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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493835
Report Date: 11/27/2023
Date Signed: 11/27/2023 04:37:14 PM

Document Has Been Signed on 11/27/2023 04:37 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ST ALOYSIUS SCHOOLFACILITY NUMBER:
197493835
ADMINISTRATOR:NICOLE JOHNSONFACILITY TYPE:
850
ADDRESS:2023 NADEAU STREETTELEPHONE:
(323) 582-4965
CITY:LOS ANGELESSTATE: CAZIP CODE:
90001
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: 13DATE:
11/27/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Laura Paz, PrincipalTIME COMPLETED:
05:00 PM
NARRATIVE
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On Monday, November 27, 2023 at 10:30 AM, Licensing Program Analyst (LPA) Franchesca White entered the facility to conduct an unannounced annual inspection and met with Principal Laura Paz and Teacher Soleangie Alvarez who guided LPA on a tour of the facility. Facility operation hours are Monday to Friday from 8:00 AM to 3:00 PM.

At 10:50 AM, LPA White entered the preschool room to inspect for safety, comfort, cleanliness, and ventilation. LPA White observed thirteen (13) children being supervised by one teacher (Staff #1) and one aide (Staff #2). LPA observed the disinfectants, cleaning solutions, and other items that are dangerous to children underneath the sink cabinet, stand cabinet and inside the wall cabinet with key locks making it inaccessible to children to open the cabinets. LPA observed adequate storage such as cubbies for children's personal belongings and the furniture and equipment in good condition, age appropriate and free of sharp, loose, or pointed parts. LPA observed cots and bedding is provided by the parents. LPA informed Teacher Alvarez that a fitted sheet is required for all daycare children. LPA observed hand washing sink area safe, sanitary and operating properly and floors clean and safe. For ventilation LPA observed a wall AC/heater unit high on the wall making it inaccessible to children.

At approximately 11:00 AM, LPA White entered the restroom and observed two toilets and one sink, paper towels, and hand soap. LPA observed the restroom to be in good condition. Drinking water is readily available both indoors and outdoors. LPA observed children's cubbies to have water bottles readily available to them. Teacher Alvarez stated that they have a water cooler that they transport to play area to refill the children's water bottles as needed. Teacher Alvarez states that the school provides 2 snacks per day (AM & PM). Lunch is provided by the parents.

.................................................Report Continues 1 of 3 Pages.................................................................

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE: DATE: 11/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/27/2023
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ST ALOYSIUS SCHOOL
FACILITY NUMBER: 197493835
VISIT DATE: 11/27/2023
NARRATIVE
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At approximately 10:30 AM, LPA White inspected the outdoor area for safety, comfort and cleanliness. The facility was observed to be free of flies, insects and rodents. LPA observed the playground fenced with a self-latch gate door. LPA observed the outdoor playground equipment in safe condition, free of sharp, lose or pointed parts. All areas around or climbing equipment, slides, are cushioned with material that absorbs a fall. LPA observed a sail shade triangle in place and provides adequate shade in the yard. LPA observed the playground structures to be age appropriate ages two to five and observed the sandbox area to be covered and closed. LPA White advised Principal and Teacher that the sandbox wooden covering as well as the wooden bench should be routinely checked to ensure edges and surfaces are safe for children in care. There are no bodies of water on the premises.

Smoke detectors are present in the facility, but were not tested as they are hardwired through the building. Carbon monoxide detector is out of reach, but visible.


LPA observed the required 2A10BC fire extinguisher located in the classroom and to be fully charged and serviced on September 9, 2023. LPA observed first aid kit inside the classroom by the door of the classroom next to that water cooler.

