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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017722
Report Date: 04/15/2022
Date Signed: 04/15/2022 03:50:38 PM

Document Has Been Signed on 04/15/2022 03:50 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:PARK PLACE EARLY EDUCATION CAMPUS/CA CHILDRENS AC.FACILITY NUMBER:
198017722
ADMINISTRATOR:BROWN, KATHLEENFACILITY TYPE:
850
ADDRESS:12227 ATLANTIC AVETELEPHONE:
(323) 223-3313
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY: 31TOTAL ENROLLED CHILDREN: 19CENSUS: 9DATE:
04/15/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Angeles Orozco, Site Supervisor TIME COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Rita Ramos conducted an unannounced required 1 year inspection to the above facility on 04/15/22. LPA arrived at the facility at 12:20PM, identified self and met with Angeles Orozco, Site Supervisor, who guided analyst on a tour of the facility. This is a preschool program which consists of 2 classrooms; Room 1 and Room 2. Facility operation hours are Monday to Friday from 7:00 AM to 5:00 PM.
All areas identified on the Facility Sketch were inspected. Upon arrival, the following staff were present during this inspection: Room 1: Staff #1, #2 and #3 with 9 preschoolers getting ready to take a nap; Room 2 did not have anyone due to current low enrollment. The facility was observed to be within the license capacity and limitations. 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 have their own cubby to store their belongings. Linens are taken home each week to be washed. Napping equipment (mats) were observed to be used by the napping preschoolers. Per Site Supervisor, the isolation area is located in the office. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in classrooms.


Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Site Supervisor states that there are no poisons stored at the facility. Carbon monoxide detectors were observed and tested to ensure that they are operable.

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 have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids ---Page 1 of 3

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Rita Ramos
LICENSING EVALUATOR SIGNATURE: DATE: 04/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/15/2022
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: PARK PLACE EARLY EDUCATION CAMPUS/CA CHILDRENS AC.
FACILITY NUMBER: 198017722
VISIT DATE: 04/15/2022
NARRATIVE
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Outdoor playground equipment is in a safe condition. LPA observed that the yard is divided by a plastic orange mesh. LPA observed that the mesh was loose and advised that the mesh be removed because causes more of a hazard when trying to divide the yard. LPA also observed the side of Room 1 is not blocked outdoors and LPA advised that cones or a gate be placed. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Per Site Supervisor, they bring water bottles or a jug and cups when children are outside.

At approximately 2:23PM, LPA walked out of Room 2, walked through the kitchen, and into the office to ask Site supervisor a question about valid pediatric first aid and CPR cards due to LPA observing that none of the staff present had proof of pediatric first aid and CPR. LPA informed Site Supervisor that their pediatric first aid and CPR cards are not Emergency Medical Services Authority approved. LPA then went back and walked through the kitchen and observed Staff #3 warming up food in the microwave, and when LPA entered Room 2, LPA observed Child #2 was all by themselves. LPA asked Child #2 how they got to Room 2 and they stated that they "walked through" and went outside. Staff #3 had to inform the Site Supervisor that Child #2 was in Room 2 all by themselves. At approximately 2:41PM, LPA observed that Staff #2 had ran outside to the back yard to retrieve Child #2 who had gotten out of the classroom a 2nd time. LPA advised Site Supervisor that the supervision of Child #2 is of concern.

At 2:50PM LPA asked Staff #3 when they began employment and they stated November of 2021. Per Staff #3, they have taken the AB 1207 training but a copy was left at their previous employment. The request for staff files commenced upon LPAs arrival at the facility. As of 2:50PM LPA had not been provided with Staff #3's proof of the AB 1207 Mandated Reporter training certificate.

Site Supervisor was reminded that all adults 18 and over, 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 Child Care Center. 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.

Children’s Records were reviewed. Inspection of required forms was made and documented on the LIC 857. Staff present did have proof against TB, measles, pertussis, and influenza. ----Page 2 of 3

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Rita Ramos
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2022
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: PARK PLACE EARLY EDUCATION CAMPUS/CA CHILDRENS AC.
FACILITY NUMBER: 198017722
VISIT DATE: 04/15/2022
NARRATIVE
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Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in. Disaster drill log was available, last drill was conducted on 04/07/22. Menus were observed to be posted. Preschoolers are provided with a breakfast, lunch, and snack.

First Aid supplies were observed in the classroom in a cabinet. LPA advised the Site Supervisor to replenish the items in the first-aid kit during the inspection. According to the Site Supervisor, there is currently no child on medication.

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

LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/tion-process.

The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee/Director was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Site Supervisor, Angeles Orozco. --Page 3 of 3 .

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Rita Ramos
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2022
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 04/15/2022 03:50 PM - It Cannot Be Edited


Created By: Rita Ramos On 04/15/2022 at 03:06 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: PARK PLACE EARLY EDUCATION CAMPUS/CA CHILDRENS AC.
FACILITY NUMBER: 198017722

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/15/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101229(a)(1)
Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above due to LPA observing that Child #2 was alone with no adult supervision in Room #2. Staff #3 had to inform the Site Supervisor that LPA found Child #2 alone in Room #2 which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 04/22/2022
Plan of Correction
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Per Site Supervisor, they will have a meeting with the teacher and discuss supervision procedures and possibly one-on-one supervision. A copy of the meeting notes and agenda will be submitted 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:Trevino Cochran
LICENSING EVALUATOR NAME:Rita Ramos
LICENSING EVALUATOR SIGNATURE:
DATE: 04/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/15/2022


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/15/2022 03:50 PM - It Cannot Be Edited


Created By: Rita Ramos On 04/15/2022 at 03:06 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: PARK PLACE EARLY EDUCATION CAMPUS/CA CHILDRENS AC.
FACILITY NUMBER: 198017722

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/15/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(c)
Administration of Child Day Care Licensing
(c) Current proof of completion for each licensed child day care provider or applicant for that license, administrator, and employee of a licensed child day care facility shall be submitted to the department upon inspection of the child day care or upon request by the department.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above due to not having proof for Staff #3's AB 1207 Mandated Reported certificate on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/22/2022
Plan of Correction
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Per Site Supervisor, Staff #3 will take the training and a copy of the certifcate will be submitted by POC due date.
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above due to none of the staff having a valid pediatric first aid and CPR card or training during the inspection which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/06/2022
Plan of Correction
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Per Site Supervisor, they will talk to their supervisor to take the training that is EMSA approved and a copy of the cards will be submitted 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:Trevino Cochran
LICENSING EVALUATOR NAME:Rita Ramos
LICENSING EVALUATOR SIGNATURE:
DATE: 04/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/15/2022


LIC809 (FAS) - (06/04)
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