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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416658
Report Date: 07/28/2022
Date Signed: 07/28/2022 03:48:26 PM

Document Has Been Signed on 07/28/2022 03:48 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:BAREFOOT PRESCHOOLFACILITY NUMBER:
197416658
ADMINISTRATOR:AVITAL, KARENFACILITY TYPE:
850
ADDRESS:1620 S. BUNDY DRIVETELEPHONE:
4242932197
CITY:LOS ANGELESSTATE: CAZIP CODE:
90025
CAPACITY: 20TOTAL ENROLLED CHILDREN: 12CENSUS: 10DATE:
07/28/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Alexandra Aber, Teacher Assistant TIME COMPLETED:
03:55 PM
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On 7/28/2022 8:20Am Licensing Program Analyst (LPA) Miranda arrived at Barefoot Preschool, for the purpose of the health and safety of the child care center. Director was not present. LPA met with Staff Ms. Alexandra Aber, LPA observed that staff had 4 children in care. Around 9:00am a second Staff arrived at the facility. Director arrived around 9:38am.

Around 11:25am, LPA Miranda toured the facility and observed 10 preschooler with 2 staff and Director.

During a phone call on 7/21/2022, Director disclosed that one child was diagnosed with covid-19. No proof that Director previous reported or submitted lic624 to El Segundo office.

Per report requirement title 22 101212, Upon the occurrence, during the operation of the child care center of any of the events, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information shall be submitted to the Department within seven days following the occurrence of such event.

Also, LPA reviewed Staff#1, Staff#2, Staff#3 and #4 files and observed that all files were incomplete. Today, upon arrived at the facility LPA observed Staff#3 alone with 4 children, LPA reviewed her file and observed staff#3 does not have proof of complete of the class Family & Community to be considerate fully qualify teacher.

LPA contacted El Segundo Office and reviewed with LPA Lowe that and confirmed Teacher Ramirez and Teacher Assistant Fisher were not on Guardian associated of Criminal Background Clearance to Barefoot Preschool. Per Director, she has access to Guardian. Per Director staff #1 and #2 were present while she was on vacation.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Denise Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2022
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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BAREFOOT PRESCHOOL
FACILITY NUMBER: 197416658
VISIT DATE: 07/28/2022
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LPA advised this Type A citation will include a civil penalty on total of $500 per person. Allowing any person who is subject to a background check to work, reside or volunteer who does not have either a criminal record clearance or exemption. A civil penalty shall be assessed for a maximum of 5 days for the first violation. For subsequent violations within a 12 month period, a civil penalty shall be assessed for a maximum of 30 days. See California Health and Safety Code Section 1522(c)(1); 1568.09(c); 1569.17(c); and 1596.871(c).

Director must comply with AB 633 as follows: Upon receipt by the licensee, licensee is to provide to parents/guardians the following: Copies of any licensing reports that document a Type A citation- this includes facility visits and substantiated complaint investigations; copy of licensing documents pertaining to a conference conducted by a local licensing agency management representative and the licensee of this Child Care Center in which issues of noncompliance are discussed or copies of a summary of an accusation indicating the Department's intent to revoke the facility's license.

Copies of any of the above licensing documents issued to the licensee in the prior 12 months shall be provided to the parents/guardians of currently and newly enrolled child(ren) at the facility. Licensee will obtain an acknowledgement of the receipt of licensing reports form (LIC 9224) and maintain a signed copy in each child’s file.


Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies is being cited: (see next page, 809 D).

LPA Miranda informed Director that this report dated 7/28/2022 documents Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

An exit interview was conducted and a copy of this report, appeal rights and Notice of Site Visit was provided to Karen Avital, Director.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Denise Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
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Document Has Been Signed on 07/28/2022 03:48 PM - It Cannot Be Edited


Created By: Denise Miranda On 07/28/2022 at 12:59 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: BAREFOOT PRESCHOOL
FACILITY NUMBER: 197416658

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/28/2022
Section Cited
CCR
101170(e)(1)

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101170 (e) (1) Criminal Record Clearance. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. This requirement is not met as evidenced by: on 7/28/22 Based a review of Guardian showing that Teacher Assistant Ms. Phoebe Fischer was not associated to the facility.
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Staff#2 shall take live scan
Staff will be able to return, after Director confirm that Staff#2 has been associated to Barefoot Preschool.
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Ms. Fischer was not present during this inspection, however Teacher was present today, but was working from the period of 6/22 to 7/12/2022 while Director was on vacation. This poses an immediately H&S to children in care.
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LPA provided lic9224 form to Director.
Type A
07/28/2022
Section Cited
CCR101170(e)(2)

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 101170 (e) (2) Criminal Record Clearance. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review shall request a transfer of a criminal record clearance from another facility or Trustline.
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Director must to submit form: lic9182 criminal record clearance transfer form and LIC508 Criminal Record Statment and Copy of ID no later than 7/29/2022. Director will email or fax to El Segundo office.
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This requirement is not met as evidenced by: on 7/28/22 Based a review of Guardian showing that Teacher Ramirez was not transfered/ associated to the facility. however Teacher was present today, but was working from while Director was on vacation. This poses an immediately H&S to children in care.
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Staff will be able to return, after Director confirm that Staff#1 has been associated to Barefoot Preschool.
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:Denise Miranda
LICENSING EVALUATOR SIGNATURE:
DATE: 07/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/28/2022


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Document Has Been Signed on 07/28/2022 03:48 PM - It Cannot Be Edited


Created By: Denise Miranda On 07/28/2022 at 01:28 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: BAREFOOT PRESCHOOL
FACILITY NUMBER: 197416658

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/28/2022
Section Cited
CCR
101216.2

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101216.2 Teacher Aide Qualifications and Duties: (e) An aide shall work only under the direct supervision of a teacher. This requirement is not met as evidenced by: on 7/28/2022

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Director provided a declaration, how she will maintain her facility all time with Teacher qualified.
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At 8:20am, Upon arrival, LPA observed staff#4 alone with 4 children in care. Director was not present. During file review, it was found that Staff#3 was not fully qualified teacher. This poses an immediately H&S to children in care.
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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:Denise Miranda
LICENSING EVALUATOR SIGNATURE:
DATE: 07/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/28/2022


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/28/2022 03:48 PM - It Cannot Be Edited


Created By: Denise Miranda On 07/28/2022 at 02:41 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: BAREFOOT PRESCHOOL
FACILITY NUMBER: 197416658

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/05/2022
Section Cited
CCR
101217(a)

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101217 (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee.This requiremen is not met as evidenced by on 7/28/2022
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Director agreed to provide via mail or drop off at El Segundo no later than 8/5/2022 to LPA Miranda
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based a file review and interview, Director was unable to produce the complete file for Staf#1, #2, #3 and #4. This poses a potential H&S to Children in care.
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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:Denise Miranda
LICENSING EVALUATOR SIGNATURE:
DATE: 07/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/28/2022


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