197420084-12-14-2023-30-CC-CCAS-CYHVKN-20231214153038

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197420084
Report Date: 12/14/2023
Date Signed: 12/14/2023 03:31:36 PM

Document Has Been Signed on 12/14/2023 03:31 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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	SHIRAYURI YOUCHIEN		FACILITY NUMBER:	197420084
ADMINISTRATOR:	AOYAMA, YOSHIO		FACILITY TYPE:	850
ADDRESS:	20706 S. NORMANDIE AVENUE		TELEPHONE:	(310) 530-5830
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90502
CAPACITY:	43	CENSUS:	DATE:	12/14/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Tomi Aoyama - Administrator		TIME COMPLETED:	02:30 PM

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On 12/14/2023 Licensing Program Analyst (LPA) Cristina Castellanos arrived at the above facility unannounced to conduct an Annual Inspection. LPA met with Administrators Tomi Aoyama and James Aoyama. LPA toured the facility indoors and outdoors and observed 10 children in care and 4 staff members.

Facility operates Monday through Friday 7:30 a.m. to 6:30 p.m. Facility is licensed to serve 35 preschoolers ages 2 to 5 years old and 8 toddlers ages 18 to 36 months.

During the inspection, LPA observed 10 children and three staff members providing care and supervision for children in the Preschool/Toddler playground. As the children return to their designated classrooms LPA observed 4 out of the 10 children were taken into the infant classroom. LPA asked Administrator Tomi Aoyama why the four children, who were in the Toddler playground were now going into the infant classroom? Administrator Tomi Aoyama informed LPA that when there are not that many children present in either classroom, they join them together. LPA informed administrators Tomi and James that per regulation 101216.4(a)(2) the toddler program shall be conducted in areas physically separate from those used by older or younger children.

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.

Teachers do the day-to-day cleaning in the classroom. Disinfectants and cleaning solutions were observed to be on the top shelves above the kitchen skin as well as the restrooms. LPA reminded staff members to always have all doors to off-limit areas locked while children are present.

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. LPA reminded staff members the importance of maintaining all play equipment in a safe condition. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Areas around high climbing equipment have cushioning material to observed falls.

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SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Cristina Castellanos	TELEPHONE: 424-301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 12/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023

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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SHIRAYURI YOUCHIEN	FACILITY NUMBER: 197420084
	VISIT DATE: 12/14/2023

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LPA observed two (2) fully charged fire extinguishers throughout the facility. LPA observed 2 working carbon monoxide detectors. The smoke detectors and carbon monoxide are wired to a centralized Pull Fire Alarm system recently installed in June 2023.

LPA inspected the classroom and observed age-appropriate toys, books and furnishings. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. Activity play equipment is in safe condition, free of sharp, loose, or pointed parts.

All toilets and hand washing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. Solid waste storage containers have tight-fitting covers and are in good repair. Children’s bathrooms were observed and inspected.

The facility provides snacks and lunch. The menu is posted for Parents to view and additionally provided with a copy each month. All kitchen food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. LPA reminded staff members that copies of the menus served shall be dated and kept on file for at least 30 days.

LPA observed First Aid Kit in the classroom. Currently the facility does not have any toddlers that need medication. Solid waste storage containers have tight-fitting covers and are in good repair.

Drinking water is available both indoors and outdoors. Facility provides water and the water fountain outside is accessible to the children in care.

LPA reviewed 6 children’s files and observed files to be in compliance including current contact information for authorized representatives and/or relatives who can assume responsibility for the child, immunization records, and authorization for medical treatment.

LPA reviewed 3 personnel files and observed files to be in compliance with current CPR/First Aid, Mandated Reporter training and immunizations for personnel in childcare.

Community Care Licensing was notified that the lead water testing conducted at the facility on 10/30/2023 did not exceed the allowable limit for lead 5.5 ppb/ug, the samples tested met regulations. LPA verified that the lead testing was completed in accordance with Written Directives outlined in PIN 21-21.1-CCP.

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SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Cristina Castellanos	TELEPHONE: 424-301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 12/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023

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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SHIRAYURI YOUCHIEN	FACILITY NUMBER: 197420084
	VISIT DATE: 12/14/2023

NARRATIVE

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Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

This facility does not provide Incidental Medical Services - IMS. LPA Castellanos reviewed storage of medication and equipment/supplies, and reviewed children's, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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 are available at: https://www.ada.gov/resources/child-care centers/.

Administration was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

LPA Castellanos reminded adminstrators to access the Community Care Licensing website www.ccld.ca.gov for 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. 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 improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, there was one (1) deficiency cited at this time for violation of Title 22 regulation; (see LIC809-D).

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SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Cristina Castellanos	TELEPHONE: 424-301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 12/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023

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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SHIRAYURI YOUCHIEN	FACILITY NUMBER: 197420084
	VISIT DATE: 12/14/2023

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An exit interview was conducted and Plans of Correction were reviewed and developed with Administrators. A copy of this report and appeal rights were discussed and left with administrators Tomi Aoyama and James Aoyama. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

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SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Cristina Castellanos	TELEPHONE: 424-301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 12/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/14/2023 03:31 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: SHIRAYURI YOUCHIEN	FACILITY NUMBER: 197420084
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216.4(a)(2)

Preschool Program with Toddler Component

(2) The toddler program shall be conducted in areas physically separate from those used by older or younger children. Space planning and usage for the toddler component shall be governed by the provisions of Section 101438.3. Plans to alternate use of outdoor play space must be approved by the Department. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the licensee did not comply with the section cited above in 4 out of 10 children identified to belong to the infant program facility no. 197494026, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/26/2023
	Plan of Correction
1 2 3 4	Licensee agrees to retrain all staff on what a pre-school license and infant license is. Agrees to post outdoor waiver to alert staff of the terms of usage and the limitations of the play areas. Additionally will be have outdoor waiver signed by each staff member and send a copy to LPA via email.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Cristina Castellanos	TELEPHONE: 424-301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 12/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023

LIC809 (FAS) - (06/04)

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