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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700312
Report Date: 09/19/2024
Date Signed: 09/19/2024 01:30:56 PM

Document Has Been Signed on 09/19/2024 01:30 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:CITY OF BEVERLY HILLS-HORACE MANN PRESCHOOLFACILITY NUMBER:
195700312
ADMINISTRATOR/
DIRECTOR:		SHAKINA CAMPBELLFACILITY TYPE:
860
ADDRESS:8701 CHARLEVILLE BLVDTELEPHONE:
(310) 285-6853
CITY:BEVERLY HILLSSTATE: CAZIP CODE:
90210
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: DATE:
09/19/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:53 AM
MET WITH:Shakina CampbellTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On 09/18/2024 Licensing Program Analysts (LPA’s) Laticia Thompson and Amelia Morales met with Shakina Campbell, Director. The purpose of the visit was an announced pre-licensing inspection at the facility to ensure that health, safety and personal rights as required by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met. There were no children present during this inspection. This is an application for 20 Preschoolers, ages 2 years into entry of 1st grade. The child care center will operate Monday – Friday 9:00 a.m. – 2:00 p.m. LPA's toured and measured the on-limits areas. The fire clearance was approved on 08/06/2024. The facility has one classroom dedicated to the preschool.

Preschool Indoor measurements are:

The Indoor total measurements contain a total 744.47 of which will accommodate Applicant’s request for 20 Preschool children.

Preschool Outdoor Activity measurements are:

The outdoor activity space total measurements contain a total of 1833.50 which will accommodate Applicant’s request for 20 Preschool children.

Parents will sign in and out manually at the entry gate of school with the armed guard. Preschool staff will be waiting in the courtyard area next to the sign in area and escort children to the classroom. There will be additional staff located in the classroom.



Preschool children will have access to 1 sink and 1 toilet located in the classroom. Preschoolers will have additional access to 7 sinks, 7 toilets and 4 urinals in restrooms located on the school campus restrooms pending waiver approval.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CITY OF BEVERLY HILLS-HORACE MANN PRESCHOOL
FACILITY NUMBER: 195700312
VISIT DATE: 09/19/2024
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The facility will provide filtered water through containers where children can fill their personal water bottles for outdoor and indoor activities. The facility will have disposable drinking cups in the event that children do not have a water bottle.

The required postings will be posted in a common area for parents and visitors to review ( see plan of corrections). LPA’s observed a fire extinguisher with inspection dates of 8/16/2024. There is an operable carbon monoxide detector located in the classroom. LPA’s observed a First aid kit that is missing the required materials including a hand thermometer.

Disinfectants, cleaning solutions, and other items that are dangerous to children are stored in a cabinet above the sink with a safety latch inaccessible to children.
Furniture and equipment were observed to be maintained in good condition, free of sharp, Loose or pointed parts. Tables and chairs were observed to meet the needs of the children. All play equipment and materials used by children were observed to be age-appropriate. Facility will install cubbies for storage of children clothing and personal belongings. Facility will provide cots/mats for napping.

The classrooms have central air for heating and cooling. The classroom was clean in good repair. Classrooms have adequate lighting. Windows were in good repair free of chipping paint, dirt, insects, or debris. Facility will replace trash cans with tight fitting lids. The facility is equipped with landline telephones service.



The ramp area next to the storage room will be used as an ill/isolation area. Ill children will use the campus restroom for isolation. LPA advised facility representative that the isolation area shall be equipped with a cot for ill children and supervised by staff.

Medication is stored in a locked combination box inaccessible to children. Medication that requires refrigeration will be stored in a refrigerator pending purchase. The applicant was advised to develop and implement a written plan to record the administration of prescription and nonprescription medications, to inform the child's authorized representative daily when such medications have been given.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CITY OF BEVERLY HILLS-HORACE MANN PRESCHOOL
FACILITY NUMBER: 195700312
VISIT DATE: 09/19/2024
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The facility does not provide lunch and snacks. LPA’s advised facility representative in the event that a child does not have lunch/snacks for the day a plan shall be implemented to provide an alternative meal.

Outdoor

The entire outdoor activity grounds are enclosed by a fence to protect children and to keep them in the outdoor activity area. The fence is at least four feet high. The surface of the outdoor activity space has rubber platforms for cushioning to prevent injury from falls. The outdoor activity space was observed to be maintained in good condition All play equipment and materials used by children were observed to be age-appropriate. There is not adequate shade in the outdoor activity areas. LPA’s did not observed benches for resting.

Facility has a Mass Casualty and Disaster Plan. The facility does not provide transportation. LPA's did not observe any bodies of water on the premises. There is an armed guard on the premises, facility will request a firearm waiver. Smoking is prohibited on the premises of a child care center as specified in Health and Safety Code Section 1596.795(b)


The following items were discussed:



The director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CITY OF BEVERLY HILLS-HORACE MANN PRESCHOOL
FACILITY NUMBER: 195700312
VISIT DATE: 09/19/2024
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LPA’s reviewed with facility representative the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

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.

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 child care 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).

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 PIN 22-02-CCP. 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/.

The director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. .
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CITY OF BEVERLY HILLS-HORACE MANN PRESCHOOL
FACILITY NUMBER: 195700312
VISIT DATE: 09/19/2024
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LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed [applicant, licensee, or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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.



The following corrections are needed before a licensure will be considered.
  • Cubbies installed
  • First Aid Kit Manual and Thermometer
  • Trash cans with tight fitting lids
  • Refrigerator
  • Water Filter pitcher/container
  • Cots/Mats
  • Benches
  • Tent or Umbrellas for shading
  • Firearm Waiver request
  • Restroom Waiver request
  • Pending documents (Notice of Incomplete Application)
  • Posting Board
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: CITY OF BEVERLY HILLS-HORACE MANN PRESCHOOL
FACILITY NUMBER: 195700312
VISIT DATE: 09/19/2024
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Corrections are due by 10/16/2024.

An exit interview was conducted with plan of corrected items discussed. LPA’s provided the director with appeal rights and a copy of this report. Final license determination will be made upon review by the Licensing Program Manager and corrections
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
LIC809 (FAS) - (06/04)
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