197414327-5-7-2025-58-CC-KSCT-DGFU42-20250507151426

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197414327
Report Date: 05/07/2025
Date Signed: 05/07/2025 03:14:55 PM

Document Has Been Signed on 05/07/2025 03:14 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:	GEORGE DE LA TORRE JR. ELEMENTARY SCHOOL LAUP		FACILITY NUMBER:	197414327
ADMINISTRATOR/ DIRECTOR:	HINOJOSA, IRENE		FACILITY TYPE:	850
ADDRESS:	500 NORTH ISLAND AVE. RM. K-3		TELEPHONE:	(310) 847-1400
CITY:	WILMINGTON	STATE: CA	ZIP CODE:	90744
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 15	DATE:	05/07/2025
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:38 AM
MET WITH:	Facility Representative (S1)		TIME VISIT/ INSPECTION COMPLETED:	03:34 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), Keyona Scott, conducted an unannounced 3 - Year Required Annual inspection to the California State Preschool Program located at George De La Torre Jr. Elementary School on 05/07/2025 at 8:38 AM. LPA met with facility representative (S1) at 10:03 AM. LPA toured the inside and the outside of the school area utilized by the preschool. LPA observed proper teacher to children ratios. At approximately 10:03 AM, LPA observed the following: fifteen (15) children to one (1) teacher conducting culmination practice in classroom K-3. LPA observed teacher's aide (S2) assisting with culmination practice at approximately 10:10 AM. As a condition of employment, all individuals working or present at the facility that is operated by a school district shall obtain a criminal record clearance or criminal record exemption. The school district shall notify the Regional Office, if there is a change of status of an individual's criminal record clearance. This is a California State Preschool Program (CSPP) program that utilizes classroom K-3 on the Los Angeles Unified School District (LAUSD), George De La Torre Jr. Elementary school premises. The state preschool program serves children ages three years (3) old to five (5) years old. The preschool center operation hours are Monday, Wednesday through Friday 8:00 AM to 2:30 PM and Tuesday 8:00 AM to 1:30 PM. Facility serves two (2) meals, breakfast and lunch. Per facility representative (S1), snacks are not provided nor allowed from home per LAUSD policy. LPA advised to ensure that water bottles brought from the child's home are labeled with the child's name and properly stored. The preschool children are dropped off and picked up at the gate at the rear West of the elementary school playground. PAGE 1

NAME OF LICENSING PROGRAM MANAGER: Claudia Escobedo
NAME OF LICENSING PROGRAM ANALYST: Keyona Scott
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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: GEORGE DE LA TORRE JR. ELEMENTARY SCHOOL LAUP	FACILITY NUMBER: 197414327
	VISIT DATE: 05/07/2025

NARRATIVE

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PHYSICAL PLANT
All areas identified on the Facility Sketch were inspected. The preschool program consists of one (1) classroom. LPA observed the following in the classroom: outlet covers over the electrical outlets not in-use, stored napping mats in storage room, cubbies with child's name to store child's personal belongings brought from home, circle time carpet, table and chair sets, and solid waste storage containers with tight fitted lid. LPA observed the following toys in the classroom: arts and crafts materials, blocks, books and other age-appropriate playthings.

The facility was kept clean, neat and orderly. The preschool restroom is located inside of the classroom. LPA observed two (2) toilets and two (2) sinks inside the restroom. LPA observed the toilets and sinks to be safe, sanitary and functional.

All poisons and hazardous items are stored and inaccessible to children in care. All floors are clean and safe. LPA observed the classroom and all kitchen areas and/or food preparation areas clean and free of litter and other hazardous items.

Outdoor play area is located on the play yard adjacent to the rear of the classroom. LPA observed the following in the outdoor play area: tricycles, play apparatus with cushioned area to absorb a fall. Per facility representative, preschool outdoor play equipment is stored when not in use. LPA observed the outdoor play area to be in safe condition and free of sharp, loose or pointed parts. LPA did not observe any bodies of water to include in-ground pools on the facility premises. Drinking water is readily available both indoors and outdoors. LPA observed water fountain station adjacent to the preschool outdoor play area. LPA observed two (2) water fountains and one (1) water bottle refill station.

