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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494127
Report Date: 03/15/2024
Date Signed: 03/15/2024 03:07:24 PM

Document Has Been Signed on 03/15/2024 03:07 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:SUNNY BRAE AVE PRESCHOOLFACILITY NUMBER:
197494127
ADMINISTRATOR:MINJARES, OLIVIAFACILITY TYPE:
850
ADDRESS:20620 ARMINTA STREETTELEPHONE:
(818) 341-0931
CITY:WINNETKASTATE: CAZIP CODE:
91306
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 15DATE:
03/15/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Dana Carter, PrincipalTIME COMPLETED:
03:20 PM
NARRATIVE
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Licensing Program Analysts (LPA) Lilia Hernandez conducted an unannounced annual inspection to the above facility on 03/15/2924. LPA arrived at the facility at 09:00AM, identified self and met with Dana Carter, Principal who guided analyst on a tour of the facility. LPAs provided Principal with a copy of the LIC 125 Entrance Checklist to help facilitate the inspection. This is a preschool program which consists of 1 classroom; Room 11. Facility operation hours are Monday to Friday from 8:00 AM to 2:30 PM.

All areas identified on the Facility Sketch were inspected.

There were 15 children and 2 staff present when LPAs arrived. The facility was observed to be within the license capacity and limitations.

Criminal record clearance was not reviewed. However, per condition of employment with the Los Angeles Unified School District, all individual’s present have obtained a criminal record clearance or criminal record exemption.

The following was observed during the tour of the facility:
Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children in Room 11 store their belongings in a closet using a hanging system. LPA did not observe children's belonging touching.

Mats and linens are provided for each child enrolled. Linens are washed weekly by a laundry service company contracted by the school district. LPAs observed napping equipment stored in a closet away from children’s activities. ---Page 1 of 5
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/15/2024
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 11
Document Has Been Signed on 03/15/2024 03:07 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 03/15/2024 at 01:02 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: SUNNY BRAE AVE PRESCHOOL
FACILITY NUMBER: 197494127

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in LPA observed two bottles of Clorox Bleach Germicidal Cleaner, Comet Cleaner with Bleach accessible to children in a lower level unlocked cabinet under the hand washing sink. LPA also observed hand sanitizer and 2 Clorox Disinfectant Wipes containers placed on a low level shelf where children play materials are stored accessible to children which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 04/05/2024
Plan of Correction
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Per Principal, all cleaners accessible to children were removed. Discussion with staff will be conducted regarding disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. Agenda and signed attendance sheet will be provided to LPA via email by POC due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2024


LIC809 (FAS) - (06/04)
Page: 2 of 11
Document Has Been Signed on 03/15/2024 03:07 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 03/15/2024 at 01:02 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: SUNNY BRAE AVE PRESCHOOL
FACILITY NUMBER: 197494127

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.954
Licensure Requirements
Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in LPA did not observed a carbon monoxide detector in the facility which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/05/2024
Plan of Correction
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Per Principal, carbon monoxide will be install in facility. Photo of installation will be submitted via email to LPA by POC due date.
Type B
Section Cited
CCR
101239.2(a)
Drinking Water
(a) Drinking water from a noncontaminating fixture or container shall be readily available both indoors and in the outdoor activity area.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in LPA did not observed indoor drinking water for children in care which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/05/2024
Plan of Correction
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Per Principal, a written plan will be submitted to LPA via email with detail on how drinking water will be made to available indoors for children by POC due date.
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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2024


LIC809 (FAS) - (06/04)
Page: 3 of 11
Document Has Been Signed on 03/15/2024 03:07 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 03/15/2024 at 01:02 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: SUNNY BRAE AVE PRESCHOOL
FACILITY NUMBER: 197494127

