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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020053
Report Date: 06/06/2023
Date Signed: 06/06/2023 04:36:34 PM

Document Has Been Signed on 06/06/2023 04:36 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:LITTLE ANGELS PRESCHOOL & KINDERGARTENFACILITY NUMBER:
198020053
ADMINISTRATOR:SAVITRI YASODA ABEYAWARDENFACILITY TYPE:
850
ADDRESS:18419 S. AVALON BLVDTELEPHONE:
(310) 819-8629
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 46DATE:
06/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Savitri Abeyawardene & Manisha Peiris, Owners & DirectorTIME COMPLETED:
04:55 PM
NARRATIVE
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On 06/06/23 at 12:20pm, Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced required one year inspection at the above facility. LPA met with teacher Eva Martinez and informed her of the purpose of the visit. Director and Owners Savitri Abeyawardene & Manisha Peiris arrived at approximately 12:45 PM. With permission LPA gave herself a tour of the facility at 12:25pm. Hours of operation are Monday to Friday 7am to 6pm. Manisha Peiris left the facility at approximately 2:00pm.

All areas identified on this report were inspected. Upon arrival, LPA observed 46 napping children with 5 staff members. This facility has one big classroom but it is divided into 3 parts using cubbies. Teacher-child ratios were observed to be in accordance with Title 22 Regulations. All children were observed to be under visual supervision of a teacher at all times.

LPA observed all preschool classroom to be clean and in good repair. The floors were clean and lighting was in operable condition. There were age appropriate toys and equipment. LPA observed water readily available via water fountain and water bottles. LPA observed cubbies/storage area for children to store their personal belongings. Smoke detector and were observed to be in operable condition. At 3:10pm Carbon monoxide detector was not working. Per S. Abeyawardene facility will get new batteries. LPA observed Fire extinguisher located near the kitchen and was serviced on 03/16/2023. First Aid kit was observed and inventoried, some items were expired. A technical violation was given. Appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, paper towels, and general sanitation. Disinfectants and cleaning solutions were observed to inaccessible to children in care once LPA asked S. Abeyawardene to latch the lock. Since children were sleeping at this time LPA gave a technical violation. Per Owners there are no poisons stored at the facility.

Napping equipment and bedding were inspected and found to be clean and in operable condition. Per S. Abeyawardene, bedding sheets are sent home on Fridays to be washed.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/06/2023
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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Document Has Been Signed on 06/06/2023 04:36 PM - It Cannot Be Edited


Created By: Susann Sanchez On 06/06/2023 at 03:25 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: LITTLE ANGELS PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 198020053

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

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.954
Licensure Requirements
Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections.

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. LPA attempted to test carbon monoxide detector but detector would not work. Teacher Bayola Correa also attempted to test carbon monoxide but it would not work. Which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/13/2023
Plan of Correction
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Per S. Abeyawardene will replace the batteries and submit proof by POC due date of 06/13/23.
Type B
Section Cited
CCR
101238.2(d)
Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained:

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. LPA observed required cushioning under climbing structure to absorb a fall. LPA observed a wooden walking beam in the play yard. Wooden bean was half covered with fabric material but the fabric is falling off exposing the wood and its not protected. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/27/2023
Plan of Correction
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Per S. Abeyawardene will fix wooden walking beam submit proof by POC due date of 06/27/23.
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:Susann Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE: 06/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/06/2023


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Document Has Been Signed on 06/06/2023 04:36 PM - It Cannot Be Edited


Created By: Susann Sanchez On 06/06/2023 at 03:25 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: LITTLE ANGELS PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 198020053

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

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 observation, interview and record review, the licensee did not comply with the section cited above. During staff file review, 3 out of 6 staff were missing immunizations. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/27/2023
Plan of Correction
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Per S. Abeyawardene will submit proof of staff immuizations by POC due date of 06/27/23.
Type B
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. There was a staff member that was not associated to the facility but did have proof of clearance. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/13/2023
Plan of Correction
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During inspection S. Abeyawardene faxed LIC 508 and photo ID to the department.
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:Susann Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE: 06/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/06/2023


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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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LITTLE ANGELS PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 198020053
VISIT DATE: 06/06/2023
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Per Owners, currently there are no children on medication. Medication is administered on a as needed basis.
LPA toured the outdoor play area. LPA observed age-appropriate toys and material for children, free of loose, sharp, and/or pointed parts. LPA observed required cushioning under climbing structure to absorb a fall. LPA observed a wooden walking bean in the play yard. Wooden bean was half covered with fabric material but the fabric is falling off exposing the wood and its not protected. Type B was cited. Shade was observed in the outdoor area. Children use the water fountain during outdoor play. LPA did not observed bodies of water on the premises.

LPA observed the kitchen area, food preparation area, and food storage area to be clean and free of litter, rubbish, rodents, and/or any other vermin. LPA observed refrigerator to be clean and in operable condition. LPA observed items in the refrigerator not to be expired. Food that was not in the original packaging were sealed and labeled with an expiration date.

LPA observed a current Children's roster. LPA observed required posted documentation which included, Facility License, LIC610- Emergency Disaster Plan, Publication (PUB) 393- Notification of Parent Rights, PUB 269- Child Passenger Restraint System, LIC 613A- Notification of Personal Rights and Lunch/Snack Menus. All documents were observed to be posted in the main lobby area. LPA observed Sign in/out sheets, LIC 9148 Earthquake Preparedness, Daily Activity Schedule, and Verification of Disaster and Fire Drills (last conducted on 6/2/23).

Children’s records were reviewed for LIC 613A- Personal Rights, Admission Agreement, Immunization Records, LIC 700- Identification and Emergency Information, LIC 701- Physician’s Report, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights.

Staff records were reviewed for approved Pediatric First Aid and CPR certification, staff qualifications, LIC 508-Criminal Record Statement, LIC 503- Health Screening Report, LIC 9052- Employee Rights, TB clearance or risk assessment, and LIC 9108- Statement of Child and Mandated Reporter Training Certificate. There is at least one person trained in CPR and Pediatric First Aid. Proof of immunizations against measles, pertussis and influenza or influenza declination was missing for 3 out of 6 employees. Type B was cited at 2:45pm. All staff have obtained a criminal record clearance or exemption. There was one staff that was cleared but not associated to the facility. Type B was cited at 2:00pm.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

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

DATE: 06/06/2023
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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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LITTLE ANGELS PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 198020053
VISIT DATE: 06/06/2023
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Facility uses Montessori based Mandated reporting training. LPA will need to verify if it is approved by Licensing department. Required lead testing was conducted at the facility.

During the inspection, children present was observed to be treated with dignity and respect, observed to be receiving safe, healthful, and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. 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 a www.cdss.ca.gov/inforesources/community-care-licensing/process.

Incidental Medical Services (IMS) policy was discussed. 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

Administrator 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.

Based on this information, the following deficiencies 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 notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview was conducted and report was reviewed with the Administrator. Appeal rights were discussed and provided to the administrator.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

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

DATE: 06/06/2023
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