198400108-8-14-2024-54-CC-KCHE-D85Q6X-20240814115416

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400108
Report Date: 08/14/2024
Date Signed: 08/14/2024 11:54:21 AM

Document Has Been Signed on 08/14/2024 11:54 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	JOHN TRACY CENTER		FACILITY NUMBER:	198400108
ADMINISTRATOR/ DIRECTOR:	CATHLEEN MATHES		FACILITY TYPE:	850
ADDRESS:	2160 WEST ADAMS BLVD		TELEPHONE:	(213) 748-5481
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90018
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	08/14/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Bridgette Klaus, Director		TIME VISIT/ INSPECTION COMPLETED:	12:10 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	On 08/14/2024 at 9:30 AM an unannounced Annual/Random Inspection was conducted by Licensing Program Analysts (LPAs) Katrina Chicote and Peter Bishop. LPAs announced purpose of visit and met with Facility Representative (FR) Bridgette Klaus, Director. Facility is currently licensed for a capacity of 24, per FR they currently have 14 enrolled. The program currently operates Part Time program Monday thru Friday 9:00 AM to 12:00 PM and Full Time program Monday thru Thursday from 9:00 AM to 3:00 PM. LPAs were taken on a guided tour of the facility of both indoors and outdoors. Required postings were observed. LIC 125 was provided. The facility is made up of two rooms: Room 1 for smaller group of six children, Room 2 for larger group of 12 children. At the initial start of the site visit, LPAs did not observe any children or teachers in the classroom, per FR children are still on Summer Break and will begin school year on 08/28/2024. Beginning at 9:30 AM, furniture and equipment were inspected for age appropriateness and good repair in each classroom. LPAs observed surface of classrooms to be safe and clean, and child size tables and chairs available for children with rounded edges and well maintained. LPAs observed a variety of age appropriate toys maintained free of loose and sharp parts and a library area available for quiet play. Telephone service, heating, lighting and ventilation were evaluated. There were cubbies observed as storage for children's belongings. Mats were inspected. Per FR, linens are provided by facility and washed daily. LPAs observed laundry at the facility through Room 2. Availability of drinking water was reviewed. Per FR, children bring in water bottles from home and it is refilled by water jugs stored in refrigerators. LPAs observation confirm refrigerators available in each classroom. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. LPAs observed bathroom available in each classroom that had one toilet and one sink as well as a Koala wall diaper changing table that has been placed within arms reach of a sink. Hazardous items including poisonous cleaning compounds were stored inaccessible to children. LPAs observed these items stored in cabinet on high shelf in classrooms. Report Continues - Page 1 of 3

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: JOHN TRACY CENTER	FACILITY NUMBER: 198400108
	VISIT DATE: 08/14/2024

NARRATIVE

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A first aid kit is kept in each bathroom, which LPAs inventoried for necessary supplies. Per FR, carbon monoxide detectors are embedded into the smoke alarm system. LPAs observed smoke detectors and fire extinguishers are present in the facility. Requirement to conduct drill were discussed, FR states they conduct drills monthly and will do so once the school year starts. Isolation area for sick children is in FR's office. Per FR, they currently have no children enrolled requiring medications.

Per FR, facility provides AM Snack and PM Snack and lunches are brought from home. FR states that lunches are stored in classrooms. Snack Menus were reviewed and observed posted. LPAs discussed that trash cans used to discard food have to have tight fitting lids.

Beginning at 9:55 AM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. LPAs observed surface of outdoor play areas to be safe and maintained for activities planned such as turf grass and concrete pathways. LPAs observed small structures in outdoor play yard. LPAs advised that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. Per FR, the children's water bottles are brought out for outdoor play. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed at time of inspection.

Teacher-child ratios were discussed and staff names recorded. Sign-in and out sheets and procedures were reviewed.

Beginning at 10:30 AM, staff and children’s records were reviewed for completeness. Inspection of required forms was made and documented on the LIC 857 for children and the LIC 859 for staff. CPR card expires on 03/10/2025 for all staff. Staff files reviewed did have proof of current AB 1207 Mandated Reporter Training certificate on file. All staff and employees have obtained a criminal record clearance or criminal record exemption.

The following were discussed:
LPAs advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation, this includes any changes as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location.

Report Continues - Page 2 of 3

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: JOHN TRACY CENTER	FACILITY NUMBER: 198400108
	VISIT DATE: 08/14/2024

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.

Facility Representative was reminded that all adults 18 and over in the facility, 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 licensed facility. 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.

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.

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/.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 08/14/2024.

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

Exit interview was conducted and report was reviewed with the Facility Representative, Bridgette Klaus.

Report Ends - Page 3 of 3

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024

LIC809 (FAS) - (06/04)

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