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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494418
Report Date: 02/23/2023
Date Signed: 02/23/2023 11:10:41 AM

Document Has Been Signed on 02/23/2023 11:10 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:INGLEWOOD USD-WORTHINGTON STATE PRESCHOOLFACILITY NUMBER:
197494418
ADMINISTRATOR:GARY GREGORYFACILITY TYPE:
850
ADDRESS:11102 YUKON AVENUETELEPHONE:
(310) 419-2691
CITY:INGLEWOODSTATE: CAZIP CODE:
90303
CAPACITY: 30TOTAL ENROLLED CHILDREN: 15CENSUS: 10DATE:
02/23/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Deatrice Green - Lead TeacherTIME COMPLETED:
11:15 AM
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On 2/23/2023 Licensing Program Analyst (LPA) Jillinda Chandler made an unannounced visit to the Inglewood USD-Worthington State Pre-School for the purpose of conducting a " Required One Year Annual" inspection. The pre-school operates on the Worthington Elementary School Campus. Pre-school operations are conducted in Room 23, Monday - Friday, from 8:15 a.m. - 11:15 a.m. Per lead teacher Green, The adjoining classroom is not in operation at the time of the inspection. Upon arrival there were 10 children being supervised by lead teacher Deatrice Green and two Instructional aides; Lucious Monroe and Yemmy Palacio. LPA inspected the class room for Health and Safety compliance per Title 22.

THE FOLLOWING WAS OBSERVED

The floor in the classroom was observed to be in good condition all rugs and floors were clean. Age appropriate toys, furniture and equipment were observed to be in good condition, free of sharp, loose, or pointed parts.
Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were in locked cabinets, inaccessible to children.
Trash cans in the classroom had tight fitting lids.
Drinking water is readily available both indoors and outdoors.
Children have individual cubbies to store their personal belongings
LPA observed a refrigerator in the classroom for storage of medication in need of refrigeration, there was a locked cabinet for storage of other medications.
The rooms temperature was set at a comfortable temperature; 65 degrees.
Menus and required posting were observed in a prominent area for review, meals are delivered from the districts main kitchen.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE: DATE: 02/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/23/2023
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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: INGLEWOOD USD-WORTHINGTON STATE PRESCHOOL
FACILITY NUMBER: 197494418
VISIT DATE: 02/23/2023
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LPA observed a first aide kit with the required essentials: scissors, tweezers, ointments, bandages and a thermometer.
LPA did not observe napping equipment at the facility, per Lead Teacher children do not nap in this program.
The isolation area is located in the elementary school nurse's office.
Age appropriate sinks and toilets were inspected and observed in operable condition (the classroom shares the restroom with the adjoining classroom).
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 and similar equipment are equipped with resilient cushioning and adequate shading and benches for resting.

FACILITY RECORDS
Staff files were delivered for review from the district office.
All individuals present have obtained a criminal record clearance or criminal record exemption through the Inglewood Unified School District.
There is at least one person trained in CPR and Pediatric First Aid present during this visit. Educational background, training, and/or experience for each staff present was on file and were reviewed.
A review of children’s files, found the records to be complete and up-to-date .

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2023
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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: INGLEWOOD USD-WORTHINGTON STATE PRESCHOOL
FACILITY NUMBER: 197494418
VISIT DATE: 02/23/2023
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Facility representative was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative Deatrice Green




SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2023
LIC809 (FAS) - (06/04)
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