, or areas where kitchen equipment or utensils are stored.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Clayton observation the licensee did not comply with the section cited above which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/12/2024
Plan of Correction
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Site Director and kitchen manager will ensure that all cleaning products including but not limited to pesticides and other similar toxic substances such as detergents, soaps or cleaning compounds are not stored in food storerooms, kitchen areas, food-preparation areas, or areas where kitchen equipment or utensils are stored.

LPA Clayton observed the products moved into the correct storage area.
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:Lisa Clayton
LICENSING EVALUATOR SIGNATURE:
DATE: 03/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/12/2024


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