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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494347
Report Date: 08/04/2025
Date Signed: 08/05/2025 08:44:46 AM

Document Has Been Signed on 08/05/2025 08:44 AM - 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:BRELLA PLAYA VISTA - INFANTFACILITY NUMBER:
197494347
ADMINISTRATOR/
DIRECTOR:		KIMBERLY KERNFACILITY TYPE:
830
ADDRESS:12746 W. JEFFERSON BL. #3-3100TELEPHONE:
(424) 425-7500
CITY:LOS ANGELESSTATE: CAZIP CODE:
90094
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 31DATE:
08/04/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Amanda ReyesTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
NARRATIVE
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On 8/04/2025, Licensing Program Analysts (LPA) Ranita Richmond and Brittany Lovest conducted an unannounced Case Management-Deficiencies visit for the above-named Infant Child Care Center. The Infant Center is licensed for 32 infant children, ages 3 months through 24 months of age. LPAs met with Assistant Director Amanda Reyes. LPAs toured the facility indoors and outdoors and observed 31 children in care, being supervised and cared for appropriately by 10 fingerprint cleared staff members. Facility hours of operation are Monday – Friday, 8:00am – 5:00pm.

The facility has an approved outdoor waiver for the preschool license and LPAs observed waiver posted in the front lobby. Waiver includes the following: There shall be no more than 9 children in the outdoor garden area at the same time. Room 3, (Art Lab) will be used in conjunction with the outdoor garden with a capacity of no more than 11 children. There shall be no more than 16 children in the Indoor Gross Motor room at the same time. No preschool children shall be without direct visual supervision by qualified staff at any time.



LPA toured the facility for health and safety. During the walk through at approximately 10:03am, LPA observed one teacher in the Peach classroom with two children on cots napping. LPA reviewed ProCare app and observed that the sleep chart for napping children was not entered into the app. Type B citation cited. See LIC 809D. At 10:19am in Rose classroom, LPA observed two children sleeping on their sides inside of cribs. LPA reviewed files for infants and observed LIC 9227 forms completed today. Type B citations cited. See LIC 809D. At 10:40am, LPA observed the teacher place a child inside of a sleep sack. Type A citation cited. See LIC 809D. LPA advised sleep sacks are prohibited in the center. LPA was advised by teacher that most children use sleep sacks in the Rose classroom. LPA collected three sleep sacks for three children present in the classroom and provided the sleep sacks to the assistant director. LPA advised that sleep sacks are prohibited in the childcare center.
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NAME OF LICENSING PROGRAM MANAGER: Loyce Phillips
NAME OF LICENSING PROGRAM ANALYST: Ranita Richmond
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/04/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: BRELLA PLAYA VISTA - INFANT
FACILITY NUMBER: 197494347
VISIT DATE: 08/04/2025
NARRATIVE
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LPA Richmond informed Amanda Reyes that this report dated 8/04/25 documents one Type A citation. Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Richmond informed the Assistant Director to provide a copy of this licensing report dated 8/04/25 that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Two type B citations cited per Title 22 Regulations and Health and Safety Codes.


An exit interview was conducted, a copy of this report and appeal rights were read and provided to Assistant Director Amanda Reyes.

Notice of Site Visit was provided and required to be posted for 30 days.

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NAME OF LICENSING PROGRAM MANAGER: Loyce Phillips
NAME OF LICENSING PROGRAM ANALYST: Ranita Richmond
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2025
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 08/05/2025 08:44 AM - It Cannot Be Edited


Created By: Ranita Richmond On 08/04/2025 at 02:35 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: BRELLA PLAYA VISTA - INFANT
FACILITY NUMBER: 197494347

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
08/04/2025
Section Cited
CCR
101430(a)(3)(C)

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101430 Infant Care Activities(a) Notwithstanding Section 101230,...(3) All infants shall be given the opportunity to sleep without distraction or disturbance ...(C) An infant shall not be swaddled while in care. This requirement is not met as evidenced by:
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Sleep sacks were collected and sent home to parents as they are prohibited in the childcare center. Admistration and staff will review and submit a sign in sheet with staff names and signatures via email to LPA for the following webinar:
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At 10:40am LPA observed teacher place an infant into a sleep sack, zip it up to secure it on the infant, and begin to rock the child in her arms while wearing the sleep sack.
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www.cdss.ca.gov/inforesources/childcare-licensing/public-information-and resources/safe-sleep

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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.
Loyce Phillips
NAME OF LICENSING PROGRAM MANAGER:
Ranita Richmond
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/04/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/05/2025 08:44 AM - It Cannot Be Edited


Created By: Ranita Richmond On 08/04/2025 at 03:27 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: BRELLA PLAYA VISTA - INFANT
FACILITY NUMBER: 197494347

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/18/2025
Section Cited
CCR
101429(a)(2)(B)

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101429 Responsibility for Providing Care and Supervision for Infants(a) In addition... (2) Sleeping infant(s) shall be directly observed...(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document... : This requirement is not met as evidenced by:
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Staff will capture and document infant sleep in real time daily as it happens and every 15 minutes as per required.
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LPA observed at 10:03am in Peach class and at 10:19am in Rose class, children sleeping. LPA observed that napping had not been captured in the ProCare app for napping children.
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Type B
08/18/2025
Section Cited
CCR101430(a)(3)(A)4a

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101430 Infant Care Activities(a)...(3) All infants shall be given the opportunity to sleep...(A) Staff shall place infants... on their backs for sleeping.4...LIC 9227 that have Section C of the form completed and signed a. Section D of the Individual LIC 9227Plan no later than the next...day.
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Administration and staff will ensure that LIC 9227 is completed and filed for department review for all infants enrolled up to 12 months in age.
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LPA reviewed file for sleeping children. LPA observed LIC9227 completed and signed on today 8/04/25.
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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.
Loyce Phillips
NAME OF LICENSING PROGRAM MANAGER:
Ranita Richmond
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/04/2025


LIC809 (FAS) - (06/04)
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