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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019910
Report Date: 11/02/2022
Date Signed: 11/02/2022 04:16:14 PM

Document Has Been Signed on 11/02/2022 04:16 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:TLC LEARNING CENTERFACILITY NUMBER:
198019910
ADMINISTRATOR:BLANCA APONTEFACILITY TYPE:
850
ADDRESS:11005 FOSTER RDTELEPHONE:
(562) 868-8516
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 46DATE:
11/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Lead Teacher Ariana Ramirez and Director Blanca Aponte TIME COMPLETED:
12:15 PM
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On 11/2/22 Licensing Program Analysts (LPAs) Jeanette Estrada and Austin Estrada conducted an unannounced required 1 year inspection. LPAs initially met with Lead Teacher Ariana Ramirez and informed her of the purpose of the visit. Ms. Ariana guided LPAs on a tour of the facility. Director Blanca Aponte arrived at the facility a few minutes later and continued with the tour. LPAs provided Facility Entrance Checklist to Director. This is a preschool program that consists of four classrooms. The facility was observed to be within the license capacity. Present during today's inspection were 11 children with 2 staff in classroom 1, 10 children with 2 staff in classroom 2, 12 children and 2 staff in classroom 3 and 13 children with 2 staff in classroom 5. Operating hours are Monday to Friday 6:30AM to 6:30PM. The facility provides services to children ages 2 years to until entry into Kindergarten. Criminal Record Clearances for staff present were reviewed. Present during today's inspection was Ashley Kim (Adult 1), instructor for Webby Dance Company contracted by the facility. Adult 1 provides a 30 minute dance class to a group of children in Room 7 once a week. Adult 1 has a criminal record clearance but is not associated to this facility. Per Director, Adult 1 is not employed by TLC Learning Center and they provide the dance class to the group of children without the supervision of a qualified staff member that is associated to the facility, this is an immediate risk to the safety of children in care. Per Director, Adult 1 has been providing the dance instruction for 3 years. Per Director, she was advised that Adult 1 was qualified to be present with children without a qualified facility staff member supervising the sessions.
Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. There is air/heating in the facility. Children have their own cubbies in the classrooms to store their belongings. There is one restroom with one toilet and one sink in Classroom 1 used by the two year old class. The Two year old class also provides potty training.
There are two additional restrooms available for the preschool program totaling 3 urinals, 6 toilets and 6 sinks. General sanitation was observed in the children's restrooms.
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SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2022
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: TLC LEARNING CENTER
FACILITY NUMBER: 198019910
VISIT DATE: 11/02/2022
NARRATIVE
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Availability of indoor drinking water was observed in classrooms via a water filter container and disposable cups. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Cleaning supplies are stored on high shelves in the classrooms. Medication storage is in each classroom in a locked container. Per Director there are no poisons. Each classroom including the food preparation area has an operable combination Carbon Monoxide/ Smoke detector. Each class contains a first aid kit. Per Director there are no firearms stored on the premises. There are no pools or bodies of water at the facility. There is a 2A10BC fire extinguisher in each classroom. Fire extinguishers were last serviced in September 2022. There is appropriate napping equipment available for children.
Children’s Records were reviewed for completeness. Children's records were observed to be complete.
Staff files: Records were reviewed for completeness. Facility staff files were observed to be complete. There is at least one staff present with a valid pediatric CPR/ First Aid certification available at the facility during operating hours. A file was not available for Webby Dance Company instructor, Ashley Kim. LPAs could not verify if they have proof of required immunization to measles, pertussis or flu.
A children's roster was available. Sign-In and Sign-Out is done electronically and was reviewed. A disaster drill log was available. Last drill documented was held on 9/9/2022.
The facility provides breakfast, lunch and an afternoon snack. Menus are provided to parents/ authorized representatives at enrollment and the menus are also posted in the classrooms. Menus for the past 30 days are available upon request.
All food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids or solid waste bags shall be discarded immediately after each meal. A food allergy list is available in each classroom and in the kitchen.
The outdoor playground area was evaluated. The outdoor playground is fully enclosed. Outdoor equipment is in a safe condition, free of sharp, loose or pointed parts. All areas around or under high climbing equipment and similar equipment are cushioned with material that absorbs a fall. There is shade in the play yard. The outdoor area is shared with the Licensed School Age program 198019909 and the Director has a waiver on file. The preschool program uses the yard at separate times from the school age program.
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SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
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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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: TLC LEARNING CENTER
FACILITY NUMBER: 198019910
VISIT DATE: 11/02/2022
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed. There are no children who require medication at the moment. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Facility Representative was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated. A $500 civil penalty is being issued today for the presence of Adult 1-Ashley Kim.

