Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419969
Report Date: 09/24/2019
Date Signed: 09/24/2019 06:09:29 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:GOT GAME SPORTSFACILITY NUMBER:
197419969
ADMINISTRATOR:KALMAN, KOREYFACILITY TYPE:
840
ADDRESS:408 FAIRFAX AVENUETELEPHONE:
(310) 975-8524
CITY:LOS ANGELESSTATE: CAZIP CODE:
90036
CAPACITY:132CENSUS: 124DATE:
09/24/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Kristy Garcia, Director AssistantTIME COMPLETED:
06:00 PM
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Licensing Program Analyst (LPA) Denise Miranda conducted an unannounced annual/random inspection to the facility. Upon arrival LPA met with Kristyn Garcia, Director Assistant. Licensee/Director was not present.

The facility is located on a Hancock Elementary School (LAUSD) school site and uses the auditorium and cafeteria as the indoor space and all areas of the playground for outdoor activities.
Per Director assistant the room #32 and #33 were no longer use by the program. Per Director Assistant room#26 will be use after the program get approval from the fire inspection and regional office.

There is an outdoor space immediately outside the auditorium with benches and tables that is being used for outdoor activities and/or eating snacks. There are no bodies of water on the premises and the outdoor space is completely fenced in. The licensee states that the children in the program will not be allowed to use the yellow and green play equipment (monkey bars), as well as the monkey bars on the purple equipment. The after-school program from: Monday- Wed, Thursday and Friday from 2:15pm to 6:00pm and Tuesday 1:15pm to 6:00pm.
LPA observed staff#1 First Aid and CPR training to expire on 05/2020.
LPA also observed 124 children in care with 13 staff and director assistant.

Furniture in each classroom was found to be in good repair and age appropriate. There is adequate heating, lighting and ventilation. Drinking water is readily available in the classroom.
Facility is operating within capacity limitations and compliant with ratios.
The following were observed/discussed during this inspection:
1. There are no bodies of water observed on the facility;
2. Fingerprint clearance of staff;
3. Teacher to child ratios;
3. Care and supervision of children in care; teacher/child interaction;
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: GOT GAME SPORTS
FACILITY NUMBER: 197419969
VISIT DATE: 09/24/2019
NARRATIVE
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AB 1207: Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: http://www.mandatedreporterca.com

Senate Bill 792: this bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the visit.

New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment.


The facility was found to be not in compliance per Title 22 regulations, Type B deficiency will not be cited today 9/24/19. A copy of this report along with a Notice of Site Visit were issued and explained to the director assistant. An exit interview was conducted.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: GOT GAME SPORTS
FACILITY NUMBER: 197419969
VISIT DATE: 09/24/2019
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Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. The ADA requires that child care providers not discriminate against persons with disabilities on the basis of disability, that is, that they provide children and parents with disabilities with an equal opportunity to participate in the child care center's programs and services. Requirements for fingerprint clearances and associations were discussed with the licensee.
Licensee can be cited a civil penalty of $100 per day, up to $500.00 (5 days) for the 1st offense and up to $3000.00 for the 2nd offense within a 12 month period. The licensee was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and licensing within the time frame specified by the regulation. The "Notification of Parent's Rights" (PUB394) poster must be posted in an area accessible to parents. The information regarding new legislation with regards to exemptions and Parent’s Rights was also discussed. Medication is properly labeled and stored in the original container. All medication is stored in parents resource room office. First Aid supplies are stored in each classroom.
Children and staff records were reviewed for completeness records were found to be complete.
Lead Teacher advised that records for all children and staff must be maintained for 3 years after separation from the facility. A record of staff names was check against current facility roster, Staff are currently associated to the campus in which they are assigned to work.

The following was discussed with the licensee:
The Director assistant was informed of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to
disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541
Email Address: childcareadvocatesprogram@dss.ca.gov
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GOT GAME SPORTS
FACILITY NUMBER: 197419969
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/24/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/04/2019
Section Cited

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Mandated Reporter: On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete
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renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.The requirement is not met as evidenced by: on 9/24/2019, Director assistant was unable to provide proof of mandated reporter for Staff#1,#2,#3 and #4. This is a potential risk to the health and safety of children in care
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Type B
10/11/2019
Section Cited

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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. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by: On
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09/24/2019 a review of staff records were conducted and LPA did not observe proof of immunizations MMR, Pertusiss, Influenza for staff #1,#2,#3 and #4. This is a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:
DATE: 09/24/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/24/2019
LIC809 (FAS) - (06/04)
Page: 2 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: GOT GAME SPORTS
FACILITY NUMBER: 197419969
VISIT DATE: 09/24/2019
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4. Availability of drinking water to children both indoors and outdoor; there are water fountains in the playground areas.
5. Cleanliness of facility and children's toys/equipment; age appropriateness of the children's toys and equipment.
6. Cleanliness of bathrooms, operation of toilets and sinks.
7. Inaccessibility of chemicals and toxins to children in care;
8. Quality and quantity of snacks and food for the number of children currently enrolled; storage of food supplies, posting of menus and accuracy.
9. Smoke detector and carbon monoxide detector. No carbon monoxide detector observed.
10. Sign in/out sheets; postings; Fire drill conducted on 4/2019.

The following forms were observed to be posted. The Facility License, Parent's Rights Poster (PUD 393), and Emergency Disaster Plan (LIC 610).



Inspection of the outdoor play area(s) was conducted. Program use the elementary school playground. There is adequate shade for all the children in care. Fencing around the perimeter of the play area is at least 4 feet high. Playground is free from miscellaneous debris such as tree branches, trash, leaves, etc.

The following was discussed with the licensee:
Mandatory Forms for the children’s files and provider’s files, Requirements for fire drills, earthquake drills and documentation for both.
The licensee was advised how to access forms and Regulations for Family Child Care online at www.ccld.ca.gov . Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. The licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.
Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified. Regulation prohibits the smoking of tobacco on the premises.

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
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
LIC809 (FAS) - (06/04)
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