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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493565
Report Date: 01/30/2025
Date Signed: 01/30/2025 06:34:15 PM

Document Has Been Signed on 01/30/2025 06:34 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:CITY KIDS LAFACILITY NUMBER:
197493565
ADMINISTRATOR/
DIRECTOR:		RYANNE PLAISANCEFACILITY TYPE:
850
ADDRESS:5517-5521 VENICE BLVDTELEPHONE:
(323) 447-5437
CITY:LOS ANGELESSTATE: CAZIP CODE:
90019
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 64DATE:
01/30/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Dina CruzTIME VISIT/
INSPECTION COMPLETED:
06:30 PM
NARRATIVE
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On 1/30/2025, Licensing Program Analyst (LPA) V. Wheatley conducted an unannounced Annual Inspection for the preschool. Licensing Program Analyst met with Director Dina Cruz and toured the facility indoors and outdoors. LPA observed several preschool classrooms, however the children were napping in two classrooms (The City Room and the Indoor Space Room). The children were supervised within proper ratios. The facility operates Monday through Friday from 8am to 6pm.

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. There are several play areas. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Areas around high climbing equipment, slides have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Floors in the facility are clean and safe. The staff provides breakfast, lunch and snacks. LPA observed menus posted. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available by filtered water. The children also bring their own personal water bottles which are labeled with their name. Facility has a fire extinguisher and smoke detectors that meet statutory requirements. All hand washing toilets and faucets are in safe and sanitary operating condition.

Capacity and limitations as specified on the license are being maintained.

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. Disinfectants, cleaning solutions were observed accessible to children in three areas. The items were removed during the inspection. No poisons were observed during the inspection.

Maureen NealTELEPHONE: (424) 301-3042
Veronica WheatleyTELEPHONE: (424) 301-3051
DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2025
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 5
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: CITY KIDS LA
FACILITY NUMBER: 197493565
VISIT DATE: 01/30/2025
NARRATIVE
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Prior to working or volunteering in a licensed child care facility, all individuals are subject to a criminal record review and have received a criminal record clearance or exemption. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption.

The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. The parents sign in utilizing Brightwheel Platform. All children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 12 children in care.

LPA reviewed a sample of children’s files and observed files with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment. LPA reviewed a sample of staff files and observed the Pediatric CPR/First aid expires 8/2026 and the Mandated Reporter Training expires 6/2025. LPA reviewed the employee files and observed health screenings missing or incomplete. LPA reviewed files and did not observe transcripts in several files.

Incidental Medical Services (IMS) are being provided to a few children. LPA discussed EpiPens and making sure they are not expired. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, Type A deficiencies are cited. An exit interview was conducted, a copy of this report was read and provided to the Director. LIC 9213 Notice of Site Visit was provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
LIC809 (FAS) - (06/04)
Page: 2 of 5
Document Has Been Signed on 01/30/2025 06:34 PM - It Cannot Be Edited


Created By: Veronica Wheatley On 01/30/2025 at 05:22 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: CITY KIDS LA
FACILITY NUMBER: 197493565

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/30/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Wheatley observation and interview, the licensee did not comply with the section cited above in that there were 3 areas (under sink in classroom, on a shelf in classroom and in the children's restroom that had chemicals (such as clorox bleach, toilet bowl cleaner, etc) accessible to children which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 01/31/2025
Plan of Correction
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The licensee and director will ensure that there are no chemical, cleaning supplies accessible to children at any time. The director had the items removed during the inspection. Licensee or director will submit a plan of correction on how this will be prevented in the future. Submited to the LPA's Department's email.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Maureen Neal
TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME:Veronica Wheatley
TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:
DATE: 01/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/30/2025


LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 01/30/2025 06:34 PM - It Cannot Be Edited


Created By: Veronica Wheatley On 01/30/2025 at 05:22 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: CITY KIDS LA
FACILITY NUMBER: 197493565

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/30/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(g)(2)
Personnel Requirements
(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Wheatley's observation and record review, the licensee did not comply with the section cited above in that several employees did not have a Health Screening (LIC 503) in their employee file. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/13/2025
Plan of Correction
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Licensee or director will ensure all employees complete the LIC 503 Health Screening form and take to their own physicians to be completed. This is required for the employee file. LPA is recommending that the employer create a checklist for the employee's file to ensure all required forms are in the file.
Type B
Section Cited
CCR
101216.1(b)(1)
Teacher Qualifications and Duties
(b) Prior to employment, a teacher shall meet the requirements of (b)(1) or (b)(2) below: (1) A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1) below; or shall have obtained a Child Development Assistant Permit issued by the California Commission on Teacher Credentialing.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Wheatley's observation and record review, the licensee did not comply with the section cited above in that several employees do not have proof of units or their transcripts in the employee file. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/13/2025
Plan of Correction
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Licensee or director will ensure all employees submit transcripts from qualified educational institutions to verify their education. A copy of the required ECE (Early Childhood units or Child Development (CD) units will be placed in the employee's file. LPA is recommending that the employer create a checklist for the employee's file to ensure all required forms are in the file.
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:Maureen Neal
TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME:Veronica Wheatley
TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:
DATE: 01/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/30/2025


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 01/30/2025 06:34 PM - It Cannot Be Edited


Created By: Veronica Wheatley On 01/30/2025 at 05:22 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: CITY KIDS LA
FACILITY NUMBER: 197493565

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/30/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216.1(c)
Teacher Qualifications and Duties
(c) To be a fully qualified teacher, a teacher shall have one of the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Wheatley's observation and record review, the licensee did not comply with the section cited above in that several employees do not have proof of 12 units or their transcripts in the employee file. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/13/2025
Plan of Correction
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Licensee or director will ensure all employees submit transcripts from qualified educational institutions to verify their education. A copy of the required ECE (Early Childhood units or Child Development (CD) units will be placed in the employee's file. LPA is recommending that the employer create a checklist for the employee's file to ensure all required forms are in the file.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Maureen Neal
TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME:Veronica Wheatley
TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:
DATE: 01/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/30/2025


LIC809 (FAS) - (06/04)
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