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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400257
Report Date: 04/22/2021
Date Signed: 06/02/2021 12:33:00 PM

Document Has Been Signed on 06/02/2021 12:33 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:FAMILY OF PRAYER & PRAISE/FRUIT OF THE VINEFACILITY NUMBER:
198400257
ADMINISTRATOR:DON FERGUSONFACILITY TYPE:
850
ADDRESS:12204 S. SAN PEDRO ST.TELEPHONE:
3235719433
CITY:LOS ANGELESSTATE: CAZIP CODE:
90061
CAPACITY: 48TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/22/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Shaniece Smith, DirectorTIME COMPLETED:
10:25 AM
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On Thursday, April 22, 2021 at 8:00 AM, Licensing Program Analyst (LPA) Mayra Rivera conducted an announced via teleconference pre-licensing inspection. This pre-licensing inspection conducted by LPA Rivera, due to COVID 19 and precautionary measures; the inspection was conducted via teleconference using Zoom. The teleconference was conducted with Director Shaniece Smith who guided LPA Rivera on a tour of the facility to ensure the facility is in compliance with Title 22 regulations.

This is a proposed pre-school program which consists of two preschool classrooms noted on the facility sketch; Room 1 and Room 2. Director is seeking to provide care for 48 preschool children ages, 2.0 years to 5.0 years and will operate Monday - Friday 7:00 AM - 6:30 PM. A fire clearance has been granted as of 9/8/2020.

All areas identified on the facility sketch were inspected by LPA Rivera. At 8:05 LPA Rivera observed the main entrance. Parents will utilize the front gate located on San Pedro St. Sign in and out will take place outside by the front gate. LPA Rivera observed a hostess station stand with the sign in/out clipboard, multiple pens and a section for used and cleaned pens, covid 19 screening checklist, hand sanitizer, disinfecting wipes, a non touch temperature thermometer gun and gloves.To reduce Covid 19 exposure, parents will not walk in the child to the classroom. A teacher will meet and greet the children and walk them to their assigned classroom. Health checks and temperature checks will be conducted prior to each child being signed in. LPA informed director the hand sanitizer and disinfecting wipes need to be stored in an area inaccessible to children.

At 8:10 am, LPA Rivera observed classroom 1. LPA observed areas such as dramatic play, blocks, art, manipulative, library and carpet time. LPA Rivera observed the furniture and equipment to be age appropriate and in good repair. LPA observed two cubby stands with 20 spaces for children to store their personal belongings. At 8:15 am, LPA observed art supplies, classroom materials and a disinfectant solution stored in the teachers storage cabinet and the cabinet doors closed and a child proof lock in place to make it inaccessible to children.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 04/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/22/2021
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: FAMILY OF PRAYER & PRAISE/FRUIT OF THE VINE
FACILITY NUMBER: 198400257
VISIT DATE: 04/22/2021
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At 8:17 am, LPA Rivera observed classroom 2. LPA observed areas such as dramatic play, blocks, art, manipulative, library and carpet time. LPA Rivera observed the furniture and equipment to be age appropriate and in good repair. LPA observed a cubby stand with 5 spaces for children to store their personal belongings. .

Telephone service, heating lighting and ventilation were evaluated. At 8:25 am, LPA observed a telephone installed in the kitchen. The kitchen is located in the middle of classroom 1 and 2. For ventilation and heating, LPA observed the air vents on the ceiling walls and LPA asked director to turn on the thermostat (located in room 1). LPA observed the thermostat to be working and the current room temperature to be at 65 degrees. The facility was observed to be free of flies, insects and rodents.

Napping equipment (cots) were observed to be stored in the classrooms against the wall and will be labeled with each child's name. The facility will provide sheets and blankets and will wash weekly or if needed sooner by facility. LPA observed the sheets and blankets stored individually in a plastic bag. LPA Rivera asked director to press on the combo smoke/carbon monoxide detectors and LPA Rivera heard the sound of the detectors. Smoke/carbon monoxide detectors are operating and located in classroom 1 and 2. LPA Rivera observed the valve on the required fire extinguisher 2A10BC on the green area which indicated fully charged and serviced on June 20, 2020. Classroom 1 and 2 have a fire extinguisher mounted on the wall. LPA Rivera observed a 5 gallon water dispenser with disposable water cups in classroom 1 and in classroom 2 a two gallon dispenser with disposable water cups. LPA observed a trash bin with a lid and first aid kits in classroom 1 and 2.

At 8.35 am LPA observed disinfectants, cleaning solutions, and other toxins stored inside the bottom kitchen cabinet and with a child proof lock in place. Knives and sharp objects are stored inside a clear bin inside the top kitchen cabinet and inaccessible to children. Director stated that there are no firearms or weapons stored at the facility and LPA did not observed firearms or weapons.

At 8:42 am LPA observed kitchen area/food preparation and food storage. LPA observed the area to be clean, free of litter, rubbish, rodents, and/or any other vermin. LPA advised all storage containers for solid waste, including moveable bins shall have a tight-fitting cover, and in good repair. LPA observed a trash bin to discard food with a fitting lid. The program will provide breakfast, lunch and PM snack. LPA observed a menu posted on the wall in classroom 1, 2 and kitchen. Snacks and meals will be provided by the center and catered by an outside vendor. Director stated they are still in the process of finding a vendor. LPA advised to place a child proof lock on the kitchen door or a barrier to avoid children having access to the kitchen entry.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2021
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: FAMILY OF PRAYER & PRAISE/FRUIT OF THE VINE
FACILITY NUMBER: 198400257
VISIT DATE: 04/22/2021
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At 8:55 am, LPA observed the isolation/ill area. Isolation area is located in building B, room 1. LPA observed age appropriate furniture, toys and a cot in the isolation room and bathroom in good condition with working toilet, running water, toilet paper, hand soap, and paper towels.

