<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414328
Report Date: 05/10/2023
Date Signed: 05/10/2023 12:39:12 PM

Document Has Been Signed on 05/10/2023 12:39 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:HUNTINGTON PARK NEW ES #7 LAUPFACILITY NUMBER:
197414328
ADMINISTRATOR:DAVID OCAMPOFACILITY TYPE:
850
ADDRESS:6055 CORONA AVE. RM. K-3TELEPHONE:
(323) 869-5920
CITY:HUNTINGTONSTATE: CAZIP CODE:
90255
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 18DATE:
05/10/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:David Ocampo, Facility RepresentativeTIME COMPLETED:
12:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced annual required inspection at the above facility on 5/10/23 at 9:15 AM. LPA met with David Ocampo, Facility Representative (FR) who guided analysts on a tour of the facility.

There were 18 children and three staff present when LPA arrived. This is a full day preschool program, operating from 8:00AM to 3:00PM. Facility is on the campus of Huntington Park Elementary in Room K-3. Last day of the school year will be 6/9/2023. Facility will re-open 8/14/23.

All individuals present have obtained a criminal record clearance or criminal record exemption as a condition of employment with the Los Angeles Unified School District.

LPA toured Classroom K-3. Classroom furniture was in good condition, free of loose, sharp and/or pointed parts. One carpet in the room was observed to have dirt spots along the edges. Per Staff One(S1). Carpets are deep cleaned twice a year and can be spot cleaned when requested. Carpet will be deep cleaned during vacation. LPA did not observe tripping hazards in the classroom. Water is made readily available via water bottles provided by facility. Extra water bottles were observed in storage. Water fountain is currently shut off due to lead exceedance found during required lead testing. LPA reminded FR that lead results must remain posted. Children have cubbies to store personal belongings. Children have mats for napping. Blankets were observed in the children's cubbies. S1 informed that sheets are not being used to cover mats. LPA discussed sheet requirement for napping equipment. S1 said she will ask parents to being in sheets. Bedding is sent home once a week to be washed. LPA discussed having extra bedding on hand for forgotten, wet, or soiled sheets. Per FR, there are currently no children with medication.

LPA toured the children’s restrooms. Preschool restrooms are located inside the preschool classroom, exclusively for preschool children. Restrooms were observed to be safe and sanitary with operable sinks and toilets. ---------------------PAGE 1
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Denise Gibbs
LICENSING EVALUATOR SIGNATURE: DATE: 05/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/10/2023
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 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: HUNTINGTON PARK NEW ES #7 LAUP
FACILITY NUMBER: 197414328
VISIT DATE: 05/10/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
observed to be clean, free of litter, insects and rodents. Trash cans for solid waste have tight fitting lids. Cleaning supplies are stored separate from the food. Carbon monoxide detector is wired with facility smoke and fire alarm.

During inspection all children were observed to be treated with dignity and respect, they were observed to be receiving safe, healthful and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment.

Incidental Medical Services (IMS):
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a plan for providing 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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

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/process.

Facility representative was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Facility Representative, David Ocampo.


--------------------------PAGE 3
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Denise Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023
LIC809 (FAS) - (06/04)
Page: 3 of 8
Document Has Been Signed on 05/10/2023 12:39 PM - It Cannot Be Edited


Created By: Denise Gibbs On 05/10/2023 at 11:52 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HUNTINGTON PARK NEW ES #7 LAUP
FACILITY NUMBER: 197414328

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/10/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) 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:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in TWO OUT OF THREE STAFF FILES, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/31/2023
Plan of Correction
1
2
3
4
PER FR, STAFF WILL TAKE THE TRAINING BY POC DATE 5/31/23 AND HE WILL EMAIL CERTIFICATES TO LPA.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day 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 renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in TWO OUT OF FOUR STAFF FILES, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/31/2023
Plan of Correction
1
2
3
4
PER FR, STAFF BE ASKED TO OBTAIN IMMUNIZATION RECORDS BY POC DATE 5/31/23 AND HE WILL EMAIL DOCUMENTATION TO LPA.
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:Karen Chambers
LICENSING EVALUATOR NAME:Denise Gibbs
LICENSING EVALUATOR SIGNATURE:
DATE: 05/10/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/10/2023


LIC809 (FAS) - (06/04)
Page: 4 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: HUNTINGTON PARK NEW ES #7 LAUP
FACILITY NUMBER: 197414328
VISIT DATE: 05/10/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA toured the outdoor play area. Per FR, the structure has been blocked off by facility maintenance due to the brand, Little Tykes, informing that the structure could not be used. Children are playing in the excess area around the structure. LPA did not observe hazards in the outdoor area. Shade was observed in the outdoor area and water was observed to be readily available via water bottles taken outdoors. FR informed LPA that demolition of the structure and cushioning in the yard will begin 5/13 or 5/20/23 and children will not have access to the outdoor area. LPA informed that LIC624, Unusual Incident Form, must be completed and submitted to the Regional Office stating what will take place, a plan of action for outdoor space for children separate from the elementary student until 6/9/23. Outdoor area is also used by the Kindergarten program. Waiver on file for staggered play outdoors.

LPA reviewed Sign In/Out sheets located in the main office. LPA observed that all children present were signed in with the date, time and full signature of guardian.

LPA reviewed required posted documentation which included, Facility License, Publication (PUB) 393- Notification of Parent Rights, PUB 269- Child Passenger Restraint System, Licensing Form LIC 613A- Notification of Personal Rights, LIC 9148- Earthquake Preparedness form, (LIC) 610- Facility Disaster Plan, Daily schedule and Lunch/Snack Menu. All items were observed in the preschool classroom.
Facility records were reviewed for LIC 9040- Children's Roster and Disaster drill log. Last drill conducted 4/26/23.

Children’s records were reviewed for Emergency Card with signed medical consent, Immunization Records, LIC 995 Notification of Parents’ Rights, LIC 701- Physician’s Report, LIC 613A- Personal Rights, and signed Admissions Agreement. All documents were observed.

Staff records were reviewed at for approved Pediatric First Aid and CPR certification, LIC 9052- Employee Rights, Proof of immunization against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse, Transcripts or Permit and current Mandated Reporter Training Certificate. LPA observed that two out four staff are missing immunization records and Mandated Reporter Training. All other documents observed.

LPA observed the kitchen located on the elementary campus. Facility provides Breakfast and Lunch. Food is not cooked at the facility. Prepackaged food is delivered daily. Extra food is discarded daily. Kitchen was ---------------PAGE 3
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Denise Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023
LIC809 (FAS) - (06/04)
Page: 2 of 8