198400157-7-20-2023-54-CC-AESA-CTWTAW-20230720143412

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400157
Report Date: 07/20/2023
Date Signed: 07/20/2023 02:34:23 PM

Document Has Been Signed on 07/20/2023 02:34 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	LEARNING BOX CHILDCARE AND ENRICHMENT CENTER, THE		FACILITY NUMBER:	198400157
ADMINISTRATOR:	TELISCIA MARTIN		FACILITY TYPE:	840
ADDRESS:	4601 EAST COMPTON BLVD		TELEPHONE:	(310) 627-9593
CITY:	RANCHO DOMINGUEZ	STATE: CA	ZIP CODE:	90221
CAPACITY:	8	CENSUS: 4	DATE:	07/20/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:01 AM
MET WITH:	Director Teliscia Martin-Robinson		TIME COMPLETED:	01:01 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) Austin Estrada conducted an unannounced annual required inspection at the above facility. LPA met with Director Teliscia Martin-Robinson, who guided analysts on a tour of the facility. The facility operates Monday through Friday 7:00AM to 4:00PM. This is a schoolage program that provides care to children ages 6 years old to 13 years old. The facility has one classroom where care is provided. LPA observed 4 children supervised by the Director and one additional staff (S1) in the school age classroom. Teacher child ratios were observed, and staff names recorded. There is a preschool program under License # 198400158 and an infant program under License # 198400156 also on the premises. All programs are physically separate from one another. The following was observed during the tour of the facility: The school age classroom was observed 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 a filtered water dispenser. Disposable cups are provided by the facility. Director states that the facility does not use tap water for consumption or food preparation. LPA observed cubbies/storage area for children to store their personal belongings. LPA observed a central fire alarm and a functioning carbon monoxide detector. LPA observed fire extinguisher indicated fully charged last serviced on 4/14/23. First Aid kit was observed and inventoried. 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. Per Director there are no poisons stored at the facility. Per Director, school age children do not sleep as it is an after-school program. LPA observed the isolation area to be a separate walled off area in the school age classroom. LPA observed a cot available for an ill child in the isolation area. Per Director, no children currently enrolled are on medication and if medication was stored at the facility, it would be stored in a box in the off limits kitchen area and inaccessible to children in care. LPA toured the outdoor play area. Outdoor area was observed to have age-appropriate toys and material for children, free of loose, sharp, and/or pointed parts.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 9813362
LICENSING EVALUATOR NAME: Austin Estrada	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LEARNING BOX CHILDCARE AND ENRICHMENT CENTER, THE	FACILITY NUMBER: 198400157
	VISIT DATE: 07/20/2023

NARRATIVE

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Per Director, water pitchers are brought outside during outdoor play. LPA observed required shade in the outdoor area and there are no bodies of water on the premises.
Restrooms were observed to be safe and sanitary with operable sinks and toilets. 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. Per Director, food is not prepared at the facility, it is pre made and brought daily from an outside source.
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.
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 in the classroom.
LPA observed Sign in/out sheets, LIC 9148 Earthquake Preparedness, Daily Activity Schedule, and Verification of Disaster and Fire Drills (last conducted on 4/7/23).
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, and LIC 995A Notification of Parents’ Rights. All records were observed to be complete.
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, Proof of immunizations against measles, pertussis and influenza or influenza declination, 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 present during this inspection. LPA did not observe a current mandated reporter training certificate for S1. LPA advised Director that the mandated reporter training should be completed once every two years.
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

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 9813362
LICENSING EVALUATOR NAME: Austin Estrada	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023

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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LEARNING BOX CHILDCARE AND ENRICHMENT CENTER, THE	FACILITY NUMBER: 198400157
	VISIT DATE: 07/20/2023

NARRATIVE

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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/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
Director 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.
Based on the LPA’s observation and record review no deficiencies will be cited today, 7/20/23.
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 Director. Appeal rights were discussed and provided to Director.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 9813362
LICENSING EVALUATOR NAME: Austin Estrada	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023

LIC809 (FAS) - (06/04)

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