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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493883
Report Date: 09/15/2021
Date Signed: 09/20/2021 04:16:15 PM

Document Has Been Signed on 09/20/2021 04:16 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CANN ACADEMY PRESCHOOLFACILITY NUMBER:
197493883
ADMINISTRATOR:CANN-DUAH, RONNIEFACILITY TYPE:
850
ADDRESS:3801 W 132ND STREETTELEPHONE:
(323) 541-7271
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY: 15TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/15/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:Ronnie Cann-DuahTIME COMPLETED:
05:00 PM
NARRATIVE
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On 9/15/2021 Licensing Program Analyst (LPA), Jillinda Chandler conducted an unannounced Annual Random/1 year required visit for Cann Academy pre-school. Present in the center upon arrival were licensee no pre-school children where in attendance,prior to approaching the facility LPA observed 1 adult enter the facility, however the adult was not present when inside, the adult returned and it was disclosed that the adult was an associated employee. The facility has an infant licence # 197493882 which also was inspected during today visit. The preschool operation are conducted on the upper level of the two story church. The center was inspected inside and out for health and safety compliance per Title 22. according to the provided facility sketch.

The preschool class room is shared by the Churhe's existing Sunday school, per licensee the two programs operate on different days.

The room was not set up for day care activity LPA observed standard size adult chairs and tables and other stored equipment.
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SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CANN ACADEMY PRESCHOOL
FACILITY NUMBER: 197493883
VISIT DATE: 09/15/2021
NARRATIVE
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LPA observed the following:
No Care and supervision was observed during todays visit, there were zero children in attendance. Licensee state that due to Covid 19 and low attendance parents are to notify the facility 1-2 weeks in advance when children are to attend, to ensure adequate ratios. Parent(s) were turned away during todays visit.
Appropriate size fire extinguisher and smoke detector present operable. Licensee shall add an additional carbon monoxide on the upper level.
Detergents, and knives were inaccessible, stored on the lower level of the facility.
No properly working or mobile telephone was present during visit, there was no immediate concern due to children not being present.
Facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights Poster and California Safety Seat Law are posted. Licensee was reminded to post the facility license and complaint hot line on parent board for parents and visitors review
At least on person was present with Pediatric CPR and First Aid Card expiring 2023
No bodies of water on the premises
Children records were not readily available .
Staff files were not readily available
Rosters were not readily available
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SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2021
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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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CANN ACADEMY PRESCHOOL
FACILITY NUMBER: 197493883
VISIT DATE: 09/15/2021
NARRATIVE
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Toys, equipment and materials were not observed
Restrooms were clean with the necessary toiletries located on the lower level.
Stair cases were not barricaded per pre-licensing recommendations.
The out door activity area was observed, LPA did not observe any hazardous condition on the pre-school yard
Shading and benches for rest were available
Water is provided using a water dispenser and pitchers inside and out doors.

Citations were issued, a copy of this report and appeal rights were provided to the licensee an an exit interview was conducted.


















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SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2021
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Document Has Been Signed on 09/20/2021 04:16 PM - It Cannot Be Edited


Created By: Jillinda Chandler On 09/15/2021 at 03:57 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CANN ACADEMY PRESCHOOL
FACILITY NUMBER: 197493883

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/15/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/22/2021
Section Cited
HSC
1596.841

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§1596.841 Current roster of children provided care in facility required Each child day care facility shall maintain a current roster of children who are provided care in the facility... This standard was not met as evidence by: per licensees statement
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A complete roster shall be prepared no later than 9/22/2021 and emailed or mailed to the department.
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there was no roster availble for review.
this poses an possible health and safety risk to children in care. A type B was issued
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Type B
09/22/2021
Section Cited
CCR10217(c)

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101217(c) All personnel records shall be available to the Department to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. This standard was not met by evidence of; no files were
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Licensee shall prepare staff files with the required documents per title 22 section 101217. Forms shall be completed no later than 9/22/2021.
A subsequent visit will be conducted for review of corrections
Type B
09/22/2021
Section Cited
CCR
101221(a)

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101221(a)Child's Records A separate, complete and current record for each child is maintained in the child care center. This standard was not met by evidence of; files provided to LPA for review were incomplete and missing required documents
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Licensee shall ensure that all required forms are complete and readily available for review no later than 9/22/2021 or upon childs next day in attendance. A subsequent visit will be conducted to review files
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:Peter Flores
LICENSING EVALUATOR NAME:Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:
DATE: 09/15/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/15/2021


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