At 9:06 am, LPA observed bathroom 1 and 2 located in classroom 2. LPA observed the bathrooms in good condition with working toilet, running water, toilet paper, hand soap, and paper towels. A changing mat will be utilized for children who are potty training. LPA informed the mat will need to be cleaned and disinfected between each diaper change.

At 9:15 am LPA observed required postings LIC 610 Emergency Disaster Plan, LIC 9148 Earthquake Checklist, LIC 308 Designation of Facility Responsibility, PUB 393 Parent's Rights, LIC 613A, Personal Rights, PUB 269 Child Passenger Restraint System Poster, and Daily Schedule in classroom 1 and 2.

At 9:25 am, LPA observed outdoor play area. Due to Covid 19, director Shaniece and teacher Jolena Lomax measured the classrooms and outdoor play area using a measuring tape. LPA did not observed playground climbing structure nor soft padding mat to support a child's fall. LPA advised if in the future an age appropriate playground structure is installed, a soft padding mat around the playground structure will need to be installed to to support a child's fall. LPA did not observed sharp or pointed materials that can pose a hazard nor bodies of water on the premises. LPA observed a small hole on the cement/playground, and advised director to fill it in with sand and place a mat over to avoid a tripping hazard. The play yard is fenced in and the height of the fencing is 6 ft. The self latch locks the gate door and has two self latches and the top latch is 5 ft in height. LPA observed a blue tarp in place for shade and also observed a water station with a 2 water gallon dispenser and disposable water cups. LPA observed trike bikes, block area, reading area, art area, manipulative games, hula hoops, balls, ring toss, and individual water containers for water play.

LPA informed after the child is done playing with the water container, the container will need to be removed and empty the water and clean and sanitize the container. LPA observed two doors that leads to the church locked with a dead bolt. LPA advised applicant that the children need to be within direct care and supervision at all times. Zoning areas and assigning teachers will help with direct care and supervision

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2021
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: FAMILY OF PRAYER & PRAISE/FRUIT OF THE VINE
FACILITY NUMBER: 198400257
VISIT DATE: 04/22/2021
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Items discussed during this visit:
1. The following items are prohibited by Licensing: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both.
2. Breakfast/Lunch/Snack Menus: Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.
3. Designated Staff: The name of the childcare center director or fully qualified teacher(s) designated to act in the director's absence must be on file.
4. Current Children’s Roster: Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.
5. Pediatric First Aid and CPR: At least one person trained in Pediatric First Aid and CPR must be present at all times with the children.. Per applicant, Teacher’s will have a copy of their teacher permit available.
6. Qualifications: Educational background, training, and/or experience for each staff present must be available for review. Per applicant, Teacher’s will have a copy of their teacher permit available.
7. Immunization Requirements: 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
8. Children’s Records: must be available for review; including but not limited to, the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.
9. Incidental Medical Services (IMS): This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. (An IMS Plan was provided with the application and will be reviewed).
10. LIC 311A - Records to be Maintained at the Facility: Child Care Centers was provided to the applicant during this visit. LPAs advised that forms, regulations and quarterly updates can be accessed on the Child Care Licensing website at: www.ccld.ca.gov.



SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2021
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: FAMILY OF PRAYER & PRAISE/FRUIT OF THE VINE
FACILITY NUMBER: 198400257
VISIT DATE: 04/22/2021
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LPA Rivera and director Shaniece Smith discussed protocol in place in regards COVID 19. Director stated protocol in place is having parents not fully enter the facility and sign in and out will take place outside front entrance. To keep children 6 ft distance, director created assigned times in areas for children to play in order to keep their distance. Health scans will be conducted during arrival and children will be observed for any symptoms such as fever, running nose, cough or behavior. Parents will be informed child cannot stay if child has any symptoms during drop off. If symptoms related to Covid 19 appear during the day, the child will be isolated in building B, room 1 and a call will be made to inform parent to pick up child. Children will wash their hands during arrival, entering the facility from outdoor play, meal times, covering their cough and using the restroom. Children ages 2 and up will be required to wear a mask to cover mouth and nose according to the Department of Public Health Los Angeles. LPA Rivera observed hand washing posters in the bathrooms and in the front entrance. Hand sanitizer is provided for parents. Director stated she is aware of cleaning, disinfecting and sanitizing and the importance of the constant hand washing.

Prior to Licensure the following items need to be corrected:

1. Submit a copy of the vendor contract for the meals and snacks.
2. Fill in the small outdoor hole and place a barrier over the hole.
3. Kitchen barrier or place a child proof lock on the kitchen door.

Proof of the above items being corrected are due on or before May 22, 2021. Upon receipt of corrected items all items will be reviewed to ensure compliance with Title 22.

Based on measurements taken during today's inspection upon approval the facility shall be licensed for a capacity of 30 for indoor and 19 for outdoor.

The following information 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.

Exit interview was conducted with director Shaniece Smith, via teleconference. This report along with the Appeal Rights will be sent to Director Shaniece Smith via email with a read receipt to confirm receipt of this report

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2021
LIC809 (FAS) - (06/04)
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