197492892-7-12-2024-58-CC-LHEZ-D74U8S-20240712152200

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197492892
Report Date: 07/12/2024
Date Signed: 07/12/2024 03:22:11 PM

Document Has Been Signed on 07/12/2024 03:22 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:	WAGON WHEEL SCHOOL OF MALIBU		FACILITY NUMBER:	197492892
ADMINISTRATOR:	SEGAL, RUTH		FACILITY TYPE:	850
ADDRESS:	28211 W. PACIFIC COAST HWY		TELEPHONE:	3103501909
CITY:	MALIBU	STATE: CA	ZIP CODE:	90265
CAPACITY:	78	CENSUS: 43	DATE:	07/12/2024
TYPE OF VISIT:	Case Management - Annual Continuation	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Carol Jeffers, Center Director		TIME COMPLETED:	03:30 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 Analyst (LPA) Lilia Hernandez conducted a continuation visit for the purpose of completing the Required - 3 Year inspection on 07/12/2024. LPA arrived at the facility at 10:00AM, identified self and met with Carol Jeffers, Center Director, who guided analyst on a tour of the facility. LPA provided Principal with a copy of the LIC 125 Entrance Checklist to help facilitate the inspection. This is a preschool program which consists of 3 classrooms. Facility operation hours are Monday to Friday from 8:30AM to 3:00 PM. All areas identified on the Facility Sketch were inspected. There were 43 children and 7 staff present when LPA arrived. LPA also observed an addition adult staff that was not part of the teacher child ratio. The facility was observed to be within the license capacity and limitations. Center 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. The following was observed during the tour of the facility: Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. All floors were observed to be clean and safe. All materials accessible to children were observed to be toxic-free. LPA observed hooks outdoors along the wall next to the classroom doors for children to hang their belongings. LPA did not observe children belongs touching. Mats are provided for each child enrolled. Linens are brought from home and are sent home every Friday for washing. Per Center Director, if parents forget to bring linens from home, the facility will provide linens. ---Page 1 of 4

SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia Hernandez	TELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024

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

FACILITY NAME: WAGON WHEEL SCHOOL OF MALIBU	FACILITY NUMBER: 197492892
	VISIT DATE: 07/12/2024

NARRATIVE

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LPA observed napping equipment to store be in each classroom. Age-appropriate sinks and toilets were inspected for availability and good repair in the restrooms. Each classroom also has an additional sink for handwashing. General sanitation was observed. Per Center Director, each classroom is provided a pitcher with potable water for children. Water filters in the kitchen are changed every 6 months. Pitchers with filters are filled with water daily and refilled throughout the day.

Between meals, snacks shall be available for all children. Each snack shall include at least one serving from each of two or more of the four major food groups. Full-day programs shall offer a midmorning and a midafternoon snack. Full-day programs shall ensure that each child has a lunch. The child's authorized representative may send meals and/or snacks for the child. Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days. Per Center Director, facility only provides midmorning snacks to children daily and children bring lunch from home. LPA did not observe snack menus posted in the facility.

All kitchen areas/food preparation areas and food storage areas are kept 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 or solid waste bags shall be discarded immediately after each meal.

LPA observed a first aid kit is kept in each classroom and inventoried for necessary supplies. LPA tested the smoke/carbon monoxide detector combo in hallway near office and observed to be in operable condition. LPA observed additional carbon monoxide detectors in classrooms. LPA observed fire extinguishers present in the facility that were serviced on 03/27/2024. Disaster drill log was available and last drill conducted on 04/12/2024. Per Center Director, isolation area for sick children is in office. Hazardous items including poisonous cleaning compounds were stored inaccessible to children. LPA observed cleaning solutions stored in high cabinets and high shelves in classrooms. Per Center Director, there are no firearms stored on the premises.

Outdoor playground equipment is in a 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 areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall.---Page 2 of 4

SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia Hernandez	TELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024

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

FACILITY NAME: WAGON WHEEL SCHOOL OF MALIBU	FACILITY NUMBER: 197492892
	VISIT DATE: 07/12/2024

NARRATIVE

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LPA observed children’s play area to contain sand throughout the grounds. There is adequate shade in the play yard. LPA observed more than 3 trees that provides shade during outdoor play. Per Center Director, while children are outdoors, drinking water is made available by the use of pitchers with filtered water daily. LPA advised that no children shall be left without the supervision of a teacher at any time. LPA did not observe any pools or bodies of water at the facility.

Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. LPA observed all children present signed in. Children’s Records were reviewed. Inspection of required forms was made and documented on the LIC 857.

LPA also reviewed staff records. There is at least one person trained in CPR and Pediatric First Aid present during this inspection with a current certification. Staff present did not have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present did not have proof against TB, measles, pertussis, and influenza. The review of staff records was documented on the LIC 859 that details all other documents missing.

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 are available at: https://www.ada.gov/resources/child-care-centers/.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
Child Care Center did not complete testing prior to their deadline.
LPA referred Center Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. ---Page 3 of 4

SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia Hernandez	TELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024

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

FACILITY NAME: WAGON WHEEL SCHOOL OF MALIBU	FACILITY NUMBER: 197492892
	VISIT DATE: 07/12/2024

NARRATIVE

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LPA advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location.

LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

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.

Center Director was informed of the MyChildCarePlan.org website; 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.

The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22.

A Notice of Site Visit was provided. The Notice of Site Visit 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.

Exit interview conducted and report was reviewed with Carol Jeffers, Center Director.

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SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia Hernandez	TELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/12/2024 03:22 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 NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WAGON WHEEL SCHOOL OF MALIBU	FACILITY NUMBER: 197492892
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/12/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/26/2024 Section Cited CCR 101227(a)(5)(A)	1 2 3 4 5 6 7	(a) In child care centers providing meals to children...(5) The following shall be offered daily: (A) Full-day programs shall offer a midmorning and a midafternoon snack. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Per Center Director, midafternoon snacks will be offered to children beginning 7/15/2024. Proof of snacks available will be submitted in a form of a menu via email by POC due date.
	8 9 10 11 12 13 14	Based on interview, the licensee did not comply with the section cited above in disclosures were made that a midafternoon snack is not offered to children which poses a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14
Type B 07/26/2024 Section Cited CCR101227(a)(5)	1 2 3 4 5 6 7	Food Service (5)Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative... This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Per Center Director, snack menus will be developed and copies will be submitted via email to LPA by POC due date.
	8 9 10 11 12 13 14	Based on observation, the licensee did not comply with the section cited above in LPA observed no menus posted in the facility which poses a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14

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: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia Hernandez	TELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024

LIC809 (FAS) - (06/04)

Page: 5 of 6

Document Has Been Signed on 07/12/2024 03:22 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 NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WAGON WHEEL SCHOOL OF MALIBU	FACILITY NUMBER: 197492892
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/12/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/09/2024 Section Cited CCR 101217(a)	1 2 3 4 5 6 7	101217 Personnel Records Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee... This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Per Center Director, copies of documents missing from the 5 personnel records reviewed during the inspection will be submitted to the LPA via email by POC due date.
	8 9 10 11 12 13 14	Based on record review, the licensee did not comply with the section cited above in 5 of 5 personnel records were incomplete and missing staff qualifications, proof of immunization's, TB clearance, LIC 503 Health Screening Report, LIC 9108 Statement Acknowledging Requirement to report Child Abuse, and Mandated Reporter Training Certificates which poses a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia Hernandez	TELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024

LIC809 (FAS) - (06/04)

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