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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014885
Report Date: 06/29/2023
Date Signed: 06/29/2023 06:36:34 PM

Document Has Been Signed on 06/29/2023 06:36 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:UNIQUE'S PRESCHOOLFACILITY NUMBER:
198014885
ADMINISTRATOR:LETICHA TONEYFACILITY TYPE:
850
ADDRESS:9322 S. MAIN STREETTELEPHONE:
3237792595
CITY:LOS ANGELESSTATE: CAZIP CODE:
90003
CAPACITY: 25TOTAL ENROLLED CHILDREN: 25CENSUS: 14DATE:
06/29/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Johnnie McWilliams - JohnsonTIME COMPLETED:
06:00 PM
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Licensing Program Analysts (LPAS) Franchesca White and Denise Gibbs arrived at the above mentioned facility for the purpose of an unannounced annual inspection. LPAS White and Gibbs were greeted by Licensee Johnnie Johnson and granted entry into the facility. Facility is currently licensed for a capacity of 25.The program currently operates Monday thru Friday from 6am to 6pm. Staff 1, 2, 3 have background clearance. 1 uncleared adult present at time of inspection. Uncleared adult working in the preschool classroom during the time of inspection. Gave the name of Geri Brown, and the Licensee corrected her and said her name was Geraldine Biree. Director states Geraldine Biree has not worked at the facility in a long time. Licensee Johnnie Johnson stated that the person's name was Lisa, then later said the person's name is Aisha Johnson.

At the initial start of the site visit, there is a total census of 11 Preschoolers and 3 School age children in the Preschool (3-4) class and a total census of 1 teacher and 1 Volunteer and one uncleared adult present. The facility is made up of four classrooms, the 2s Classrooms, Preschool, and School-Age. The facility is also attached to an Infant Center (198014887). At , LPAs toured 2s Classroom, furniture and equipment were inspected for age appropriateness and good repair, first aid kit observed in classroom hanging by door way. LPAS observed Preschool classroom to have a refrigerator near the fire extinguisher that has expired prune juice on the top shelf, and probiotics on the bottom shelf(pictures taken). LPAs observed roach and rodent traps under the reading table against the wall (picture taken). LPA's observed the Preschool bathroom to have two working toilets and three sinks in operable condition at time of inspection. LPAs observed toilet cleaners on the floor behind the toilets.

LPAS observed School age classroom to have cubbies filled with manipulatives (blocks, plastic toys), puzzles, books, dramatic play area, and desk and chairs for the children. School Age class has 1 restroom with one toilet and one sink with paper towels, and toilet paper.
Report Continued 1 of 4 Pages
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE: DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/29/2023
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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: UNIQUE'S PRESCHOOL
FACILITY NUMBER: 198014885
VISIT DATE: 06/29/2023
NARRATIVE
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 The light switch in the restroom was inoperative at the time of inspection. LPAs observed roach and rodent trap under dramatic play area couch.

At 11:45 a.m., LPA White observed lunch time for the preschool children. LPA White observed Preschool teacher serve lunch to 9 children seated at the table. LPA observed Child 2 (C2) jumping off the couch with pizza in hand. LPA observed C1 tumbling off the couch and screaming while making steming motions with hands to mouth in a rapid motion. C1 repeated this same behavior the duration of lunch while the teacher called C1 by name. C1 never acknowledged Teacher.

At 12:25 p.m., LPA White observed C1 and C2 jumping from bed to bed, while preschool teacher called both C1 and C2 to stop and lay down. LPA White asked Teacher how she handles the behaviors of the children, she replied, I just let them jump and run. There nothing I can do."

Snack/lunch menus in the classroom were observed and are current. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment.

LPA observed required posted documentation outside of the classrooms, which included License, Publication (PUB) 393- Notification of Parent Rights, Licensing Form (LIC) 610- Facility Disaster Plan,and LIC 613A- Notification of Personal Rights and AM/PM snack and Lunch Menu. All documents were observed.
Facility records were reviewed for LIC 9040- Facility Roster, 9148- Earthquake Preparedness form, Daily schedule and Disaster drill log, last drill conducted on 6/23. All documents were observed. Carbon monoxide detector was tested and working properly at time of inspection. Fire Extinguisher was observed in the Preschool classroom to be fully charged with a service tag of 11/2022.

The Licensee and Staff have current Pediatric First Aid and CPR. Proof of immunization against influenza, and pertussis was readily available during today’s inspection. Proof of Mandated Reporter Training was not available for Staff 1 (S1), S3, S4.
—CPR Card valid until: 7/2025 (S1,2,3,4)
—Fire Extinguisher was last serviced on: 11/2022
Report Continued 2 of 4 Pages
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
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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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: UNIQUE'S PRESCHOOL
FACILITY NUMBER: 198014885
VISIT DATE: 06/29/2023
NARRATIVE
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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.

