197494493-12-2-2021-30-CC-LCAS-C85U2C-20211025151142

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494493
Report Date: 10/25/2021
Date Signed: 12/02/2021 10:50:32 AM

Document Has Been Signed on 12/02/2021 10:50 AM - 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:	CENTINELA CHRISTIAN SCHOOL AGE PROGRAM		FACILITY NUMBER:	197494493
ADMINISTRATOR:	CHARVON JONES		FACILITY TYPE:	840
ADDRESS:	1415 CENTINELA AVE		TELEPHONE:	(310) 617-9795
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90302
CAPACITY: 10	TOTAL ENROLLED CHILDREN: 10	CENSUS:	DATE:	10/25/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:			TIME COMPLETED:	03:20 PM

NARRATIVE

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On 10/25/21 Licensing Program Analyst (LPAs), Lourdes Castellanos and Antonio Almanza conducted an unannounced Annual Required Inspection for the school age program license. LPA met with Director, CharVesther Jackson-Diggs, and toured the facility indoors and outdoors. Days and hours of operation are 2:45 PM- 6:00 PM -Monday -Friday

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. All poisons are kept in a locked storage area.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All toilets and hand washing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. All kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. All foods/beverages capable of rapid spoiling are stored in covered containers at 45 degrees F or less. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. All materials and surfaces accessible to children are toxic free. Outdoor activity space surfaces are free of hazards. The facility is free of flies, insects and rodents. There is a working carbon monoxide detector. Prior to working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. No individuals excluded by the Department are allowed to be present.

Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. pg 1.

SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Lourdes Castellanos
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2021

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CENTINELA CHRISTIAN SCHOOL AGE PROGRAM	FACILITY NUMBER: 197494493
	VISIT DATE: 10/25/2021

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The name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. All children are under supervision, including visual supervision, of a teacher at all times. There is a ratio of one teacher supervising no more than four infants in care. LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child, medical assessment. 20 of 3 children enrolled in the Center are missing Immunization records. LPA reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training. Staff records contain documentation of meeting qualification requirements. Menus are posted at least one week in advance where an authorized representative can view them.

There is indoor and outdoor activity space for school age program that is physically separate. The yard is completely fenced in, with an asphalt turf in good repair. Resilient cushioning was observed under swings and climbing apparatus. Lunch benches were covered by a shade awning for rest and shade.

Incidental Medical Services (IMS) are currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

There are 2 deficiencies being cited Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, Please see LIC9099 D.

A copy of this report, LIC 9213 Notice of Site Visit, and Appeal Rights were explained and provided to the Director CharVesther Jackson-Diggs.

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SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Lourdes Castellanos
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2021

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/02/2021 10:50 AM - It Cannot Be Edited

Created By: Lourdes Castellanos On 10/25/2021 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CENTINELA CHRISTIAN SCHOOL AGE PROGRAM	FACILITY NUMBER: 197494493
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/25/2021

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
1 2 3 4	Based on observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 staff do not have Mandated Reporter Training, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/26/2021
	Plan of Correction
1 2 3 4	The 2 staff wil complete Mandated Reporter Training and submite proof to LPA by 10/26/21.

Type B

Section Cited

CCR

101220.1

101220.1 Immunizations (a) Prior to admission to a child care center, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, commencing with Section 6000. 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 2 out of 3 children enrolled are missing immunization records which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/29/2021
	Plan of Correction
1 2 3 4	Facility Director will ghave parents provide copies of iimunizations records for 2 of 3 children and submite proof to LPA by 10/29/21

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:

Mary Ruiz

LICENSING EVALUATOR NAME:

Lourdes Castellanos

LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2021

LIC809 (FAS) - (06/04)

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