At approximately 10:40 AM LPA observed on the bulletin wall the license, Parents Right's, Emergency Disaster Plan, and the drill log was provided by the Principal. Last Earthquake Drill was conducted on November 2, 2023 at 3:30 p.m.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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.html



...........................................................Report Continues 2 of 3 Page.......................................................
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2023
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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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ST ALOYSIUS SCHOOL
FACILITY NUMBER: 197493835
VISIT DATE: 11/27/2023
NARRATIVE
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Facility administers medication. Before administrating medication, parents sign a medication consent form, provides the medication in original container with doctor's prescription. Per Teacher Alvarez facility has no children with medication or allergies.

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

LPA advised administrator that all adults 18 years of age and older providing Care & Supervision and/or have continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check.

LPA did not observe AB 2107 mandated reporter training certification, and must be completed every 2 years, and is available at www.mandatedreporterca.com

LPA did not observe Staff #3 to have current fingerprint clearance, mandated reporter training or CPR.

LPA provided The Notice of Site Visit (LIC 9213) and explained that it 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.



Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.
Exit interview was conducted with Principal Laura Paz. LPA White provided Principal with the notice of site visit, copy of report, and appeal rights.

..................................................End of Report 3 of 3 Pages

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2023
LIC809 (FAS) - (06/04)
Page: 3 of 6
Document Has Been Signed on 11/27/2023 04:37 PM - It Cannot Be Edited


Created By: Franchesca White On 11/27/2023 at 03:11 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ST ALOYSIUS SCHOOL
FACILITY NUMBER: 197493835

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/27/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations, record review the licensee did not comply with the section cited above in Facility does not have proof of lead testing which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023
Plan of Correction
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Principal states Business Manager is out of office, but will provide proof of lead testing on or before POC due date.
Type B
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision (f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in one out of 3 staff members. Principal did not have social services fingerprinting which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/11/2023
Plan of Correction
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Principal states that she will provide proof of finger print clearance on or before POC due date.
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:Denise Gibbs
LICENSING EVALUATOR NAME:Franchesca White
LICENSING EVALUATOR SIGNATURE:
DATE: 11/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/27/2023


LIC809 (FAS) - (06/04)
Page: 4 of 6
Document Has Been Signed on 11/27/2023 04:37 PM - It Cannot Be Edited


Created By: Franchesca White On 11/27/2023 at 03:11 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ST ALOYSIUS SCHOOL
FACILITY NUMBER: 197493835

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/27/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in 3 out of 3 staff members. Staff #1, Staff #2, and Staff #3 did not have proof of mandated reporter training. which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023
Plan of Correction
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Principal states that she will have proof of certification on or before POC date.
Type B
Section Cited
HSC
1596.8662(c)
Administration of Child Day Care Licensing
(c) Current proof of completion for each licensed child day care provider or applicant for that license, administrator, and employee of a licensed child day care facility shall be submitted to the department upon inspection of the child day care or upon request by the department.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review the licensee did not comply with the section cited above in one of three staff members. Prinicpal did not submit Designated Administrator packet to the department within 10 days of accepting position which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/27/2023
Plan of Correction
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Principal states she will provide Designated Administrator packet on or before POC date.
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:Denise Gibbs
LICENSING EVALUATOR NAME:Franchesca White
LICENSING EVALUATOR SIGNATURE:
DATE: 11/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/27/2023


LIC809 (FAS) - (06/04)
Page: 5 of 6
Document Has Been Signed on 11/27/2023 04:37 PM - It Cannot Be Edited


Created By: Franchesca White On 11/27/2023 at 03:31 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ST ALOYSIUS SCHOOL
FACILITY NUMBER: 197493835

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/27/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101239.1(c)
Each cot or mat shall be equipped with a sheet to cover the cot or mat and, depending on the weather, a sheet and/or blanket to cover the child.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in 13 out of 13 children's bedding which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/27/2023
Plan of Correction
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Principal will provide proof of purchase of fitted sheets on or before POC date to LPA.
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:Denise Gibbs
LICENSING EVALUATOR NAME:Franchesca White
LICENSING EVALUATOR SIGNATURE:
DATE: 11/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/27/2023


LIC809 (FAS) - (06/04)
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