197494974-2-13-2025-58-CC-ECAO-DDV2A2-20250213161250

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494974
Report Date: 02/13/2025
Date Signed: 02/13/2025 04:12:57 PM

Document Has Been Signed on 02/13/2025 04:12 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	KIDSVERSITY		FACILITY NUMBER:	197494974
ADMINISTRATOR/ DIRECTOR:	JESSICA TORRES		FACILITY TYPE:	830
ADDRESS:	12111 BALBOA BLVD		TELEPHONE:	(818) 360-4866
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY: 16	TOTAL ENROLLED CHILDREN: 10	CENSUS: 9	DATE:	02/13/2025
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:26 PM
MET WITH:	Jessica Torres, Director		TIME VISIT/ INSPECTION COMPLETED:	04:20 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 02/13/2025 at 09:00 AM, Licensing Program Analyst (LPA) Elicia Calvillo conducted an unannounced Annual Required Inspection. Facility is located on 12111 Balboa Blvd., Granada Hills, CA 91344. LPA identified self and met with Jessica Torres, Director, LPA identified reason for visit and provided Entrance Checklist -Child Care Centers (LIC 125) to help facilitate the inspection. Facility Representative (FR) Jessica Torres, Director allowed entry to facility and provided LPA with a guided tour of inside and outside of the facility. The facility is currently licensed for a capacity of 16, per FR they currently have 10 enrolled. There were 9 children and 2 staff upon arrival. The facility hours of operation are currently Monday thru Friday from 07:00 AM to 05:30 PM. Required postings were observed posted in main walkway and all the classrooms. The facility is located on the same property as Knollwood Methodist Church 12121 Balboa Blvd, Granada Hills, CA 91344. The facility is a two-story structure. The first floor is made up of 1 Infant Classroom and 3 Preschool Classrooms (Facility License # 197494975). Infant Classroom 6 week to 24 months, with 2 staff. Located above the Preschool Classrooms is a second story with office space, this includes 4 rooms used by staff, and the staircase is made inaccessible with the use of gates. Beginning at 10:00 AM, LPA observed the following in the classrooms. The furniture, toys, and equipment were inspected for age appropriateness and were in good repair. There were individual cribs for each child. There were cubbies used for each child to store their belongings including sleeping linens. Page 1 of 4

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KIDSVERSITY	FACILITY NUMBER: 197494974
	VISIT DATE: 02/13/2025

NARRATIVE

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Drinking water was readily available with the use of individual water bottles labeled with the child’s name and water dispenser provided for water refills. LPA observed a changing table with a sink.

The facility has a telephone service via a landline, heating, lighting, and ventilation were evaluated for safety and comfort.

LPA observed a first aid kits located each classroom and were inventoried for necessary supplies. LPA observed in each classroom smoke detector and carbon monoxide detector. Disaster drill log was available, and the last disaster drill was conducted on 01/10/2025. Per FR, isolation area for sick children is the opposite side of the room not being used.. Hazardous items including poisonous cleaning compounds were stored inaccessible to children. LPA observed cleaning solutions stored in cabinets with a child safety latch.

LPA did not observe a kitchen area/ food preparation area, per FR snacks are provided and meals are provided by an outside third-party vendor.

Beginning at 09:45 AM, LPA toured the outdoor play area and observed playground is equipment in safe condition, free of sharp, loose, or pointed parts, in good repair and age appropriate. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Children have access to a climbing structure located in the play area, surrounding and under the structures there is artificial grass to absorb falls. There is adequate shade in the play yard provided by patio walkway. The children have access to their individual bottles of water, refills are provided with a water dispenser located in the classrooms, that is used to refill drinking water during outdoor play. LPA advised that no children shall be left without the supervision at any time. There is no swimming pool or other bodies of water on the premises.

Beginning at 10:15 AM, staff and children’s records were reviewed for completeness. LPA observed Needs and Service Plans, Individual Sleeping Plan, and Sleep logs. Inspection of required forms was made and documented on the LIC 857 for children and the LIC 859 for staff. Criminal Record Clearances were reviewed for adults. CPR card expires on 10/2025 for Director. Inspection of required forms was discussed.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KIDSVERSITY	FACILITY NUMBER: 197494974
	VISIT DATE: 02/13/2025

NARRATIVE

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LPA observed that teacher-child ratios were maintained, and staff names were recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. LPA observed 10 of 10 children signed in at time of inspection. Personal Rights of children were observed by LPA.

This facility provides Incidental Medical Services - IMS. LPA reviewed storage of "medication and equipment/supplies, and reviewed children's, personnel, and administrative records.

For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US
Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800)
514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the
ADA are available at: https://www.ada.gov/resources/child-care center.

There are currently infants in care. LPA discussed the safe sleep regulations with Licensee 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 Licensee 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.

CCC Completed Sampling But The Test Results Are Not Yet Available. LPA observed facility representative trying to obtain the test results but was unsuccessful. LPA informed facility representative that the Lead Testing results will need be provided to the Department by due date 02/23/2025. If Lead Testing results are not available by the due date, then LPA will make a return facility visit to address deficiencies.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KIDSVERSITY	FACILITY NUMBER: 197494974
	VISIT DATE: 02/13/2025

NARRATIVE

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For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).

LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP.

LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Facility Representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are being cited.

A Notice of Site Visit was given and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to comply with posting requirement will result in an immediate civil penalty of $100.00.

Exit interview was conducted with Margaret Miller, Director including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025

LIC809 (FAS) - (06/04)

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