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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495187
Report Date: 10/25/2022
Date Signed: 10/25/2022 05:30:17 PM


Document Has Been Signed on 10/25/2022 05:30 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:CII/YMCA HEAD STARTFACILITY NUMBER:
197495187
ADMINISTRATOR:JUSTINE LAWRENCEFACILITY TYPE:
850
ADDRESS:9900 S VERMONT AVENUETELEPHONE:
(323) 905-1042
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY:48CENSUS: DATE:
10/25/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:24 PM
MET WITH:Justine Lawrence-facility representative/ Erika Avila-directorTIME COMPLETED:
04:55 PM
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On 10/25/2022 Licensing Program Analyst (LPA) Jillinda Chandler made an announced visit to CII/YMCA Head Start for the purpose of conducting a pre-licensing inspection. LPA met with Justine Lawrence - facility representative and Erika Avila - site director, and a tour of the center was provided.The applicant is requesting a pre-school component with a toddler option, with a capacity of 16 toddlers ages 18 months-3 years of age, and 32 preschool children ages 3 - 5 years old. The day care is located on the YMCA campus, there is a separate entry from the public, located on 99th street side of the building, equipped with electronic entry and cameras. The applicant has a pending infant application ( 197495186) on file. Pre-school activities will be conducted in rooms 2 and 3 (toddlers) and rooms 1 and 4 ( preschooler),. Day care days are Monday - Friday and hours of operation are from 8:00 A.M. - 4:30 P.M.
There is an approved fire inspection on file conducted by Inspector Henry Medina of the L.A City Fire Department.

The following was observed of the:

INDOOR ACTIVITY SPACE

Fire extinguishers were 2AB10C or larger.

Carbon monoxide detectors were observed in each classroom.

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: CII/YMCA HEAD START
FACILITY NUMBER: 197495187
VISIT DATE: 10/25/2022
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First aid kits were available with the required essentials: scissors, bandages, tweezers, and thermometer. Storage for medications were inaccessible to children.

Age appropriate furniture and toys were observed in good repair, The classrooms were clean in good repair.

Drinking water will be provided through filtered water dispensers

The facility has central heating and cooling.

Windows were in good repair free of chipping paint, dirt, insects or debris

Adequate lighting was observed

Trash cans used for solid waste were observed with tight fitting lids

No Fireplaces or open face heaters were observed

Disinfectants and cleaning solution and other toxins or poisons were made inaccessible to children, placed in locked cabinet or storage room

The office and the staff restroom (located on the right side of the corridor) will be used for isolation of ill children

The classrooms were equipped with a working telephones and staff has access to classroom cell phones for communication.

The required postings were also posted in a common area for parents and visitors review

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
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: CII/YMCA HEAD START
FACILITY NUMBER: 197495187
VISIT DATE: 10/25/2022
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Parents and authorized adults will sign in and out children using their original signatures and with an electronic devise “Child Plus” , the applicant was informed, sign in sheets shall be readily available for review and printing, upon the departments request. Sign in sheets shall be retained for a minimum of 30 days.

Measurements for the indoor activity space was 1400.06 divided by 35 SQ. FT. per child = 40 toddler children and 1437.33 = 41 preschool children.

FOOD SERVICE:

Lunches and snacks will be provided by the school through an outside vendor. Weekly menus were posted for review. Children will eat in their respective classrooms.

LPA observed a full prepping kitchen that was inaccessible to children in care, the kitchen was clean, refrigeration and storage for foods were observed.

Center has an Incidental Medical Service plan, included in the parent handbook

Water is provided in classrooms using filtered water canisters and paper cups or sippy cups

RESTROOMS

THERE WERE:

4 toilets = 1 toilet per 15 children for a total of 60 children,


5 sinks = 1 sink per 15 children for a total of 75 children.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
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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: CII/YMCA HEAD START
FACILITY NUMBER: 197495187
VISIT DATE: 10/25/2022
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Classrooms 3 and 2 were equipped with a changing table within arms reach of a sink (included in sink count)
Toilets were age appropriate, sinks were standard with wide based stools for accessibility. There were 2 preschool restrooms, one on each side of the corridor, the toddler classrooms had restrooms located within the classroom.

The restrooms were clean and sanitized with the necessary toiletries, sinks and toilets were operable and in good repair. Faucets delivered cold water.

OUTDOOR ACTIVITY SPACE

Age appropriate toys and equipment were observed in good condition.

The play yard gated with a 4 feet or higher gates. Alarm devised were added to the exit gates, leading to the public street ( 99th street and Century Blvd.) Applicant is advised to test alarm often to ensure the devise is operable.

LPA advised the representative to devise a plan, ensuring that the low cement retention base, does not become a potential hazardous condition. During the visit stable furniture and or equipment was arranged to prevent access to this area.

Resilient cushioning was observed under all climbing apparatus. LPA observed a manufactures label for children ages 2-5 on the climbing apparatus on the preschool yard.

Filtered water pitchers were observed for an outdoor water source

LPA observed shade canopies and benches for resting.

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
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: CII/YMCA HEAD START
FACILITY NUMBER: 197495187
VISIT DATE: 10/25/2022
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Measurements for the outdoor activity area were 703.00 divided by 75 sq. ft. per child for capacity total of 9 toddlers, and 1557.05 for 20 preschool children.

The applicant is requesting a waiver of Title 22 section 101238.2(a) - 75 square feet per child of outdoor activity space.

Ratios and supervision were also discussed during todays inspection, per Title 22, section 101516.5.

Based on today’s observations and inspection the facility shall be recommended for a capacity of 16 toddlers and 32 preschool children for a total of 48, pending approval of requested waiver and the applicants requested capacity.

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.

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.

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
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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: CII/YMCA HEAD START
FACILITY NUMBER: 197495187
VISIT DATE: 10/25/2022
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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 licensee [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.

Exit interview conducted and report was reviewed with the facility representative Erika Avila.

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
LIC809 (FAS) - (06/04)
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