198017157-9-26-2024-54-CC-ACAN-D9GSU5-20240926141034

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198017157
Report Date: 09/26/2024
Date Signed: 09/26/2024 02:10:45 PM

Document Has Been Signed on 09/26/2024 02:10 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	HARRIETTE EVANS SHIELDS CDC/DREW CHILD DEVELOPMENT		FACILITY NUMBER:	198017157
ADMINISTRATOR/ DIRECTOR:	SHIVERS, EDWINA		FACILITY TYPE:	850
ADDRESS:	224 E. 126TH STREET		TELEPHONE:	(323) 779-6196
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90061
CAPACITY: 49	TOTAL ENROLLED CHILDREN: 30	CENSUS: 26	DATE:	09/26/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Launye Ownes/ Site Supervisor		TIME VISIT/ INSPECTION COMPLETED:	02:30 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	About 9:00AM, Licensing Program Analysts (LPAs) Ashley Calderon and Tiffanie Tran, conducted an unannounced random/ annual inspection. Upon arrival, LPA's met with the Site Supervisor Launye Ownes. The facility preschool program hours of operation are Monday to Friday, from 6:30am to 6:00pm Facility is licensee to serve a total capacity of (49) children. (33) preschool children ages 3-5 and facility has a toddler option with a capacity of (16) children ages 18 months - 36mths. The Center Facility Visit Checklist LIC125 was provided during inspection. LPA's were guided on a tour of the facility including both indoor and outdoor areas alongside Ms.Ownes . Facility has a total of (3) classrooms and has a Toddler Component. Classroom S8H and S13M- A/ B. All areas identified on the facility sketch were inspected and checked the following: Telephone service, heating, lighting, and ventilation were evaluated and operable. The children and the staff restrooms were inspected for the appropriate age, sinks and toilets were inspected for availability, good repair, safety, and sanitation. LPA's observed age-appropriate furniture, equipment, and toys. LPA's observed that toys and napping equipment and bedding were in good condition, linen is washed and changed weekly or as needed, washing is done at the facility. The facility food prep area was toured. LPA inspected the food preparation area, storage, warmer and refrigeration are available. The facility provides breakfast, lunch, and snacks. Food is delivered by a food vendor daily. The availability of drinking water was accessible for children. LPA consulted with Site Supervisor to have drinking water accessible for outdoor area. LPA's reviewed lead testing, testing was conducted on 9/2/22. (page 1)

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024

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: HARRIETTE EVANS SHIELDS CDC/DREW CHILD DEVELOPMENT	FACILITY NUMBER: 198017157
	VISIT DATE: 09/26/2024

NARRATIVE

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Per Director, no children currently require medication. First Aid supplies were observed and inaccessible to children in care. LPA's observed the outside play area of the facility. LPA's observed age-appropriate and good repair of all outdoor equipment.

There are no weapons or bodies of water on the premises. The smoke detectors, carbon monoxide & fire extinguisher are operable. Per Site Supervisor, drill is done monthly. LPA reviewed the Earthquake & Fire drill log, last conducted on 07/24/24 .

LPA's reviewed (4) children files, facility was cited for not having 15 min sleep log for toddlers under 2 years old, Child #3 file was reviewed and Sleep Log not available. LPA's reviewed (8) staff files. LPA consulted Site Supervisor regarding filing organizations and LPA reviewed Administration records for Site Supervisor (Administrator) qualifications, LPA requesting documentation's to be sent to Licensing. Director informed LPA the facility does not offer transportation. Facility uses as the Director Office Room as isolation room if children are ill and waiting to get picked up my parent. LPA conducted a staff interview with Director.

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.

Facility representative (FR), 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.

CCC COMPLETED TESTING AND REMEDIATED 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.
LPAs referred FR to the Department website for lead: Lead Toxicity Prevention and Water Testing Information

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/26/2024 02:10 PM - It Cannot Be Edited

Created By: Ashley Calderon On 09/26/2024 at 01:00 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: HARRIETTE EVANS SHIELDS CDC/DREW CHILD DEVELOPMENT	FACILITY NUMBER: 198017157
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/26/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101429(a)(2)(B)

Responsibility for Providing Care and Supervision for Infants

(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on Interview with Site Supervisor Launye Owne informed LPA Child#3 (C3) does not have a 15 min sleep log and no 15 min sleep available for children under age of 2 years old, during record review LPA Calderon and Tran did not observe sleep log for C3 , the licensee did not comply with the section cited above in [1] out of [1] persons which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/14/2024
	Plan of Correction
1 2 3 4	Site Supervisor Launye Owne will send LPA Calderon 15 min sleep log for Child #3 by poc due date. LPA provided sleep log sample.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Ashley Calderon

LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: HARRIETTE EVANS SHIELDS CDC/DREW CHILD DEVELOPMENT	FACILITY NUMBER: 198017157
	VISIT DATE: 09/26/2024

NARRATIVE

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LPAs 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 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.

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/.

Facility representative 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.

The facility was cited and provided a deficiency on LIC 809-D, Per California Code of Regulation Title 22, a type B was cited on today's visit. A notice of site visit was given and must remain posted for 30 days.
The Notice of Site Visit (LIC 9213) – 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 $100.00.

Exit interview conducted, appeal rights were given and report was reviewed with the Launye Ownes/ Site Supervisor.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024

LIC809 (FAS) - (06/04)

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