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101239(n)
Fixtures, Furniture, Equipment and Supplies
(n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in LPA observed a dilapidated wooden playhouse in outdoor play area- dry brittle wood, cracked wood inside of playhouse. (photo taken) which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/19/2024
Plan of Correction
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Per Principal, a request for repair will be submitted to the district. Request for repair will be submitted to LPA via email by POC due date.
Type B
Section Cited
CCR
101239(f)(1)
Fixtures, Furniture, Equipment and Supplies
(f) Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents. (1) All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in trash can used for solid waste has broken lid in outdoor play area. (photo taken) which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/05/2024
Plan of Correction
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Per Principal, invoice on a newly purchased trash can will be submitted to LPA via email by POC due date.
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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2024


LIC809 (FAS) - (06/04)
Page: 4 of 11
Document Has Been Signed on 03/15/2024 03:07 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 03/15/2024 at 01:02 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: SUNNY BRAE AVE PRESCHOOL
FACILITY NUMBER: 197494127

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.2(d)(2)
Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in LPA observed outdoor playground with dry tree leaves both outside and inside the children's play houses and dry leaves piled up in the corner of the outdoor play yard. (photos taken) which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/05/2024
Plan of Correction
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Per Principal, yard was swept and will be kept clean. Maintenance personnel will continue to maintain yard on monthly basis.
Type B
Section Cited
CCR
101217(d)
Personnel Records
(d) All personnel records shall be maintained at the child care center and shall be available to the licensing agency for review.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above in 3 of 3 Personnel Records were not available for licensing agency to review. (Principal, Teacher and Aide) No Staff Qualifications, Immunization's: measles, pertussis and Influenza vaccine or waiver, Current First Aid CPR, LIC9108 , LIC9052, and Mandated Reporter Training which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/26/2024
Plan of Correction
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Per Principal, all documents will be scanned and submitted to LPA via email by POC due date
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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2024


LIC809 (FAS) - (06/04)
Page: 5 of 11
Document Has Been Signed on 03/15/2024 03:07 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 03/15/2024 at 01:02 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: SUNNY BRAE AVE PRESCHOOL
FACILITY NUMBER: 197494127

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101221(a)
Child's Records
(a) The licensee shall ensure that a separate, complete and current record for each child is maintained in the child care center.

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 2 of 5 child files reviewed are missing LIC701 Physician Report's. 1 of 5 child files reviewed are missing LIC700 Identification and Emergency Information and LIC 627 Consent for Emergency Medical Treament which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/26/2024
Plan of Correction
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Per Principal, all documents will be scanned and submitted to LPA via email by POC due date.
Type B
Section Cited
CCR
101229.1(a)
Sign In and Sign Out
(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following:

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 9 of 15 children present were signed in which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/26/2024
Plan of Correction
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Per Principal, 30 days of sign in/out sheets will be submitted via email to LPA by POC due date.
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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2024


LIC809 (FAS) - (06/04)
Page: 6 of 11
Document Has Been Signed on 03/15/2024 03:07 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 03/15/2024 at 01:02 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: SUNNY BRAE AVE PRESCHOOL
FACILITY NUMBER: 197494127

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101227(a)(6)
Food Service
(6) Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days. Menus shall be made available for review by the child's authorized representative and the Department upon request.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in LPA did not observe menus posted in area accessible for review by child's authorized representative which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/05/2024
Plan of Correction
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Per Principal, menus will be posted near the drop off an pick up gates. A photo of menus posted will be submitted via email to LPA by POC due date.
Section Cited
Deficient Practice Statement
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2
3
4
POC Due Date:
Plan of Correction
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2
3
4
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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2024


LIC809 (FAS) - (06/04)
Page: 7 of 11
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: SUNNY BRAE AVE PRESCHOOL
FACILITY NUMBER: 197494127
VISIT DATE: 03/15/2024
NARRATIVE
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Age-appropriate sinks and toilets were inspected for availability and good repair in the restrooms. Room 11 also has an additional sink for handwashing. General sanitation was observed.

Availability of indoor drinking water was not observed in the classroom. Per principal, children bring their own water bottle daily. Drinking water is only available outdoors.

