197419935-10-30-2023-58-CC-LHEZ-CX4SYW-20231030141813

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197419935
Report Date: 10/30/2023
Date Signed: 10/30/2023 02:18:24 PM

Document Has Been Signed on 10/30/2023 02:18 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	OSCEOLA ELEMENTARY SCHOOL CSPP		FACILITY NUMBER:	197419935
ADMINISTRATOR:	VELASQUEZ, JOSE		FACILITY TYPE:	850
ADDRESS:	14940 OSCEOLA STREET RM 1.		TELEPHONE:	(818) 362-8456
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 17	DATE:	10/30/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Jose Velasquez, Principal		TIME COMPLETED:	02:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Manager (LPM) Rita Ramos and Licensing Program Analyst (LPA) Lilia Hernandez conducted an announced capacity increase inspection on 10/30/2023. LPM and LPA arrived at 9:40AM and met with Jose Velasquez, Principal, who assisted LPM and LPA with touring the facility. This is a Pre-School Program which consists of 1 classroom; Rm 1 that is currently licensed for 24 children. The facility is requesting a capacity increase of an additional 24 which totals 48 children. The capacity increase includes the use of indoor space Room 2 and the use of an outdoor space identified as the Sensory Area. The licensee submitted a waiver request for the outdoor space to share the yard with Transitional Kindergarten (TK) and Universal TK classrooms with the use of a staggered schedule in place. This program will serve children ages, 2 years to 5 years. This program will operate Monday - Friday 7:30 AM - 3:30 PM. There were 17 children and 3 staff present when LPM and LPA arrived. The facility was observed to be within the license capacity and limitations. All areas identified on the facility sketch were toured both indoors and outdoors; measurements were taken. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own space to store their belongings. Room 2 has a hanging system in a classroom cabinet. LPA reminded staff that children’s personal belongings should not touch while stored. Mats and linens are provided for each child enrolled. Linens are washed weekly by school district. ---Page 1 of 4

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2023

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 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: OSCEOLA ELEMENTARY SCHOOL CSPP	FACILITY NUMBER: 197419935
	VISIT DATE: 10/30/2023

NARRATIVE

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Age-appropriate sinks and toilets were observed and inspected for availability and good repair. LPM and LPA observed that Room 1 and Room 2 have 2 toilets and 2 sinks located in between the classrooms. The licensee requested a waiver for the use of restrooms.

Per Principal, there is a boys and girls restroom located down the corridor pass the library in which children can use. Per Principal, preschool staff will ensure that no school-age child is in the restroom prior to preschool children utilizing the restrooms. Preschool children will be supervised by preschool staff at all times.

LPA observed that facility has a carbon monoxide detector, smoke detector, and a serviced fire extinguisher.

Disinfectants, cleaning solutions, and other items that are dangerous to children, are inaccessible to children and stored in a closet. Principal states that poisons are locked in the hopper room.

This program provides breakfast and lunch. A weekly menu was available and posted.

Per Principal, meals are prepared in the cafeteria and carted over to classroom by staff. Children have all their meals in the classroom.

All kitchen areas/food preparation areas and food storage areas were observed to be clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. The facility was observed to be free of flies, other insects and rodents.

Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. LPM and LPA advised Principal that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. LPM and LPA observed a section of the cushioned patting to be torn near the exit of the slide that could become a tripping hazard. There is adequate shade in the play yard. Availability of outdoor drinking water was observed.

LPM and LPA did not observe any bodies of water on the premises. ---Page 2 of 4

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2023

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: OSCEOLA ELEMENTARY SCHOOL CSPP	FACILITY NUMBER: 197419935
	VISIT DATE: 10/30/2023

NARRATIVE

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Applicants state that medication will be stored in the cabinet in the nurse office. First aid kits are available in each classroom and were observed to contain the required first-aid supplies.

The nurse office will be used as an ill/isolation area. Ill children will use the staff restroom across from this room, also there is a cot available for children to rest if needed. This room was observed to be conducive for children's use at this time.

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, available at: http://www.ada.gov/childqanda.htm

LPA reviewed with Principal the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Principal was informed of the MyChildCarePlan.org site, 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Based on measurements taken during today’s visit, Room 2 has space for 24 children. Measurements for the apparatus outdoor yard has space for 196 and space in the sensory outdoor yard is enough for 40 children. --- Page 3 of 4

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: OSCEOLA ELEMENTARY SCHOOL CSPP	FACILITY NUMBER: 197419935
	VISIT DATE: 10/30/2023

NARRATIVE

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Prior to Licensing the following items are to be corrected and in compliance with Title 22, California Code of Regulations:

1. Original signed documents for outdoor waiver that includes area identified as Sensory Area.
2. LIC999 for outdoor area identified as Sensory Area.

The above items are due on or before 11/30/2023

A notice of site visit was given to Principal and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
Exit interview conducted, report was reviewed, and Appeal Rights were provided to the Principal, Jose Velasquez. ---Page 4 of 4

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2023

LIC809 (FAS) - (06/04)

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