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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416633
Report Date: 03/18/2025
Date Signed: 03/19/2025 09:21:05 AM

Document Has Been Signed on 03/19/2025 09:21 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:CATHOLIC CHARITIES L.A.INC.S.M.ADESTE PROG.FACILITY NUMBER:
197416633
ADMINISTRATOR/
DIRECTOR:		JOURDAN STOLLEYFACILITY TYPE:
840
ADDRESS:1039 7TH STREETTELEPHONE:
(310) 393-9287
CITY:SANTA MONICASTATE: CAZIP CODE:
90403
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 18DATE:
03/18/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Site Director Maria Torres AlsTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On 03/17/2025 Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced Annual Required Inspection for the school age license at above mentioned facility. LPA met with facility site director Maria Torres Alas and toured the facility indoors and outdoors. Present during today’s inspection was assistant K. Turcios.

Facility operates Monday through Friday, 3:00PM to 6:00PM. The facility is part of the Adeste after-school program and operates out of 1 classroom in Duvall Hall, which is part of a large campus that includes a high school and elementary school. Facility director was informed that any changes to ages, hours and days of operation shall be submitted to the department via signed LIC 200A, for approval prior to initiation of changes. LPA reminded site director to ensure that a director packet is submitted to ensure all documents are updated.

A walk-through of the classroom was conducted, and classroom was found to be clean and free from any potential hazards. LPA observed 1 sink and 10 tables with chairs and furniture was found to be in good repair. There is adequate heating, lighting and ventilation. Arts/crafts and learning materials are stored in cabinets.

LPA observed a working fire extinguisher, smoke detector, and carbon monoxide detector. All outlets were observed to be covered.

Children use the bathrooms inside the elementary school. There are sufficient toilets and sinks to accommodate the facility’s capacity. Bathrooms were found to be clean. When children are in the classroom, children use the bathrooms right across the classroom.

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, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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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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: CATHOLIC CHARITIES L.A.INC.S.M.ADESTE PROG.
FACILITY NUMBER: 197416633
VISIT DATE: 03/18/2025
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LPA observed the emergency blue bag back in the classroom. LPA reminded director to have a system in place to ensure that equipment and First Aid is checked annually.

Facility is open to enroll children that might need incidental medical services. Medication, if needed, is stored in the schools main office and in the classroom. Director confirmed program does not have anyone that need incidental medical services. LPA reminded facility to ensure that all medication is stored with all necessary LIC forms. All prescription and nonprescription medication shall be centrally stored in accordance with the following requirements: medication shall be kept in a safe place inaccessible to the children in care, each container shall have an unaltered label

Cleaning solutions that are used daily are kept in the top classroom cabinet, inaccessible to the children in care.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. All materials and surfaces accessible to children are toxic free. All toilets and handwashing facilities are in safe and sanitary operating condition. All floors in the facility are clean and safe.

All food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. All food is protected against contamination. Contaminated food is discarded immediately. Facility provides PM snacks. Menus are posted at least one week in advance where an authorized representative can view them. LPA observed menu posted on the parent board. Copies of the menus as served shall be dated and kept on file for at least 30 days. Menus shall be made available for review by the child's authorized representative and the Department upon request.

Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors. LPA observed filter water dispenser and facility admin confirmed paper cups are provided if children forget their water bottles. All children are encourage to bring in their on refillable water bottle.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CATHOLIC CHARITIES L.A.INC.S.M.ADESTE PROG.
FACILITY NUMBER: 197416633
VISIT DATE: 03/18/2025
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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. School maintenance staff makes sure outdoor space is clean and safe.

The facility is free of flies, insects and rodents. Facility was observed to have a fire and smoke alarm. LPA observed director test the carbon monoxide and smoke detector in the space.

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 offsite activities. Site director’s CPR and Pediatric First Aid was taken 10/20/2023 and Mandated Reporter Training was taken on 1/31/2025. LPA reminded facility admin to ensure all CPR and First Aid Training needs to be EMSA approved. Assistant’s Mandated Reporter Training was reviewed and LPA discussed the importance of ensuring the approved training is completed by all staff. LPA reviewed 2 staff files and observed proof of immunization, MMR, for assistant K. Turcios H. not available for review, LPA cited a type B citation.

LPA provided facility with the following documents to use as a reference when auditing file: LIC 125 Entrance Check List, LIC 311A Records to be Maintained at the Facility.

LPA reviewed a sample of 6 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.

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.

LPA observed programs sign in/out sheet that is used by facility. Director was observed taking attendance at the start of the program. LPA observed 18 children in care.

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.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CATHOLIC CHARITIES L.A.INC.S.M.ADESTE PROG.
FACILITY NUMBER: 197416633
VISIT DATE: 03/18/2025
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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.

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. PIN 22-05-CCP Page Four

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/. PIN 22-05-CCP Page Five

Director 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.

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the director Ana Torres Alas.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/19/2025 09:21 AM - It Cannot Be Edited


Created By: Judy Laureano On 03/18/2025 at 03:20 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: CATHOLIC CHARITIES L.A.INC.S.M.ADESTE PROG.
FACILITY NUMBER: 197416633

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

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 not having proof of MMR for one staff person, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/04/2025
Plan of Correction
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Director agrees to submit proof of MMR for assistant via email to LPA.
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:Claudia Escobedo
LICENSING EVALUATOR NAME:Judy Laureano
LICENSING EVALUATOR SIGNATURE:
DATE: 03/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/18/2025


LIC809 (FAS) - (06/04)
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