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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013539
Report Date: 08/01/2023
Date Signed: 08/02/2023 09:20:49 AM

Document Has Been Signed on 08/02/2023 09:20 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:HSA BELL GARDENS LAUPFACILITY NUMBER:
198013539
ADMINISTRATOR:LETICIA RICO-NUNEZFACILITY TYPE:
850
ADDRESS:6800 FLORENCE AVE.TELEPHONE:
(562) 806-5400
CITY:BELL GARDENSSTATE: CAZIP CODE:
90201
CAPACITY: 24TOTAL ENROLLED CHILDREN: 22CENSUS: 18DATE:
08/01/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Silvia Figueroa, Site SupervisorTIME COMPLETED:
04:15 PM
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On 8/01/23 Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced Required Annual Inspection of the above facility. LPA met with Site Supervisor, Silvia Figueroa and provided the Facility Entrance Checklist. LPA toured the facility. There is a senior center on the same premises. Each program is physically separate from each other. Per Director, the hours of operation are Monday - Friday 6:00AM to 5:30PM. The facility has one (1) classroom where care is provided. Upon arrival LPA observed 18 nappping children with five (5) staff supervising. Teacher child ratios were observed to be in compliance and staff names recorded. The facility was inspected for cleanliness and good repair. The floors were clean and lighting was in operable condition. There were age appropriate toys and equipment.

There is one restrooms available for children in the preschool building, which has two toilets and one sink. The restroom was observed to be clean and in operable condition. There are two (2) additional sinks in the classroom. The preschool program offers potty training when needed. The carbon monoxide detector in the facility was observed to be in operable condition. LPAs observed a Fire extinguisher which indicated fully charged and last serviced on 07/2023. The facility provides Breakfast, Lunch and and afternoon snack and are delivered daily from vendor. Menus are posted a month in advance in a prominent location. The staff prepare snacks in the kitchen at this facility. LPA inspected the food preparation area and observed it to be clean, safe and in operable condition

LPAs toured the outdoor play area. Outdoor area was observed to have age-appropriate toys and material for children, free of loose, sharp, and/or pointed parts. LPAs observed required cushioning under climbing structure to absorb fall. Shade was observed in the outdoor area. Outdoor drinking water is obtained from a tap with and provided from water dispenser, and cups. There are no bodies of water on the premises.


LPA reviewed sign in sheets by entrance and found all children present today were signed in.

-Page 1 - Report Continues
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/01/2023
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: HSA BELL GARDENS LAUP
FACILITY NUMBER: 198013539
VISIT DATE: 08/01/2023
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Napping equipment and bedding were inspected and found to be clean and stored in individual cubbies. Per Director, sheets are laundered by staff and sent home weekly or as needed to be laundered. The isolation area is located in the corner of the classroom by the kitchen. Ill children may use the staff restroom in the hallway and supervised at all times. The facility administers prescription medication. Medication was observed to be stored in locked box in the classroom, the medication was properly labeled. Cleaning supplies were observed to be inaccessible to children in the classrooms.

Children's records reviewed and contained the required forms. Staff records were reviewed. There is at least one staff present with a valid pediatric CPR/first aid certification during this visit. All staff present had required proof of immunization against measles, pertussis, and flu (or had a flu declination). Two (2) out of five (5) staff did not have the required AB1207 Mandated Reporter Certificate for child care providers.

The Facility Representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES: 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. LPA referred Facility Representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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 --- Page 2 Report Continues

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023
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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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: HSA BELL GARDENS LAUP
FACILITY NUMBER: 198013539
VISIT DATE: 08/01/2023
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During the inspection, children present was observed to be treated with dignity and respect, observed to be receiving safe, healthful, and comfortable accommodations, furnishings, and equipment, and were free from corporal and/or unusual punishment.

LPA informed Director of the importance of checking for recalled devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/.

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.



Exit interview was conducted with Site Supervisor Silvia Figueroa.

Director was provided a copy of the report and appeal rights (LIC 9058). The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023
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Document Has Been Signed on 08/02/2023 09:20 AM - It Cannot Be Edited


Created By: Alicia Mooberry On 08/01/2023 at 03:24 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: HSA BELL GARDENS LAUP
FACILITY NUMBER: 198013539

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/01/2023

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 interview and record review, the licensee did not comply with the section cited above in 2 out of 5 staff did not have the which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/15/2023
Plan of Correction
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Per site supervisor the proof of correction will be sent to the department 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:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 08/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/01/2023


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