Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191671677
Report Date: 06/15/2017
Date Signed: 06/16/2017 07:52:43 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME:GROWING PLACE, THEFACILITY NUMBER:
191671677
ADMINISTRATOR:ANITA DE LA PUENTEFACILITY TYPE:
850
ADDRESS:401 ASHLAND BTELEPHONE:
(310) 399-7760
CITY:SANTA MONICASTATE: CAZIP CODE:
90405
CAPACITY:86CENSUS: 78DATE:
06/15/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:21 PM
MET WITH:Anita De La Puente, Center DirectorTIME COMPLETED:
04:05 PM
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Licensing Program Analyst (LPA), Tiffanie Tran conducted an unannounced annual random inspection. LPA met with Anita de la Puente, center director and toured the facility inside and outside.

LPA observed all posting requirements for operation on the posting board LIC 203A-License, LIC 610 A-Emergency Disaster Plan, LIC 9148-Earthquake Preparedness Check List, PUB 394-Notification of parent’s rights poster, LIC 613A- Personal Rights, PUB 269- Child Car Seat Law, Menus and Activity Schedule. The facility obtained current pediatric CPR and First Aid for all facility staff members. All center staff that was present during today’s visit had fingerprint cleared and associated to the designated license number.

The facility operates (7:30 AM – 6:00 PM). LPA inspected the furniture and equipment for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Storage for children's belongings, isolation area was inspected located in the office. Children napping equipment were observed to be good condition. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, paper towels, area safety and sanitation. All classrooms has trash can with tight lids, first aid supplies, smoke detectors; carbon monoxide/fire extinguishers were observed. Sign in and out sheet procedures were reviewed. The facility roster was up to date and fire and emergency disaster drills were conducted monthly. The facility only provides snacks for children. Children bring they own lunch. Water is accessible indoor and outdoor by use of cups and pitchers. Outdoor play area was all fenced. Equipment was inspected for safety, cushioning material, good repair and age appropriateness. LPA observed the playground area with shade. Play area was inspected for hazards and inaccessibility to bodies of water.

Incidental Medical Services (IMS) was discussed. The facility is currently not providing care for children that required IMS.
SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: 310-337-4335
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2017
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, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME: GROWING PLACE, THE
FACILITY NUMBER: 191671677
VISIT DATE: 06/15/2017
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Staff and children's records were reviewed and in good order.

There were no deficiencies cited during this visit.

Exit interview conducted the following was discussed with the licensee:

Licensee was informed of responsibility to report suspected Child Abuse by calling the Child Abuse Hotline at 1-800-540-4000. Also call the Community Care Licensing office and follow up with a written Unusual Incident/Injury Report (LIC 624B). Licensee is reminded that smoking is prohibited on the premises.

The facility was informed that the presence of teachers in the facility without Criminal Record Clearance or Exemption will be cited and civil penalty assessed for $100 per day. The facility may find additional information and forms on the Department’s website at www.ccld.ca.gov including information on the Live Scan application (LIC 9163). Appointments can be made for Live Scan at 1-800-315-4507.

SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: 310-337-4335
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2017
LIC809 (FAS) - (06/04)
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