FACILITY RECORDS
There is at least one person present at facility that is trained in Pediatric CPR and First Aid. LPA advised facility representative that all preschool staff are to complete Mandated Reporter training every two years and certificate of completion is to be placed in each staff's individual file at the school site and made readily available for review upon Department's request.

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NAME OF LICENSING PROGRAM MANAGER: Claudia Escobedo
NAME OF LICENSING PROGRAM ANALYST: Keyona Scott
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025

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: GEORGE DE LA TORRE JR. ELEMENTARY SCHOOL LAUP	FACILITY NUMBER: 197414327
	VISIT DATE: 05/07/2025

NARRATIVE

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FACILITY RECORDS (continued)
LPA reviewed for the following Personnel Records of two (2) personnel files during today's inspection:

Staff Qualifications
Proof of immunization of measles (MMR), pertussis (Tdap) and Influenza or Influenza waiver
Current Pediatric CPR and First Aid Certification
TB Clearance or risk assessment
LIC 503 (Health Screening Report)
LIC 508 (Criminal Record Statement)
LIC 9108 (Statement Acknowledging Requirement to Report Child Abuse)
Mandated Reporter Training Certificate
LIC 9052 (Employee Rights)

LPA reviewed for the following Children's Record of five (5) children's files during today's inspection:

LIC 613A (Personal Rights)
Admission agreement
LIC 700 (Identification and Emergency Information)
LIC 701 (Physician's Report)
LIC 995 (Notification of Parents' Rights)
LIC 627 (Consent for Emergency Medical Treatment)
Immunization Record

LPA observed the following posted documents in classroom K-3 during today's inspection:

Facility License
Menus
PUB 269 - Child Passenger Restraint System Poster
PUB 393 - Notification of Parents' Rights

LPA advised the following required documents are to be posted in a prominent, publicly accessible area at the facility:

LIC 610 - Emergency Disaster Plan

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NAME OF LICENSING PROGRAM MANAGER: Claudia Escobedo
NAME OF LICENSING PROGRAM ANALYST: Keyona Scott
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025

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: GEORGE DE LA TORRE JR. ELEMENTARY SCHOOL LAUP	FACILITY NUMBER: 197414327
	VISIT DATE: 05/07/2025

NARRATIVE

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FACILITY RECORDS (continued)
LPA provided the following required documents to be posted in a prominent, publicly accessible area at the facility during today's inspection:

LIC 610 - Emergency Disaster Plan
LIC 613A - Personal Rights

LPA reviewed the following documents during today's inspection:

Verification of Disaster and Fire Drills: Per review, last fire and disaster drills were conducted on 04/03/2025, 04/10/2025 and 04/23/2025.
Daily Activity Schedule
Sign In/Out Sheets - LPA advised facility representative to ensure that all authorized representatives are signing the child in and out daily and also that child's authorized representative is documenting the time of drop off and time of pick-up on the sign in/out sheets.

LPA provided the following document to maintain on file and made readily available for review upon the Department's request:

LIC 9148 - Earthquake Preparedness Checklist

LPA identified the following locations during today's inspection:

Medication Storage Area for Children Requiring Permissible Medical Services- Per facility representative, there are children currently enrolled that require permissible medical services.
Functioning Carbon Monoxide Detector, Smoke Alarm(s) and Fire Extinguisher(s)

The facility was operating in substantial compliance during today’s inspection on 05/07/2025. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies cited.

The following was thoroughly discussed:
Facility representative 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. PAGE 4

NAME OF LICENSING PROGRAM MANAGER: Claudia Escobedo
NAME OF LICENSING PROGRAM ANALYST: Keyona Scott
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025

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: GEORGE DE LA TORRE JR. ELEMENTARY SCHOOL LAUP	FACILITY NUMBER: 197414327
	VISIT DATE: 05/07/2025

NARRATIVE

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The following was thoroughly discussed (continued):
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 child care 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 completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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/.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care 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.

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

Exit interview conducted and report was reviewed with facility representative (S1).

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NAME OF LICENSING PROGRAM MANAGER: Claudia Escobedo
NAME OF LICENSING PROGRAM ANALYST: Keyona Scott
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025

LIC809 (FAS) - (06/04)

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