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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419484
Report Date: 11/29/2023
Date Signed: 11/29/2023 08:39:24 PM


Document Has Been Signed on 11/29/2023 08:39 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:LITTLE ACORNS GROWFACILITY NUMBER:
197419484
ADMINISTRATOR:MARTIN, MELANIEFACILITY TYPE:
850
ADDRESS:19000 SATICOY STREETTELEPHONE:
(818) 779-1099
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:52CENSUS: 41DATE:
11/29/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Leilani Gonzales, DirecotorTIME COMPLETED:
06:30 PM
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Licensing Program Analyst (LPA) conducted an unannounced Required 3 year inspection. LPA met with Director Leilani Gonzalewho guided analyst on tour of the facility. This is a preschool program serving up to 52 children. The facility operates Monday – Friday from 8:00 AM – 6:00 PM. The facility operates on the property of a church and there is a private elementary school on the same campus with classrooms that are separate from the preschool. The facility has two (2) waivers that permits to use shared outdoor activity space for the preschool children and elementary school children and the use of the bathroom. LPA observed a yard usage schedule and reminded Director to ensure to follow the waiver requirements.

All areas identified on the Facility Sketch were inspected. LPA observed 41 children and 8 staff in the following classroom: Class1 - Hedgehog Age 2-3, Class2 - Owl Age 3-4, Class3 - Foxes Age 4-5, Class4 - Rabbit Kinder. LPA observed teacher child ratios in compliance and staff have the required clearances at this time.

LPA observed telephone service, heating, lighting and ventilation to be satisfactory. Children have adequate cubby storage for their belongings. Napping mats are stored appropriately with bedding removed. Sheets and blankets are provided by parents and taken home weekly to be laundered, The facility has extra blankets if needed.

LPA observed drinking water filtered dispensers readily available in the classrooms and outdoors. Age appropriate restrooms, sinks and toilets were inspected for good repair, water temperature, toilet paper, safety and sanitation. All available toilets and sinks are in operable condition. The indoor classrooms have surfaces that appear to be clean and safe and there are age appropriate toys and material.

There are first aid supplies in each classroom. Carbon monoxide detectors and smoke detectors are present in the facility. Hazardous items including including medicine and cleaning compounds are stored in inaccessible areas such as high cabinets and inaccessible office cabinets. The office is used as an isolation area for ill children. Page 1 - Report Continues

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 11/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/29/2023
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LITTLE ACORNS GROW
FACILITY NUMBER: 197419484
VISIT DATE: 11/29/2023
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The facility operates on the grounds of a Church building, however the facility has completely separate operations. The outdoor play area is enclosed and surrounded by the building and exit gates are at least five feet high. Areas around and under climbing equipment have mats and cushion material. All play equipment, toys, materials and surfaces accessible to children appear to be age appropriate and toxic free.

Lunch and snacks are provided by parents in insulated lunch boxes that are kept in the children's cubbies.



LPA observed a fire extinguisher in the hallway due for service June 24, 2023.

LPA observed digital sign in and sign out to ensure children are being properly signed in and signed out by the authorized representative. LPA conducted a Children's Records Review for completeness and to ensure children have proper forms such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights etc.on file. The children's roster was available and current.

Staff Records were reviewed to ensure the following: Criminal record clearance or criminal record exemption, education credits, current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination, Mandated Reporter training, LPA observed at least one staff member to have current CPR (Expiration January, 2024).

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretation 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.

Mandatory forms for the children’s files and staff files, requirements for fire drills, earthquake drills (last drill 10/23. Role and responsibilities of being a Mandated Reporter were reviewed.


The Director was advised how to access forms and Regulations online at www.ccld.ca.gov. Director was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care.
Page 2 - Report Continues
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2023
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LITTLE ACORNS GROW
FACILITY NUMBER: 197419484
VISIT DATE: 11/29/2023
NARRATIVE
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Facility Representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA informed Director to log onto web site www.ccld.ca.gov to access forms, regulations and quarterly updates. Records for all children and staff must be maintained for three (3) years after separation from the facility. Report Unusual Incidents and/or injuries to the parent/guardian immediately and to Child Care Licensing within 24 hours and/or the next business day. Visit www.shotsforschool.org for immunization information.

LPA verified that the lead testing was completed and in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

There were no violations of Title 22 requirements at this time.

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 at www.cdss.ca.gov/inforesources/community-care-licensing/tion-process.

Exit interview was conducted with Director Leilani Gonzales. Notice of Site Visit was provided.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3