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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494026
Report Date: 04/07/2022
Date Signed: 04/08/2022 07:17:54 PM

Document Has Been Signed on 04/08/2022 07:17 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:SHIRAYURI YOUCHIENFACILITY NUMBER:
197494026
ADMINISTRATOR:AOYAMA,YOSHIOFACILITY TYPE:
830
ADDRESS:20706 NORMANDIE AVENUETELEPHONE:
(310) 530-5830
CITY:TORRANCESTATE: CAZIP CODE:
90502
CAPACITY: 10TOTAL ENROLLED CHILDREN: 10CENSUS: 11DATE:
04/07/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:35 PM
MET WITH:James Aoyama & Tomi AoyamaTIME COMPLETED:
06:30 PM
NARRATIVE
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Licensing Program Analyst (LPA), Veronica Wheatley conducted an unannounced inspection and meet with Teacher Tomi Aoyama and Teacher James Aoyama at 4:35PM. The director Yoshio Aoyama is not present. They stated he is at the other location today. Upon arrival, LPA observed 11 children (infants) inside of the first classroom with Teacher Tomi Aoyama and Staff #2. Due to limited English, she called her son who is on the premises to translate. LPA informed Tomi and James Aoyama that the facility is out of ratio. The ratio for infants is 1:4. (One qualified teacher with 4 infants). This is a repeat Title 22 Regulation violation from a previous occurrence which occurred on August 17, 2021 and will result in a civil penalty.

LPA also informed Tomi and James Aoyama that the facility is operating over the maximum licensed capacity which 10 children/infants.

LPA asked for the children's names that were present. While documenting the names, LPA observed Child #1 sitting in a stroller in the classroom that was not used for its intended purpose. This is a personal rights violation according to Title 22 Regulation. LPA received a children's roster with the names of the 11 children present today.

Upon receipt of a citation for a Type A Deficiency, the director shall post the licensing report for 30 days in addition to the Notice of Site Visit & provide copies of the licensing report (LIC 809D) to parents/guardians of children in care at the facility by the close of business the following day or the next day child returns to the facility. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee will obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file.

Exit interview. The report was not signed and provided to the licensee due to the licensee’s son James Aoyama displaying hostile behavior and recorded the LPA without consent. A copy of this report will be mailed certified and via email..
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2022
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 3
Document Has Been Signed on 04/08/2022 07:17 PM - It Cannot Be Edited


Created By: Veronica Wheatley On 04/07/2022 at 05:16 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: SHIRAYURI YOUCHIEN
FACILITY NUMBER: 197494026

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/08/2022
Section Cited
CCR
101416.5(b)

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101416.5(b) Staff-Infant Ratio-There shall be a ratio of one teacher for every four infants in attendance.
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Licensee agrees to make sure the facility operates within the ratios of Title 22 Reguations. The ratio is 1:4 for infants. Licensee will submit a written plan of correction to the Department by 4/8/22. Licensee will conduct another staff meeting regarding ratios and submit a document with the names of the staff that attended.
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This requirement was not met as evidenced by:
LPA observed 11 children/infants were supervised by two staff members. Licensee failed to operate within the reqiuired ratio is 1:4. This is an immediate risk to the health and safety of children in care.
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Type A
04/08/2022
Section Cited
CCR101161(a)

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101161(a) -Limitations on Capacity - A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
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Licensee agrees to make sure the facility operates within Title 22 Reguations. Licensee will ensure to operate with no more than 10 infants maximum at any time. Licensee will submit a written plan of correction to the Department by 4/8/22.
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This requirement was not met as evidenced by:LPA observed 11 children/infants on the premises. The licensee failed to operate within the maximum capacity of 10 children. This is an immediate risk to the health and safety of children in care.
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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
LICENSING EVALUATOR NAME:Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE: 04/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/07/2022


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 04/08/2022 07:17 PM - It Cannot Be Edited


Created By: Veronica Wheatley On 04/07/2022 at 05:51 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: SHIRAYURI YOUCHIEN
FACILITY NUMBER: 197494026

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/13/2022
Section Cited
CCR
101223(a)(2)

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101223 (a)(2)- Personal Rights - The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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Licensee will not place children in strollers unless they are being used for the intended purpose. The strollers will be removed from the classroom. Licensee will submit a plan of correction to the Department by 4/13/2022.
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This requirement was not met as evidenced by
LPA observed a child sitting in a stroller inside of the infant classroom. The licensee failed to use the stroller for its intended use. This is a potential risk to the health and safety of children of care.
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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
LICENSING EVALUATOR NAME:Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE: 04/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/07/2022


LIC809 (FAS) - (06/04)
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