197494464-1-16-2024-30-CC-LPHS-CZJUBJ-20240116142624

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494464
Report Date: 01/16/2024
Date Signed: 01/16/2024 02:26:29 PM

Document Has Been Signed on 01/16/2024 02:26 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	VENICE FAMILY CLINIC-HAWLAWN		FACILITY NUMBER:	197494464
ADMINISTRATOR:	SCARBOROUGH STACEY		FACILITY TYPE:	850
ADDRESS:	4754 W.120TH STREET		TELEPHONE:	(310) 401-2874
CITY:	HAWTHORNE	STATE: CA	ZIP CODE:	90250
CAPACITY: 32	TOTAL ENROLLED CHILDREN: 32	CENSUS: 21	DATE:	01/16/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	CHASITI NEAL, SITE SUPERVISOR		TIME COMPLETED:	02:35 PM

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On 1/16/2024, Licensing Program Analyst (LPA)Loyce Phillips conducted an unannounced Required Inspection for the preschool program with toddler component. Licensing Program Analyst met with Site Supervisor, Chasiti Neal and toured the facility indoors and outdoors. Licensing Program Analyst observed 4 classrooms in session. LPA observed 21 children present with 9 staff. Days and hours of operation are Monday through Friday from 8:00am to 4:00pm.

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, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection.

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. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. The facility has 3 bathrooms with a total of 4 toilets and 4 sinks. All toilets and hand washing faucets are in safe and sanitary operating condition. Floors in the facility are clean and safe. The facility has a 3rd party vendor that provides the facility with breakfast, lunch and pm snacks. 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 both indoors/outdoors is readily available. Areas around high climbing equipment, slides have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility has a functioning carbon monoxide and smoke detectors that meet statutory requirements. Fire extinguisher was service on 9/26/2023.

809-C

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024

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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: VENICE FAMILY CLINIC-HAWLAWN	FACILITY NUMBER: 197494464
	VISIT DATE: 01/16/2024

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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. Capacity and limitations as specified on the license are being maintained. The name of the child care center director or fully qualified teacher(s) designated to act in the director’s absence has been reported to the Department. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. The facility uses Child Plus App for signing children in and out. All children are under supervision, including visual supervision, of a teacher at all times. For preschool the facility maintains a ratio of one teacher supervising no more than 12 children in care. For toddlers the facility maintains a ratio of one teacher supervising no more than 6 toddlers in care. Licensing Program Analyst reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment. Licensing Program Analyst reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis, measles.

Incidental Medical Services (IMS) are not being provided. 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.

Licensing Program Analyst and Director discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information 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, no deficiencies are cited. Technical advisory discussed.

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.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024

LIC809 (FAS) - (06/04)

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