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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017158
Report Date: 01/26/2023
Date Signed: 01/26/2023 11:32:38 AM

Document Has Been Signed on 01/26/2023 11:32 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:ELLA FITZGERALD CDC/DREW CHILD DEVELOPMENT CORPORAFACILITY NUMBER:
198017158
ADMINISTRATOR:RAYMOND HERNANDEZFACILITY TYPE:
850
ADDRESS:2590 INDUSTRY WAYTELEPHONE:
(310) 669-9440
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY: 40TOTAL ENROLLED CHILDREN: 32CENSUS: 20DATE:
01/26/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Edwina Shivers, Site SupervisorTIME COMPLETED:
11:50 AM
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On 01/26/2023 at 9:27 AM, an unannounced Required – 1 Year Inspection was conducted by Licensing Program Analyst (LPA) Katrina Chicote. LPA announced purpose of visit and initially met with Staff 3 (S3) and was granted entry to facility. Edwina Shivers, Site Supervisor for Drew CDC, arrived at 10:03 AM for inspection. Facility is currently licensed for a capacity of 40 and currently have 32 enrolled. The program currently operates Monday thru Friday from 6:30 AM to 6:00 PM. LPA singularly toured facility both indoors and outdoors. LPA observed required postings on bulletin board by exit.

At the initial start of the site visit, there is a total census of 19 children and a total census of five teachers present. The facility is made up of four classrooms that are separated by dividers (RM E-3CB, RM 3-2BA, RM E-3BA, and RM E-2B). LPA observed 13 children outside playing with two staff (S1 and S2) upon arrival to facility.

Beginning at 9:30 AM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. LPA observed art materials, soft blocks, plastic building blocks, sand table, bicycles, scooters, and other toys available for children in outdoor play area that are well maintained and free of hazards. LPA observed a play structure with steps and slides with cushioning material below to absorb fall all well maintained. Required shade and fencing were inspected. LPA observed benches under shade available for children. LPA advised that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. The children have access to water pitchers with paper cups during outside play. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed at time of inspection.

Beginning at 9:36 AM, furniture and equipment were inspected for age appropriateness and good repair in each classroom. LPA observed five children in RM E-2B with one teacher (S4). LPA observed S3 available walking around different classrooms and supervising children playing outside for bathroom use. LPA
Report Continues - Page 1 of 3
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2023
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 4
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: ELLA FITZGERALD CDC/DREW CHILD DEVELOPMENT CORPORA
FACILITY NUMBER: 198017158
VISIT DATE: 01/26/2023
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observed learning stations for Art, Science, Dramatic Play, and Math, filled with age appropriate toys available for children free of loose and sharp parts available for children at time of inspection. Telephone service, heating, lighting and ventilation were evaluated. LPA observed floor and carpets to be free of hazards at time of inspection. There were cubbies observed as storage for children's belongings. Mats were inspected. Per S3, linens are provided by the facility and washed weekly by staff. Availability of drinking water was reviewed. LPA observed filtered water available for children, per S3 each classroom has water pitchers and use paper cups to provide water. LPA observed water pitchers and paper cups at time of inspection. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. LPA observed two bathrooms accessible through RM E-3BA that all classrooms share. LPA observed each bathroom to have two toilets and two sinks, totaling four toilets and five sinks, one extra sink available outside of bathroom.

At 9:42 AM, LPA observed first aid kit is kept on cart across Kitchen and inventoried for necessary supplies. Per S3, First AId kits are also kept inside Site Supervisor's office. At 9:50 AM, LPA observed carbon monoxide detectors are operable at time of inspection. LPA observed smoke detectors are present in the facility. Fire extinguishers have been serviced on 10/20/2022. Disaster drill log was available and LPA observed last drill conducted on 11/17/2022. Sick/isolation area is in Site supervisor's office. Per S3, there is one child (C1) requiring medications. LPA observed medication stored according to Title 22 Regulation requirements on high cabinet in Kitchen. Hazardous items including poisonous cleaning compounds were stored inaccessible to children. LPA observed these items stored in under cabinet sink in off limits Kitchen area. Kitchen is made off limits by a heavy door and observed signs posted indicating staff only.

Snack/lunch menus were reviewed and observed posted. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Per S3, facility provides breakfast, lunch, and snack which is delivered to facility which staff distributes. Food preparation areas were toured for safety, cleanliness and proper equipment. LPA observed pre-packaged foods kept in heating storage in Kitchen at time of inspection.

Teacher-child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. LPA observed all children signed in with full signatures at time of inspection. Personal Rights of children were observed by LPA.

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SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: ELLA FITZGERALD CDC/DREW CHILD DEVELOPMENT CORPORA
FACILITY NUMBER: 198017158
VISIT DATE: 01/26/2023
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At 10:36 AM, children and staff records were reviewed for completeness. Children’s records documented on the LIC 857. Staff records were documented on the LIC 859. Staff present have proof of the AB 1207 Mandated Reporter Training certificate on file. There is at least one staff member trained in CPR and Pediatric First Aid present during this inspection. CPR card expires on 06/23/2023 for S1. All staff have been given on the-job training sanitation principles, housekeeping, including universal health precautions.

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 Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

The following were discussed with the Facility Representative:
Licensee (or facility representative) was reminded that all adults 18 and over in the facility, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed facility. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited only advisories given today, 01/26/2023.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.



Exit interview was conducted and report was reviewed with the Licensee (or facility representative), Edwina Shivers.
Report Ends - Page 3 of 3
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4