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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495479
Report Date: 03/10/2025
Date Signed: 03/10/2025 03:21:34 PM

Document Has Been Signed on 03/10/2025 03:21 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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:PORTUGUESE BEND NURSERY SCHOOLFACILITY NUMBER:
197495479
ADMINISTRATOR/
DIRECTOR:		SANDY HOLDERMANFACILITY TYPE:
860
ADDRESS:32201 FORRESTAL DRTELEPHONE:
(310) 612-2503
CITY:RANCHO PALOS VERDESSTATE: CAZIP CODE:
90275
CAPACITY: 30TOTAL ENROLLED CHILDREN: 21CENSUS: 0DATE:
03/10/2025
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:05 AM
MET WITH:Sandra Holderman - ApplicantTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 3/10/2025, Licensing Program Analyst (LPA) Jillinda Chandler made an announced visit to Portuguese Bend Nursery School, located at 32201 Forrestal Drive, Rancho Palos Verdes , CA. 90275 (located on the premises of LaDera Linda Community Center).The purpose of todays visit is to conduct a pre-Licensing (relocation) inspection. The applicant is requesting a temporary relocation due to the Executives Department, State of California, Proclamation Of A State Of Emergency for the city of Rancho Palos Verdes and signed on September 3, 2024 by Governor Newsom. LPA met with Sandra Holderman (applicant) who provided a tour of the facility. The center is a Staffing-Parent Cooperation Center, per Title 22, section 101216.5 The applicant is requesting a preschool license with a capacity of 30 children, ages 2 years – until entry into first grade. There are 2 rooms dedicated to day care activity; rooms 1 and 2 of the community center,day care operations day and hours will be Tuesday, Wednesday and Thursdays/9:00 A.M. – 11:45 A.M. There is an approved fire clearance on file approved on 12/11/2024, by Inspector Judkins of the L.A. County Fire Department
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE: DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2025
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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PORTUGUESE BEND NURSERY SCHOOL
FACILITY NUMBER: 197495479
VISIT DATE: 03/10/2025
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The following was observed of the:

INDOOR ACTIVITY SPACE

Fire extinguishers were 2AB10C or larger, last serviced 3/24/2024. Fire Drill last conducted 10/2024.

Carbon monoxide detectors were not observed during todays inspection, the applicant shall install or provide evidence of carbon monoxide detectors in the sites fire alarm system.

First aid kits were available with the required essentials: scissors, bandages, tweezers, ointments, manualand thermometer.

Age-appropriate furniture was not observed, per the applicant all activity is conducted in the outdoors area, LPA observed standard size tables and chairs in the classrooms.

Cots were not observed for napping, per the applicant children do not nap, applicant was advised that a mat shall be provided for ill children, children wishing to nap during day care hours and in the case of emergencies. The center operates for 2 hours and 45 minutes and children rarely nap.

Cubbies or backpack hooks were not observed for children’s belongings, per licensee children bring their belongings and essentials on a daily basis.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025
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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PORTUGUESE BEND NURSERY SCHOOL
FACILITY NUMBER: 197495479
VISIT DATE: 03/10/2025
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Drinking water will be provided by parents.

The facility has central heating and cooling.

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

Adequate lighting was observed.

The classrooms were clean in good repair.

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 in care.

There is an isolation plan for ill children. Applicant shall provide a mat to isolate child in a designated area of the classroom and sanitize the community toilet and sink after each use.

The center uses cell phones to communicate with parents, per applicant parents and staff have contacts for each parent and staff readily available.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025
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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PORTUGUESE BEND NURSERY SCHOOL
FACILITY NUMBER: 197495479
VISIT DATE: 03/10/2025
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Parents and authorized adults will sign children in and out, using their original signatures.

The required postings were also posted, applicant was advised that the postings shall be posted in a prominent area for viewing.

Measurements for the indoor activity space were 1184.27 square feet, which will accommodate the applicant’s request.

FOOD SERVICE:

All Meals are provided by parent.

Center has devised an Incidental Medical Service (IMS) plan and provide to parents of children with allergies (epi-pen), asthmatic (inhalers) glucose monitoring (diabetics), and children needing G-tube feeding. IMS was discussed with the applicant.

RESTROOMS

THERE WERE:

3 sinks and 7 toilets available for use, Applicant does not have exclusive use of the restrooms and shall provide a plan and request for and restroom waiver, per Title 22, section 101239(h). The restrooms were clean and sanitized with the necessary toiletries, sinks and toilets were operable and in good repair. Faucets delivered cold water.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025
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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PORTUGUESE BEND NURSERY SCHOOL
FACILITY NUMBER: 197495479
VISIT DATE: 03/10/2025
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OUTDOOR ACTIVITY SPACE

Age-appropriate toys and equipment were observed in fair condition.

One play yard was gated with a 4 foot or higher gate. Applicant shall request a waiver for Title 22 section 101238.2(a)(g). to use area without gates and alternate scheduling for area that does not meet Title 22 section 101238.2(a).

Wood chips was observed in fair condition under climbing apparatus. LPA discussed with applicant the concern of age appropriate equipment and supervision. Climbing apparatus was manufactured for children 5-12 years and other equipment for 2- 12 years.

Children use their personal water bottles for drinking water when outdoors.

LPA observed shasing and benches for resting.

There were no bodies of water observed on the premises during todays inspection.

Measurements for the combined outdoor activity area were 20,149.10, which will accommodate the requested capacity.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025
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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PORTUGUESE BEND NURSERY SCHOOL
FACILITY NUMBER: 197495479
VISIT DATE: 03/10/2025
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Based on today’s inspection the facility shall be recommended for a capacity of 30 children determined by the applicants request. Pending management review, waiver approval and the following corrections or recommendations.

Carbon monoxide detector were not observed during todays inspection, the applicant shall install or provided evidence of carbon detectors in the sites fire alarm system.

Age-appropriate furniture was not observed, per the applicant all activity is conducted in the outdoors area, LPA observed standard size tables and chairs in the classrooms.

Cots were not observed for napping, per the applicant children do not nap, applicant was advised that a mat shall be provided for ill children or children wishing to nap during day care hours.

Applicant shall provide a mat to isolate child in a designated area of the classroom.

One play yard was gated with a 4 foot or higher gate. Applicant shall request a waiver for Title 22 section 101238.2(a)(g). to use area without gates and alternate scheduling for area that does not meet Title 22 section 101238.2(a).

Prepare a Disaster and Mass Casualty Plan per Title

An exit interview was conducted a copy of this report was discussed and provided to applicant Sandra Holderman.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025
LIC809 (FAS) - (06/04)
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