<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017139
Report Date: 02/28/2024
Date Signed: 02/29/2024 10:16:05 AM

Document Has Been Signed on 02/29/2024 10:16 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ST. JAMES' PRESCHOOLFACILITY NUMBER:
198017139
ADMINISTRATOR:KATARINA MATOLEKFACILITY TYPE:
850
ADDRESS:625 S. GRAMERCY PLACETELEPHONE:
(213) 382-2315
CITY:LOS ANGELESSTATE: CAZIP CODE:
90005
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: DATE:
02/28/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Christine San-Cobb TIME COMPLETED:
04:00 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
Licensing Program Analyst (LPA) Seung Lee conducted an unannounced case management inspection. Upon arrival LPA Lee met with Director Christine San-Cobb. Along with the Director, Child development and family specialist Dr. Patricia Thomas and Assistant Head of School Elizabeth Desmarais

The purpose of the inspection conducted today was to obtain additional information regarding an incident that was reported to the child care regional office on 02/22/2024. During the course of this inspection, LPA Lee conducted interviews, reviewed documents, and made observations in regards to the incident.

On 02/21/2024 around 11:30AM Staff#1 was in the teacher's break room with Child#1. There was a cup of coffee that was resting in the table of the break room that was just made by Staff#1. Child#1 had small container of coffee creamer in their hand and was trying to pour the creamer on the coffee that was sitting at the table. During this time Child#1 had accidentally nudged the coffee with their elbow which caused the coffee in the cup to spill on Child#1's arm near the elbow area. Staff#1 was present in the room with Child#1 during this time and witnessed the entire incident. Child#1 was immediately provided first aide from Staff#1. The Director and a Nurse that works for the facility were informed of the incident. The parent of Child#1 was also informed of the incident by facility staff over the phone. Around 1pm, Child#1 was picked up by a parent and taken to the Doctor. Child#1 returned to school the next day on 02/22/2024.

During the inspection, LPA Lee observed that the break room where the incident occurred was the break area for Staff members. Based on the information obtained during a prior inspection, LPA Lee asked the facility if Children in care are allowed in the break room for any reason. The facility confirmed that the break room for staff members is supposed to be off limits to children in care. During an interview, Staff#1 stated that they had decided to take Child#1 with them to the break room in order to calm the child down before having their lunch. Staff#1 stated that Child#1 wanted to help with making the coffee which is why the child had the creamer in their hand before the incident had occurred.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ST. JAMES' PRESCHOOL
FACILITY NUMBER: 198017139
VISIT DATE: 02/28/2024
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
26
27
28
29
30
31
32
While it is understandable that a Staff member would find the need to redirect a child away from the other children in a classroom, this could have been done without taking the child to an off limits area of the facility. While a child in care might want to do things like pour cream into a cup of coffee, partaking in this type of activity even with staff present is an immediate risk to children in care. Even if this incident had occurred in a classroom where children are allowed to be present, a cup of any beverage that is hot should not be accessible to a child in care.

Based on the information obtained and confirmed during this inspection, the following deficiency listed on the attached LIC 809D 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 the LIC 9224 was provided to the facility during this inspection. The Director understands that a signature on the copies of this form is to be filed for every child currently attending and any new children enrolled for a period of 1 year starting from this date.

The notice of site inspection along with all pages of this report must remain posted for 30 days during hours of operation. Failure to maintain posting during business hours will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Director Christine San-Cobb. Appeal rights discussed and explained

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 02/29/2024 10:16 AM - It Cannot Be Edited


Created By: Seung Lee On 02/28/2024 at 03:31 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ST. JAMES' PRESCHOOL
FACILITY NUMBER: 198017139

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/29/2024
Section Cited
CCR
101223(a)(2)

1
2
3
4
5
6
7
The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by the fact that Child#1
sustained an injury while being present in an
1
2
3
4
5
6
7
The Director stated that Staff#1 has been advised to never take children into the breakroom for any reason. A a meeting was held on 02/27/24 regarding protocol for staff. Facility will provide documentation of the meeting by the POC date.
8
9
10
11
12
13
14
off limits area of the facility with Staff#1. This is an immediete risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Claudia Guangorena
LICENSING EVALUATOR NAME:Seung Lee
LICENSING EVALUATOR SIGNATURE:
DATE: 02/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/28/2024


LIC809 (FAS) - (06/04)
Page: 3 of 3