LPAs advised the licensee/facility representative how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.


To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/tion-process.

The deficiencies listed on the following pages were observed by the LPAs and are being cited in accordance with California Code of Regulations Title 22. Two type A citations are being issued today for CCR 101170(e)(2)Criminal Record Clearance and 101229(a)(1) Responsibility for Providing Care and Supervision. One Type B is being issued for Health and Safety Code 1596.7995(a)(1) for proof of required immunization against flu, measles and pertussis not being on file for Adult 1. Please see attached LIC 809-Ds.


Deficiencies that are being cited need to be cleared to protect the children’s health & safety.
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SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
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Document Has Been Signed on 11/02/2022 04:16 PM - It Cannot Be Edited


Created By: Jeanette Estrada On 11/02/2022 at 02:11 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: TLC LEARNING CENTER
FACILITY NUMBER: 198019910

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/02/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
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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Based on observation and interview, the licensee did not comply with the section cited above. The instructor for the Webby Dance Company, Ashley Kim, was allowed to be unsupervised by qualified facility staff during sessions provided to children in care. Ashley Kim is not employed by the facility and does not have a facility file to verify if they are qualified to supervise children without a staff member and although they have a criminal record clearance, they are not associated to the facility which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/03/2022
Plan of Correction
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Director will submit a written plan identifying how the facility will provide the service of Webby Dance Company while meeting criminal record clearance and supervision requirements going forward. Director will submit plan to LPA via email by due date.
Type A
Section Cited
CCR
101170(e)(2)
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: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f) or

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, record review and interview, the licensee did not comply with the section cited above.The instructor for the Webby Dance Company, Ashley Kim, was present during today's inspection conducting a session with children while unsupervised by a qualified staff. Per Director, Ashley Kim has been providing dance services for 3 years. Ashley Kim has a criminal record clearance but the clearance was not transfered to the license prior to conducting dance sessions which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/03/2022
Plan of Correction
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A $500 civil penalty is being assessed today. Director will submit a written plan identifying how the facility will provide the service of Webby Dance Company while meeting criminal record clearance and supervision requirements going forward. Per Director, Ashley Kim will be supervised by a qualified staff member during sessions including the next session to be held on 11/9/22. Director will submit plan via email by due 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:Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:
DATE: 11/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/02/2022


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Document Has Been Signed on 11/02/2022 04:16 PM - It Cannot Be Edited


Created By: Jeanette Estrada On 11/02/2022 at 02:11 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: TLC LEARNING CENTER
FACILITY NUMBER: 198019910

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/02/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review and interview, the licensee did not comply with the section cited above. There was no proof of required immunization against influenza, pertussis, and measles available at the facility for Adult 1-Ashley Kim from Webby Dance Company which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/02/2022
Plan of Correction
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Director will obtain proof of required immunization against flu, measles and pertussis for Adult 1-Ashley Kim and will submit proof to LPA via email
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:
DATE: 11/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/02/2022


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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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: TLC LEARNING CENTER
FACILITY NUMBER: 198019910
VISIT DATE: 11/02/2022
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The notice of site visit shall be posted where the parent/guardian of children enter and exit the facility.
A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility.
Both the notice of site visit and licensing report shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.
A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return.
A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt.


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

Exit interview conducted: Report and Appeal Rights were reviewed with Director Blanca Aponte.

END OF REPORT

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
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