198009693-11-1-2024-54-CC-KDUP-DALPWX-20241101114129

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198009693
Report Date: 11/01/2024
Date Signed: 11/01/2024 11:41:35 AM

Document Has Been Signed on 11/01/2024 11:41 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	JOHNSTON ELEMENTARY SCHOOL		FACILITY NUMBER:	198009693
ADMINISTRATOR/ DIRECTOR:	SOFIA ESPINOZA		FACILITY TYPE:	850
ADDRESS:	13421 S. FAIRFORD AVE.		TELEPHONE:	(562) 210-2508
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY: 38	TOTAL ENROLLED CHILDREN: 26	CENSUS: 18	DATE:	11/01/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Laura Perez		TIME VISIT/ INSPECTION COMPLETED:	11:45 AM

NARRATIVE

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On November 1, 2024 at 9:30a.m., Licensing Program Analysts (LPAs) Keneisha Dunlap and Tiffianie Tran arrived at the above facility for the purpose of an unannounced Annual Inspection. LPA Tran announced the purpose of the visit and was granted entry into the facility by Site Supervisor- Laura Perez and guided LPA’s on tour of facility. There were 26 children enrolled, 18 children present, and 5 staff present at the time of inspection. The hours of operation are Monday- Friday from for classroom #1 the hours are from 8:30am-3:00pm. The classroom #2 hours are Monday-Friday from 8:00a.m.-11:30a.m. & 12:00p.m.- 3:00p.m. All adults at the facility were discussed and background and fingerprinted cleared. License, facility sketch, disaster plan, parent rights, and PUB 393 posted. Facility does have a current disaster log drill with date of 10/30/24. Facility does have current LIC9040 (facility roster). The school cafeteria provides all meals for children at center. The center has menus posted in classrooms along with allergy list in the classrooms and kitchen. Daily schedule are posted in each classroom. LIC 500 was available for review. There are 2 working landlines in each classroom. LPA's observed a first aid kit with all required components.

The facility has 2 classrooms that includes cabinet space for material and supplies with a sink. LPA's observed cleaning solutions inaccessible for children to reach. The classrooms have age appropriate tables, cubbies for personal belongings, dramatic play area, library, and age appropriate toys. All electrical outlets in the classroom were covered. There are sinks in the classroom that are accessible to children during indoor play. There is a communication table outside for parents. The parents sign in and out daily on tablet. LPA’s observed all furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts. LPA's observed lead testing posting posted in window of facility.

There are 1 bathroom in classroom #1 with 2 toilets, 1 sink, 1 soap dispenser, and classroom #2 has 1 toilet 1, 1 sink, and 1 soap dispenser. Both bathrooms sinks and toilets are in good working good condition.

All trash cans in classrooms, and outside have lids. Page 1 of 3

Karen Chambers	TELEPHONE: (323) 981-3368
Keneisha Dunlap	TELEPHONE: 323-629-7782
	DATE: 11/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: JOHNSTON ELEMENTARY SCHOOL	FACILITY NUMBER: 198009693
	VISIT DATE: 11/01/2024

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The outdoor area has rubber mat area where the slide structure. There are age appropriate toys, and bikes. There is a water igloo outside for children to access during outdoor play. There is a shade structure where picnic tables are. LPA’s observed all furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts.

Napping cots are stored in Classroom #1 and children nap in Classroom #1.

LPA's observed a fire extinguisher with 10/11/24.

Staff Files were not available for review during inspection as they are located at the main office.

Children Files-

Child #1 - all required licensing forms are in file. Immunization records are in file, and admission agreement.

Child #2- - all required licensing forms are in file. Immunization records are in file, and admission agreement.

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.

Criminal Record Clearance - Child Care Centers Site Supervisor- Laura Perez was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Lead Testing

CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES: Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to

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SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Keneisha Dunlap	TELEPHONE: 323-629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: JOHNSTON ELEMENTARY SCHOOL	FACILITY NUMBER: 198009693
	VISIT DATE: 11/01/2024

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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. 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 to the Written Directives outlined in PIN 21-21.1-CCP.

For the following scenarios use the below un-bolded language: • CCC COMPLETED TESTING AND IS IN THE PROCESS OF REMEDIATING LEAD EXCEEDANCES, or • CCC COMPLETED SAMPLING BUT THE TEST RESULTS ARE NOT YET AVAILABLE, or • CCC DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE, or • CCC TESTING DEADLINE HAS NOT PAST LPA referred Site Supervisor.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

MyChildCarePlan.org

Site Supervisor- Laura Perez 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.

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

Appeal rights reviewed and given to the Site Supervisor- Laura Perez.

There were no deficiencies during todays visit.

Exit interview conducted and report was reviewed with Site Supervisor- Laura Perez.

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SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Keneisha Dunlap	TELEPHONE: 323-629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2024

LIC809 (FAS) - (06/04)

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