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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493551
Report Date: 07/03/2024
Date Signed: 07/03/2024 03:31:18 PM

Document Has Been Signed on 07/03/2024 03:31 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:IN GOOD HANDS LEARNING CENTER- INFANTSFACILITY NUMBER:
197493551
ADMINISTRATOR/
DIRECTOR:		WILLIS, JAMESETTAFACILITY TYPE:
830
ADDRESS:615 N. WILMINGTON AVENUETELEPHONE:
(310) 629-7460
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 9TOTAL ENROLLED CHILDREN: 9CENSUS: 3DATE:
07/03/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:16 PM
MET WITH:S2, Rhonda BoltonTIME VISIT/
INSPECTION COMPLETED:
02:34 PM
NARRATIVE
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On July 3, 2024 at 1:16 pm, Licensing Program Analyst (LPA) A. Wallin and Licensing Program Manager (LPM) K. Chambers conducted an unannounced Case Management Annual Continuance Inspection for the infant center license. During today’s inspection, LPA met with director, Jamesetta Willis, who provided assistance and toured the facility. Days and hours of operation are Monday through Friday from 6:00 AM – 6:00 PM. This facility consists of four classrooms (one infant class, two preschool classrooms and one school-age classroom) and outdoor play area. During inspection, LPA observed 3 children and one staff present. Per director, four infant children enrolled at this time. LPA observed 10 preschool children and two staff present during inspection. Capacity and limitations as specified on the license are being maintained.

LPA advised director purpose of inspection to complete children and staff record review not completed during previous annual inspection conducted on 6/11/24. During inspection, LPA observed 3 children’s files. Per record review, LPA observed one infant missing completed LIC 9227 form. A technical violation citation issued. Per record review, LPA observed infant needs and services plan missing for all infants enrolled. A type B citation issued.

Per staff record review, LPA observed the following documentation maintained and updated: LIC-501: Personnel Record, LIC 508- Criminal Record Statement, LIC 9052- Employee Rights, LIC 503- Health Screening, 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. Per staff record review, LPA observed S3 does not meet all the qualifications of Health and Safety code 1597.005 concerning teacher qualifications. During inspection, LPA reviewed with director Health and Safety code 1597.005, provided director with copy of regulations and provided consultation regarding teacher’s aide supervision. During visit, director immediately corrected by removing S3 from classroom and placing qualified preschool teacher with infant qualifications in classroom. During visit, LPA observed S3 under supervision of a qualified teacher. A technical violation citation issued. Per record review, LPA observed infant aide staff missing complete immunization record. A type B citation issued.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE: DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/03/2024
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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: IN GOOD HANDS LEARNING CENTER- INFANTS
FACILITY NUMBER: 197493551
VISIT DATE: 07/03/2024
NARRATIVE
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 Per record review, LPA observed infant aide missing updated mandated reporter certificate. A type B citation issued. Per record review, LPA observed infant aide without EMSA approved CPR/1st aid certificate. A type B citation issued. Per record review, LPA observed missing LIC 503 health screening form for infant aide. A technical violation citation issued.

During inspection, LPA reviewed the following documentation to be kept in the facility: fire drills and lead testing. Per director, fire drills are conducted every three months but not logged. A technical violation citation issued in LIC 809 report under license #197493550. Per record review, LPA observed no lead testing has been conducted. Per director, she is in process of obtaining lead testing. Director provided LPA with email confirmation of receiving lead testing as evidence. A technical violation citation issued in LIC 809 report under license #197493550. During inspection, LPA reviewed with director, PIN 21-21.1 and provided consultation regarding Title 22 regulations concerning lead testing.

During inspection, LPA observed and cleared the following plans of corrections (POC) from previous inspection on 6/11/24:


· sink to be replaced
· infant changing table to be moved closer to sink
· all items pertaining to preschool and school age playground to be removed
· two infant play structures to be moved
· infant sleep log to be completed

During inspection, LPA observed LIC 9213 Notice of Site Visit was not posted. Per director, she forgot to post document. An immediate civil penalty of $100 issued and assessed. LIC 421CC completed during visit and completed and signed copy of form provided to director.

Exit interview conducted and report was reviewed with the director, Jamesetta Willis. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024
LIC809 (FAS) - (06/04)
Page: 2 of 9
Document Has Been Signed on 07/03/2024 03:31 PM - It Cannot Be Edited


Created By: Angelica Wallin On 07/03/2024 at 02:15 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: IN GOOD HANDS LEARNING CENTER- INFANTS
FACILITY NUMBER: 197493551

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/03/2024

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
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Based on record review, the licensee did not comply with the section cited above infant aide staff missing complete immunization record which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/19/2024
Plan of Correction
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Per director, missing immunization record for staff to be obtained and picture proof of completion to be obtained.
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in infant aide without EMSA approved CPR/1st aid certificate which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/19/2024
Plan of Correction
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Per director, updated EMSA approved CPR/1st aid certificate for staff to be obtained and picture proof of completion to be obtained.
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:Angelica Wallin
LICENSING EVALUATOR SIGNATURE:
DATE: 07/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2024


LIC809 (FAS) - (06/04)
Page: 3 of 9
Document Has Been Signed on 07/03/2024 03:31 PM - It Cannot Be Edited


Created By: Angelica Wallin On 07/03/2024 at 02:15 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: IN GOOD HANDS LEARNING CENTER- INFANTS
FACILITY NUMBER: 197493551

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/03/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
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
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Based on record review, the licensee did not comply with the section cited above in infant aide missing updated mandated reporter certificate which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/19/2024
Plan of Correction
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Per director, updated mandated reporter certificates to be obtained and picture evidence of completion to be submitted via email.
Type B
Section Cited
CCR
101419.2(a)
Infant Needs and Services Plan
(a) Prior to the infant's first day at the center, the infant care center director or assistant director shall complete a needs and services plan for the infant.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in infant needs and services plan missing for all infants enrolled which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/19/2024
Plan of Correction
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Per director, infant needs service plan to be completed and picture evidence of completion to be submitted via email.
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:Angelica Wallin
LICENSING EVALUATOR SIGNATURE:
DATE: 07/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2024


LIC809 (FAS) - (06/04)
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