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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191802051
Report Date: 03/06/2024
Date Signed: 03/06/2024 12:49:03 PM

Document Has Been Signed on 03/06/2024 12:49 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:SALVATION ARMY DAY CARE CTRFACILITY NUMBER:
191802051
ADMINISTRATOR:MARIA RODRIGUEZFACILITY TYPE:
850
ADDRESS:836 STANFORD AVETELEPHONE:
(213) 623-9022
CITY:LOS ANGELESSTATE: CAZIP CODE:
90021
CAPACITY: 150TOTAL ENROLLED CHILDREN: 150CENSUS: 51DATE:
03/06/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
10:36 AM
MET WITH:Maria RodriguezTIME COMPLETED:
01:00 PM
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Licensing Program Analysts (LPAs), Claudia Kam and Katrina Chicote made an unannounced required visit at above licensed facility. At 10:30 AM, LPAs met with Maria Rodriguez and was taken on a guided tour of both indoors and outdoors of the facility. LPAs observed proper care and supervision and ratio. All center staff that was present during today’s inspection had fingerprint cleared and associated to the designated license number. LPAs observed sign in and sign out sheets at entrance of center.

This is a pre-school facility, the hours of operation are 7:30 am – 4:30 pm Monday - Friday. Facility is currently licensed for a capacity of 150. At the initial start of the site visit, there is a total census of 71 children and a total census of 9 teachers present. The facility is made up of 8 classrooms. Room 1: had 7 kids and 1 staff and 1 volunteer, Room 2: had 14 kids and two staff, Room 3: 7 children and 1 staff, Room 4: 6 children and 1 staff, Room 5 had 6 children and 1 staff and 1 volunteer, Room 6 had 8 children and 1 staff and 1 volunteer, Room 7 had 15 children and 2 staff and 1 volunteer, Room 8 had 8 children and 1 staff member present at time of inspection. 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. Children and staff records were reviewed. LPAs observed current CPR and First Aid Certification for all center staff.
Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. Children napping equipment met the requirement regulation. LPAs observed napping cots and bedding provided weekly by the parents. Storage for children's belongings, bathrooms facilities, and isolation areas were inspected. Age-appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, and safety and sanitation.

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2024
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 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SALVATION ARMY DAY CARE CTR
FACILITY NUMBER: 191802051
VISIT DATE: 03/06/2024
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LPAs observed cubbies with dolls, puzzles, books, and other appropriate toys to be clean and free of hazards at time of inspection. LPAs observed carpets and age-appropriate tables and chairs in each classroom. LPAs observed red backpacks for first aid kept in each classroom and main first aid box at front desk. LPAs confirmed that there are no children receiving medication enrolled at present.

Childrens drinking water was observed. Center was reviewed for lead compliance and center meets standards for lead. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.


First Aid supplies were inventoried. A discussion of of medication policy, including administering, labeling, storage, and records was had as there are no current children needing medical attention enrolled at this time. Fire & Earthquake drill observed conducted monthly.
Facility provided breakfast, lunch, and snacks. All food items are provided by the facility via the on site kitchen. Food and snack items are properly stored. Food preparation area was toured for safety, cleanliness, and proper storage.
At 10:45 AM, LPAs observed outdoor play area which consists of a large play structure, sandbox, playhouse, and activity center. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed at time of inspection. Outdoor equipment was inspected for safety, cushioning material, good repair, and age appropriateness and all was in good standing. LPAs did observe at time of inspection that material was worn and per director they have received a grant and will he updating the playground in the future. Required shade and fencing were inspected. LPAs advised Director that the children need to be always within the direct care and visual supervision by the teachers. Per Director, the children have access to drinking water fountain on playground premises. LPAs observed water fountain was functioning at time of inspection. Teacher-child ratios were observed, and staff names recorded. Care and supervision evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. Personal Rights of children were observed by LPAs at time of inspection.

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SALVATION ARMY DAY CARE CTR
FACILITY NUMBER: 191802051
VISIT DATE: 03/06/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.


Carbon monoxide detectors and smoke detectors are present in the facility. Fire extinguishers have been serviced on 07/28/23. Hazardous items including poisonous cleaning compounds were stored in an in accessible area to children.The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and Carbon Monoxide detectors should be checked, and batteries replaced as needed. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location. Mandatory Forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. 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 her responsibility to know the regulations as well as anyone who assists in providing care. The Director was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.

LPA advised Director that all adults 18 years of age and older providing Care & Supervision and/or have continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check. LPA informed Director to log onto web site www.ccld.ca.gov to obtain forms and LIVESCAN application. Records for all children and staff must be maintained for three (3) years after separation from the facility.


The Director was also advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation. Director advised to visit www.shotsforschool.org for immunization information.
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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
LIC809 (FAS) - (06/04)
Page: 3 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SALVATION ARMY DAY CARE CTR
FACILITY NUMBER: 191802051
VISIT DATE: 03/06/2024
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These forms may also be downloaded from our website: www.ccld.ca.gov. LPAs in addition discussed regulation for volunteers maximum hours and documentation needed if possible for immunization records and training. Volunteers are currently vetted by Pepperdine University and hold records for volunteers.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today 3/6/24.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative.



On 3/6/24 at 1:00 PM, exit interview was conducted with Director, Maria Rodriguez. A copy of this report was given, and appeal rights were issued and discussed.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.


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.

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
LIC809 (FAS) - (06/04)
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