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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418297
Report Date: 03/03/2022
Date Signed: 03/03/2022 01:59:52 PM

Document Has Been Signed on 03/03/2022 01:59 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:BEL AIR PRESBYTERIAN CHURCH PRESCHOOLFACILITY NUMBER:
197418297
ADMINISTRATOR:JILLIAN MARSHFACILITY TYPE:
850
ADDRESS:16221 MULHOLLAND DRIVETELEPHONE:
(818) 990-6071
CITY:LOS ANGELESSTATE: CAZIP CODE:
90049
CAPACITY: 96TOTAL ENROLLED CHILDREN: 84CENSUS: 73DATE:
03/03/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Jillian Marsh and Jessica BulkinTIME COMPLETED:
02:05 PM
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On 03/03/2022 at 11:30 am, Licensing Program Analyst (LPA) Deborah Lowe conducted an unannounced Case Management – COVID-19 inspection for the purpose of following up on 3 Unusual Incident Reports (UIR) submitted on 01/12/2022 and 2 UIRs on 1/25/2022. LPA Lowe met with Director, Jillian Marsh and Assistant Director Jessica Bulkin, who toured LPA through the inside and outside of the facility. LPA observed 73 children in care with 12 staff. Staff present were observed to have their criminal record clearances.

According to the UIR, on 01/12/2022 – 1 child was reported as testing positive for COVID-19.

According to the UIR, on 01/25/2022 – 2 children were reported as testing positive for COVID-19.

According to the 2nd UIR, 01/25/2022 – 1 child was reported as testing positive for COVID-19.

Director stated all of the children who were reported positive COVID have all isolated and have since all returned to the facility. LPA Lowe observed the children who were reported with positive COVID to be in attendance during visit.

During visit LPA Lowe observed the children and staff wearing masks. Classrooms were observed to have a supply of children and adult masks. Soap and paper towels were observed to be available at all handwashing sinks and hand sanitizer available in each room.

Facility uses an app called Tadpoles electronic sign in/out, Director stated there is a health screening within the Tadpoles app that families complete before dropping off. Facility has two wellness stations for temperature checks and verification that parents completed the health screening.

LPA Lowe observed COVID-19 signage at the entrance door to the facility" COVID Requirements" that states wearing mask, social distancing of 6 feet, washing hands, and do not enter if feeling symptoms. In facility LPA observed signs for mask wearing and washing hands.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE: DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2022
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: BEL AIR PRESBYTERIAN CHURCH PRESCHOOL
FACILITY NUMBER: 197418297
VISIT DATE: 03/03/2022
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LPA Lowe observed facility supply of PPE COVID supplies as gloves, hand sanitizing wipes, cleaning spray, children mask, adult masks, and thermometers.

LPA Lowe discussed with Director current COVID-19 resources and guidance.

No deficiencies are cited, per Title 22, Division 12, Chapter 3, of the California Code of Regulations.

An exit interview was conducted and a copy of this report (LIC 809), appeal rights, and Notice of Site Visit were provided to Director, Jillian Marsh..

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022
LIC809 (FAS) - (06/04)
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