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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418070
Report Date: 05/05/2022
Date Signed: 05/10/2022 09:30:57 AM

Document Has Been Signed on 05/10/2022 09:30 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:KINDER KIDS CHRISTIAN INFANT CENTERFACILITY NUMBER:
197418070
ADMINISTRATOR:MOORE, MICHELLEFACILITY TYPE:
830
ADDRESS:5403 W. PICO BOULEVARDTELEPHONE:
(323) 933-5437
CITY:LOS ANGELESSTATE: CAZIP CODE:
90019
CAPACITY: 26TOTAL ENROLLED CHILDREN: 26CENSUS: 19DATE:
05/05/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:04 AM
MET WITH:Artea Kirkland, Director Assistant TIME COMPLETED:
01:40 PM
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On 5/05/2022 8:04am Licensing Program Analyst (LPA) Denise Miranda, conducted an unannounced Annual Required Inspection for the infant license. LPA met with Administrator Ms. Artea Kirkland, and toured the facility indoors and outdoors. Days and hours of operation are Monday-Friday 7:00 AM – 6:00PM. LPA, observed 17 infants and 2 preschools children age in care and 6 staff, 1 volunteer and Administrator providing supervision and care. Facility checklist (LIC 125) provided upon arrival to Director.

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. All poisons are kept in a locked storage area. No poisons were observed during the inspection.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. 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. All toilets and hand washing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. All kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. 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. Drinking water is available both indoors and outdoors. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Denise Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2022
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: KINDER KIDS CHRISTIAN INFANT CENTER
FACILITY NUMBER: 197418070
VISIT DATE: 05/05/2022
NARRATIVE
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Capacity and limitations as specified on the license are not being maintained. Around 11:00AM LPA observed T#5 removed the two children over 2 years old (C#1 & C#2) to the preschool program.

At 12:02pm, 16 infants were present with 6 staff.

At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities.

The name of the fully-qualified teacher 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. 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 12 children in care. LPA reviewed a sample of 10 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.

LPA reviewed all staff files and observed files were complete with health screening, immunization records for influenza, pertussis and measles, however, files missing the currently completed mandated reporter training. Menus are posted at least one week in advance where an authorized representative can view them.

Criminal Record Statement : Ms. Kikland was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Infant Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed


Regulation and Procedures for Infant/Child Care Centers Sections 101173 and 101226. 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Denise Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2022
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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: KINDER KIDS CHRISTIAN INFANT CENTER
FACILITY NUMBER: 197418070
VISIT DATE: 05/05/2022
NARRATIVE
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LPA and Ms. Kirkland discussed the Community Care Licensing website www.ccld.ca.gov which will provide 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.

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.

LPA, Miranda conducted 12:44pm staff interviews during today's visit.

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

LPM Miranda informed Ms. Kirkland that this report dated 5/5/2022 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.

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

DATE: 05/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2022
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Document Has Been Signed on 05/10/2022 09:30 AM - It Cannot Be Edited


Created By: Denise Miranda On 05/05/2022 at 11:38 AM
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: KINDER KIDS CHRISTIAN INFANT CENTER
FACILITY NUMBER: 197418070

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101161(a)


This requirement is not met as evidenced by:
Deficient Practice Statement
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101161 (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. Based on observation, record review and sign in and out, the facilty did not comply with the section cited above in 2 out of 19 children observed in care, 2 were preschool ages (C#1 &C#2), that were attending infant programs over 2 weeks, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/05/2022
Plan of Correction
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LPA observed when Ms. Kirkland contacted the two children's parents informing them, their children will be removed from infant to the preschool program due their age. LPA observed teacher , taking the (C#1 &C#2) to the preschool program. A written statement was provided from Ms. Kirkland how she will make sure that she does not commingle the two programs based on her plan of operations.
Section Cited
Deficient Practice Statement
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A written statement was provided from Ms. Kirkland how she will make sure that she does not commingle the two programs based on her plan of operations.
POC Due Date: 05/05/2022
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:Denise Miranda
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2022


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Document Has Been Signed on 05/10/2022 09:30 AM - It Cannot Be Edited


Created By: Denise Miranda On 05/05/2022 at 01:20 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: KINDER KIDS CHRISTIAN INFANT CENTER
FACILITY NUMBER: 197418070

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Deficient Practice Statement
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1596.8662(b)(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. Based on interview with licensee and record review, the licensee did not comply with the section cited above in mandated reporter training is expired which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/13/2022
Plan of Correction
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Ms. Kirkland and all staff present during this inspection will complete Mandated Reporter training and email LPA Lowe verification certificate of comletion on or before the end of business day on 5/13/2022.
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:Denise Miranda
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2022


LIC809 (FAS) - (06/04)
Page: 5 of 5
Document Has Been Signed on 05/10/2022 09:30 AM - It Cannot Be Edited


Created By: Denise Miranda On 05/05/2022 at 01:16 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: KINDER KIDS CHRISTIAN INFANT CENTER
FACILITY NUMBER: 197418070

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1111.2


This requirement is not met as evidenced by:
Deficient Practice Statement
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(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. Based on interview with licensee and record review, the licensee did not comply with the section cited above in mandated reporter training is expired which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/13/2022
Plan of Correction
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Ms. Kirkland and all Staff present during this inspection, will complete Mandated Reporter training and email LPA Lowe verification certificate of comletion on or before the end of business day on 5/13/2022.
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:Denise Miranda
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2022


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