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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494904
Report Date: 10/01/2021
Date Signed: 10/01/2021 12:52:47 PM

Document Has Been Signed on 10/01/2021 12:52 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:SEASIDE RANCHOS PRESCHOOLFACILITY NUMBER:
197494904
ADMINISTRATOR:SARAH MUSICKFACILITY TYPE:
850
ADDRESS:4565 SHARYNNE LANETELEPHONE:
(310) 487-0474
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY: 36TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
10/01/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sarah Musick- director/ Remington Esters-facility representativeTIME COMPLETED:
01:08 PM
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On 10/1/2021 at 9:30 A.M. Licensing Program Analyst (LPA) Chandler made an announced visit to Seaside Rancho Preschool for the purpose of conducting a Pre-licensing inspection. LPA met with Sarah Musick- director and Remington Esters-facility representative, who provided a tour of the facility. The facility is located in the rear of Evangelical Formosan Church of South Bay.The building is a two story building and day care will be conducted on the lower level.The upper level will off limits to children in care. There are ten rooms inside the day care area which four will be used for day care;

Room 1 - the first room to the right of the entry


Room 2 - the main common area
Room 3 - room three to the right of room 1
Room 4 - small room on the near the rear exit
Directors office
Staff Lounge
4- storage rooms
The applicant/Licensee is requesting a pre-school license with a capacity of 36. An approved fire clearance conducted by inspector Richard Fick of the Torrance Fire Department.
The center will operate: Monday - Friday from 9:00 a.m. - 1:00 p.m.
SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE: DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2021
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: SEASIDE RANCHOS PRESCHOOL
FACILITY NUMBER: 197494904
VISIT DATE: 10/01/2021
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The following was observed of the:

INDOOR ACTIVITY SPACE

Fire extinguishers were 2AB10C or larger. Last inspection 12/15/2020

Carbon monoxide detectors were observed and inspected for recall notice

First aid kit was located on the wall in the main classroom, with the required essentials: scissors, bandages, tweezers, and thermometer

Age appropriate toys and equipment were observed in good repair

Drinking water will be provided by the parents. Center shall provide extra bottled water.

Central heating will be used for heating and portable air conditions for cooling.

Windows were in good repair free of chipping paint, dirt, insects or debris

Adequate lighting was observed

Classrooms were clean in good repair

Storage for children’s belongings were observed

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

DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021
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: SEASIDE RANCHOS PRESCHOOL
FACILITY NUMBER: 197494904
VISIT DATE: 10/01/2021
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Trash cans used for solid waste were observed with tight fitting lids

Disinfectants and other toxins or poisons were made inaccessible to children, placed in locked storage room

The directors office will be used for isolation of ill children and the staff restroom located on the upper level of the day care room will be used for ill children

The main classroom was equipped with a working telephone and in the directors office.

Parents/Authorized adult will sign in using their original signatures

The required postings were also posted in this common area for parents and visitors viewing.

Measurements for the indoor activity space was 1405.76 divided by 35 SQ. FT. per child

FOOD SERVICE:

Lunches and snacks will be provided by parents.

Weekly menus were posted for review.

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

DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021
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: SEASIDE RANCHOS PRESCHOOL
FACILITY NUMBER: 197494904
VISIT DATE: 10/01/2021
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Applicant shall make preparation for alternate meals or snacks for children with allergies or the need for additional servings.

The center has a food prep area, located in the teachers lounge for preparing or heating meals.

Center shall devise an Incidental Medical Service plan and provide to parents of children with allergies (epi-pen), asthmatic (inhalers), and children needing G-tube feeding

RESTROOMS

Children will use two gender identified restrooms located in the churches hall.The churches hall is located across the walk bath of the center. There were 3 toilets, 1 sink in each restroom and a changing table in the girls restroom. There were also two sinks located in the day care's main classroom.

Toilets and sinks were not age appropriate stable based stools were observed to assist children to access these fixtures

The restrooms were clean and sanitized with the necessary toiletries, sinks and toilets were operable and in good repair. Faucets delivered cold water.

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

DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021
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: SEASIDE RANCHOS PRESCHOOL
FACILITY NUMBER: 197494904
VISIT DATE: 10/01/2021
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OUTDOOR ACTIVITY SPACE

The outdoors area consisted of a portion of the churches parking lot, the area will be closed off with portable anchored fencing and a fully gated sand and play equipment area.

Age appropriate toys and equipment were observed in the outdoor activity space in fair repair. Applicant was advised to have the climbing apparatus protected against rusting and chipping paint.

Sand was provided cushioning under the climbing apparatus and swings. The sand box will be maintained by staff and the gardener .

Personal or plastic water bottles will be used as an outdoor water source.

Trees provided shading and Benches for resting were available for children’s use

Measurements for the outdoor activity area were 5259.85 divided by 75 sq. ft. per child

Based on todays inspection the facility shall be recommended for a capacity of 36 children determined by the requested capacity.

The inspection was concluded, an exit interview was conducted and a copy of this report was provided to director Sarah Musick.

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

DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021
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: SEASIDE RANCHOS PRESCHOOL
FACILITY NUMBER: 197494904
VISIT DATE: 10/01/2021
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Licensee/Applicant was made aware that state law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category.
Licensee/Applicant was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation.
Licensee/Applicant was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and to never shake a baby to prevent the Shaken Baby Syndrome.
Applicant was also reminded that only children eating may be in highchairs and that car seats are utilized only for transportation.
The "Notification of Parent's Rights" (PUB394) was discussed with the licensee and the licensee was advised that it must be posted in an area of the home accessible to parents.
Licensee/Applicant was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects to disseminate information on the State’s licensing role, provide information to the public and parents on childcare licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541; Email Address: childcareadvocatesprogram@dss.ca.gov
Also, discussed was; Commencing September 1, 2016, SB 792, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. Exemption were also discussed Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021
LIC809 (FAS) - (06/04)
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