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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418267
Report Date: 07/26/2021
Date Signed: 07/26/2021 03:03:06 PM

Document Has Been Signed on 07/26/2021 03:03 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:NORMANDIE CHRISTIAN PRESCHOOLFACILITY NUMBER:
197418267
ADMINISTRATOR:QUICK, MARY LOUISEFACILITY TYPE:
850
ADDRESS:6306 S. NORMANDIE AVENUETELEPHONE:
(323) 752-3122
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY: 24TOTAL ENROLLED CHILDREN: 0CENSUS: 10DATE:
07/26/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:21 PM
MET WITH:Mr. Jones, AdministratorTIME COMPLETED:
03:22 PM
NARRATIVE
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Licensing Program Analyst (LPA) Shandra Powell conducted a Case Management Incident inspection to follow up on an incident that occurred on 04/27/2021 on the outdoor activity space.

Upon arrival Mr. Jones, Principle/Administrator guided LPA on a tour of the facility. There was a total of ten children present and two substitute teachers. LPA observed children playing in outdoor space.

During inspection LPA did not review any qualifications for a qualified Director. Per Administrator the Director on file has deceased as of January 2021. The Department was not notified of the change until today. This poses an potential health and safety risk to children in care.

During staff file review LPA did not observe the LIC 503 Health Screening Form nor records of immunization's and Mandated Reporter Certification this poses an immediate health and safety risk to children in care.

The deficiencies listed on the following page were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.


A copy of this report was explained and issued to Mr. Jones Administrator appeal rights provided.
The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 07/26/2021 03:03 PM - It Cannot Be Edited


Created By: Shandra Powell On 07/26/2021 at 01:40 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: NORMANDIE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 197418267

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/28/2021
Section Cited
HSC
1596.8662

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Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion: (b)... child care provider, administrator or employee of a licensed chld care care facility shall complete the mandated
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Staff will provide Mandated Reporter Certificate by POC date 07/28/2021 via email to LPA.
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reporter training provided... and shall complete renewal mandated reporter training every two years...

This requirment is not met as evidenced by Staff #1 and #2 not having a copy in file of their training. This poses a potential health and safety risk to chidren in care.
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Type B
07/28/2021
Section Cited
CCR101212(b)(1)

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101212 Reporting Requirements
The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).

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Administrator stated he has hired a director and will provide all documnets to CCLD and LPA via email by POC date 07/28/2021.
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(1) Whenever a change in child care center director is reported, in addition to his/her name, the report shall include the following:The requirement was not met due to facility not notifiying CCLD of the passing of the Director on record and the hiring of a new qualified Director.
This poses a potential health and safety risk to chidren 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:Mary Ruiz
LICENSING EVALUATOR NAME:Shandra Powell
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2021


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 07/26/2021 03:03 PM - It Cannot Be Edited


Created By: Shandra Powell On 07/26/2021 at 02:06 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: NORMANDIE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 197418267

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/28/2021
Section Cited
HSC
1596.7995(c)

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Employees or volunteers at day care center; immunization requirements; records; exemptions

The day care center shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's record
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Administrator will provide copies of staff immunization record to LPA by POC date of 07/28/2021.
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that is maintained by the day care center.

This requirement is not met as evidenced by LPA observing that the facility does not have immunization records for Staff This poses a potential health and safety risk 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:Mary Ruiz
LICENSING EVALUATOR NAME:Shandra Powell
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2021


LIC809 (FAS) - (06/04)
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