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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419672
Report Date: 08/22/2024
Date Signed: 08/22/2024 01:04:41 PM

Document Has Been Signed on 08/22/2024 01:04 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:A CHILD'S PLACE SMART CITIZEN LEARNING ACADEMYFACILITY NUMBER:
197419672
ADMINISTRATOR/
DIRECTOR:		AMADA NATIVIDADFACILITY TYPE:
850
ADDRESS:1639 W VERNON AVENUETELEPHONE:
(323) 385-6482
CITY:LOS ANGELESSTATE: CAZIP CODE:
90062
CAPACITY: 25TOTAL ENROLLED CHILDREN: 25CENSUS: 3DATE:
08/22/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Sheronice SwainTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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On 8/22/24, at 11:00 a.m., Licensing Program Analyst (LPA) Claudia Kam conducted an unannounced case management inspection and met with Sheroniece Swain owner and Mercedes Griffin director and lead teacher. LPA disclosed the purpose of the inspection and was granted entry into the facility by assistant.

There was 1 child present and 2 staff present at arrival and 2 children later arrived at 11:30 a.m. during the inspection for a total 3 children present.

The purpose of today's inspection was to discuss clearing of deficiencies.

At 11:15 a.m. LPA observed and took pictures of railings and observed corrections to be made for all outdoor and other areas to be kept free of obstruction. LPA observed and took pictures of sign in sheet being completed daily by parents.
At 12:10 p.m. LPA observed menus posted and debris cleared that posed a potential fire hazard.

The deficiency listed on the following page was observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

Exit interview conducted and report was reviewed with the facility owner Sheroniece Swain.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2024
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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Document Has Been Signed on 08/22/2024 01:04 PM - It Cannot Be Edited


Created By: Claudia Kam On 08/22/2024 at 12:19 PM
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: A CHILD'S PLACE SMART CITIZEN LEARNING ACADEMY
FACILITY NUMBER: 197419672

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/03/2024
Section Cited
HSC
1597.05

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(b) A licensee shall have 30 days after the employment of a staff person or enrollment of a child to secure records requiring information from sources not in the control of the licensee, staff person, or child. .....designated records shall be made during the 30-day period.
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Licensee will have staff files completed and present at the center for review.
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Based on observation and record review, the licensee did not does not have staff records for all staff ... which poses a potential Health , Safety and, Personal Rights risk to persons 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:Denise Gibbs
LICENSING EVALUATOR NAME:Claudia Kam
LICENSING EVALUATOR SIGNATURE:
DATE: 08/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2024


LIC809 (FAS) - (06/04)
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