At 9:23AM, LPA observed disinfectants, cleaning solutions, medication and other items that are dangerous to children, were observed to be accessible to children. LPA observed Two bottles of Colorox Bleach Germicidal Cleaner, Comet Cleaner with Bleach accessible to children in a lower level unlocked cabinet under the hand washing sink.

LPA also observed hand sanitizer and 2 Clorox Disinfectant Wipes containers placed on a low level shelf where children play materials are stored accessible to children.

LPA did not observed a carbon monoxide detector in the facility.

All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin.

All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids or solid waste bags shall be discarded immediately after each meal.

LPA observed trash can used for solid waste with a broken lid in outdoor play area. (photo taken)

Outdoor playground equipment was not in a safe condition. LPA observed a dilapidated wooden playhouse in outdoor play area- dry brittle wood, cracked wood inside of playhouse. (photo taken)

The surface of the outdoor activity space is not maintained in a safe condition and is free of hazards. LPA observed outdoor playground with dry tree leaves both outside and inside the children's play houses and piled up in the corner of the outdoor play yard. (photos taken) --Page 2 of 5
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2024
LIC809 (FAS) - (06/04)
Page: 8 of 11
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: SUNNY BRAE AVE PRESCHOOL
FACILITY NUMBER: 197494127
VISIT DATE: 03/15/2024
NARRATIVE
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There is adequate shade in the play yard provided by trees in the play yard. Availability of outdoor drinking water was observed.

LPA advised that no children shall be left without the supervision of a teacher at any time.
All indoor floors were observed to be clean and safe. All materials accessible to children were observed to be toxic-free.

Per Principal, are no firearms stored on the premises. LPA did not observe pools or bodies of water at the facility.

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).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Children’s Records were reviewed. Inspection of required forms was made and documented on the LIC 857. 2 of 5 child files reviewed are missing LIC701 Physician Report's. 1 of 5 child files reviewed are missing LIC700 Identification and Emergency Information/LIC 627 Consent for Emergency Medical Treatment Children's roster was reviewed and is current.

Sign-In and Sign-Out sheets were reviewed. 9 of 15 children present were signed in.

3 of 3 Personnel Records were not available for licensing agency to review. (Principal, Teacher and Aide) Staff present did not have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present did not have proof against TB, measles, pertussis, and influenza.

LPA was not able to verify if there is at least one person trained in CPR and Pediatric First Aid present during this inspection. ---Page 3 of 5
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2024
LIC809 (FAS) - (06/04)
Page: 9 of 11
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: SUNNY BRAE AVE PRESCHOOL
FACILITY NUMBER: 197494127
VISIT DATE: 03/15/2024
NARRATIVE
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Menus were not observed posted one month in advance where it is visible by the child's authorized representative.
Per Principal Menus for the past 30 days are available upon request. The facility provides breakfast and lunch to children. Food is prepared in the main elementary cafeteria.

Per principal, children eat lunch in the main elementary eating area.

LPA did not observe a waiver on file regarding the use of the elementary common eating area. The Department does not have written statement detailing the use of the common lunch eating area and how commingling with other children will be prevented.

Disaster drill logs was available, last earthquake drill was conducted on 02/26/2024. Last fire drill was conducted on 02/26/2024.

First Aid supplies were observed in the classroom inside emergency backpack. First Aid supplies are also available in the nurse's office. According to Principal, medication is only administered to a child when accompanied with a doctor's note and is stored in the office. The facility was observed to be equipped with an isolation area for any child who becomes ill and it is located in the nurse’s office.

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/.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.
---Page 4 of 5
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2024
LIC809 (FAS) - (06/04)
Page: 10 of 11
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: SUNNY BRAE AVE PRESCHOOL
FACILITY NUMBER: 197494127
VISIT DATE: 03/15/2024
NARRATIVE
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Principal 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.

The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22.

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

Exit interview conducted and report was reviewed with Dana Carter, Principal.
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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2024
LIC809 (FAS) - (06/04)
Page: 11 of 11