Licensee Johnnie Johnson and Director Letichia Toney were 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.

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 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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) 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-centers/.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
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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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: UNIQUE'S PRESCHOOL
FACILITY NUMBER: 198014885
VISIT DATE: 06/29/2023
NARRATIVE
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Based on LPA's observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children's health & safety.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent / guardian of any newly enrolled children for the next 12 months (1 year) The Acknowledgement form must be maintained in each child's file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.

The Notice of Site Visit (LIC9213) - must remain posted for 30 days. during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.

Meeting with the RO will be scheduled for a future date.

Exit interview was conducted with Licensee Johnnie Johnson and Director Letichia Toney.



End of Report 4 of 4 Pages
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
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Page: 3 of 10
Document Has Been Signed on 06/29/2023 06:36 PM - It Cannot Be Edited


Created By: Franchesca White On 06/29/2023 at 05:02 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: UNIQUE'S PRESCHOOL
FACILITY NUMBER: 198014885

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observation the licensee did not comply with the section cited above by the preschool and school age classrooms having roach and rodent traps under furniture items accessible to children in care which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/30/2023
Plan of Correction
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2
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Licensee Johnnie Johnson removed traps immediately. Licensee stated exterminators wil come on the weekend to provide thorough fumigation of facility.
Type A
Section Cited
CCR
101229(a)
Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on Observation interview, and record review, the licensee did not comply with the section cited above in 2 out of 9 children exhibited behaviors that staff stated they are unable to manage while supervising other children in care which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/30/2023
Plan of Correction
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Licensee Johnson states she will develop a plan with Sharon Phillips to work with children who require more care one on one.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Franchesca White
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023


LIC809 (FAS) - (06/04)
Page: 4 of 10
Document Has Been Signed on 06/29/2023 06:36 PM - It Cannot Be Edited


Created By: Franchesca White On 06/29/2023 at 05:02 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: UNIQUE'S PRESCHOOL
FACILITY NUMBER: 198014885

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101170(e)
Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above by having an uncleared person named Aisha working with preschool children which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/30/2023
Plan of Correction
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Uncleared adult left immediately.
Type A
Section Cited
CCR
101161(a)
Limitations on Capacity and Ambulatory Status
(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above by License states up to 12 School Age Children may be present within the licensed capacity under section... policy. School age may be present 6-7 a.m.-1-6 p.m. Licensee did not adhere to the requirements by having school age children present during the hours 9:30a -1:00 p.m. which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/30/2023
Plan of Correction
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Director states she's going to provide a summed schedule for the school age children, and new hours for school age.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Franchesca White
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023


LIC809 (FAS) - (06/04)
Page: 5 of 10
Document Has Been Signed on 06/29/2023 06:36 PM - It Cannot Be Edited


Created By: Franchesca White On 06/29/2023 at 05:02 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: UNIQUE'S PRESCHOOL
FACILITY NUMBER: 198014885

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on interview and record review, the licensee did not comply with the section cited above because Faciity has not conducted, or provided proof of required lead testing that was due January 1, 2023] which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/14/2023
Plan of Correction
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3
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Director Toney will send proof on or before POC date.
Type B
Section Cited
CCR
101229(a)(1)
Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observation and interview, the licensee did not comply with the section cited above by Staff not able to provide sufficient visual supervision to children in restroom while supervising children on playground which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/14/2023
Plan of Correction
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2
3
4
Director Toney states that she will conduct a staff meeting and discuss this deficiency and send staff sign - in sheet to LPA on or before POC date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Franchesca White
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023


LIC809 (FAS) - (06/04)
Page: 6 of 10
Document Has Been Signed on 06/29/2023 06:36 PM - It Cannot Be Edited


Created By: Franchesca White On 06/29/2023 at 05:02 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: UNIQUE'S PRESCHOOL
FACILITY NUMBER: 198014885

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview, record review, the licensee did not comply with the section cited above Mandated Reporter Training was not available for S1,S3,S4
POC Due Date: 07/14/2023
Plan of Correction
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2
3
4
Type B
Section Cited
CCR
101227(a)(19)
Food Service
(19) All food shall be protected against contamination. Contaminated food shall be discarded immediately.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above by having expired food in the preschool refrigerator which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/29/2023
Plan of Correction
1
2
3
4
Licensee Johnson removed expired items immediately.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Franchesca White
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023


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