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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018448
Report Date: 07/02/2021
Date Signed: 07/02/2021 02:22:15 PM

Document Has Been Signed on 07/02/2021 02:22 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:EAGLES NEST PRESCHOOL - INFANT CENTERFACILITY NUMBER:
198018448
ADMINISTRATOR:CAMPBELL, JENNIFERFACILITY TYPE:
830
ADDRESS:10262 COLIMA RDTELEPHONE:
(562) 903-1460
CITY:WHITTIERSTATE: CAZIP CODE:
90603
CAPACITY: 30TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
07/02/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Jennifer CampbellTIME COMPLETED:
02:30 PM
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At 9:00 a.m., Licensing Program Analyst (LPA) Alanna Gontarek conducted an unannounced Annual Inspection. LPA met with Jennifer Campbell, Director, who guided analyst a tour of the facility. This is an Infant program which consists of 1 classroom; Infant Room #3 (birth - 2 years old). Facility operation hours are Monday to Friday from 7:15 AM to 5:15 PM. LPA observed staff and children wearing face masks. Census was taken. The licensee is in the conditions, limitations, and capacity specified on the license.

All areas identified on the Facility Sketch were inspected. The following staff were present during this inspection: RM 3: Staff #1, #2 with 5 infants (4 months to 23 months). The following was observed during the tour of facility:

PHYSICAL PLANT

Disinfectants, cleaning solutions, medication, and other items that are dangerous to children, were inaccessible to children. Per Director, facility has no firearms or children requiring medication at this time. Per Director, medications will be stored, if any, in the office. Director states that there are no poisons on the premises. LPA advised Director to store poisons in a key or combination locked box, in an off- limit area. Cleaning compounds are stored on a high shelf in the Infant room , above the sink. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All toilets and hand washing facilities are safe, sanitary and are operating properly. LPA observed no bodies of water on the premises. The facility has a functioning dual carbon monoxide and smoke detector, meeting standards, inside Infant Room.

All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. Drinking water is readily available indoors via Sparklets tap and disposable cups. At 9:39 a.m., LPA observed no available drinking water outside. LPA advised to keep available water and cups outside. The facility was observed to be free of flies, other insects and rodents. LPA observed an eating area, with 4 high chairs and a small table. At 9:25 a.m., LPA observed 3 open boxes of

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE: DATE: 07/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/02/2021
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: EAGLES NEST PRESCHOOL - INFANT CENTER
FACILITY NUMBER: 198018448
VISIT DATE: 07/02/2021
NARRATIVE
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Gerber Banana Cookies, not sealed properly. Pictures were captured. LPA advised to discard the open contaminated and/or spoiled food items immediately. Director discarded items.

Outdoor 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. LPA observed no swings, climbing equipment, or slides in outdoor playground. There is adequate shade in the play yard. The facility shall ensure that each infant is never left unattended, and is under the direct visual supervision of a staff person at all times;

INFANT PROGRAM

Infant changing tables have a padded surface no less than one inch thick and are covered with washable vinyl or plastic and have raised sides at least three inches high. Toys were observed to be clean and safe. Infant napping equipment and cribs were observed, and are physically separate from activity space. LPA observed 2 labeled cribs, with no objects inside, and 5 labeled cots in nap area. Per Director, sheets are sent home and washed daily. Per Director, extra sheets are provided by the school.

The facility is in compliance with the staff-infant ratios. A fully qualified teacher is directly supervising no more than 4 infants at one time. Each aide is responsible for the direct care and supervision of a group of no more than four infants, and cannot be left alone with the children without direct supervision of a fully qualified teacher. Individual Feeding Plans are on file for each infant. Infant Needs and Services Plan are on file for each infant, and are updated/current. Teachers present have proof of the required infant units on file and meet the qualification requirements.

FACILITY RECORDS

All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. The name of the child care center Director, Assistant Director, Facility Administrator, and one fully qualified teacher is designated to act in the director's absence, and is on file. Educational background, training, and/or experience for each staff present are on file and were reviewed.

In review of children’s records, files contain information including, but not limited to the following: Name, address and
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2021
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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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: EAGLES NEST PRESCHOOL - INFANT CENTER
FACILITY NUMBER: 198018448
VISIT DATE: 07/02/2021
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telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. Children's roster was reviewed and is current. Children present were signed in.

Menus are posted for a full year in advance where it is visible by the child's authorized representative. Per Director, facility uses Child and Adult Care Food Program (CACFP). LPA observed snack and lunch menus posted. Per Director, the lunch menu does not change and is provided to parents upon enrollment, and is posted on Parent Board. Snacks were reviewed for availability, quantity and appropriateness to children in care. Per Director, food program supplies infant formula for Infants 0-12 months, or children's authorized representatives can bring their own food. The facility provides breakfast, lunch, and a PM snack.



Director states isolation area is located outside office, and a cot and chair are provided for child until picked up by child's authorized representative. Per Director, school uses the Smart Care application to sign in and out children, and children's authorized representatives use a barcode to sign children in and out. LPA reviewed sign in and sign out sheet, and observed name of person signing in/out the child, along with the date and is time stamped. Children present were signed in. LPA observed each child’s file to contain a medical assessment. LPA observed all personnel to be in good health, and are physically and mentally capable of performing assigned tasks. LPA advised Director that personnel posing a threat to the health and safety of children shall be relieved of their duties. Disaster drill log was available, last fire drill was conducted on 4/19/2021, and earthquake drill was conducted on 5/12/2021. LPA observed most current on-the-job training regarding housekeeping and sanitation principles dated 6/8/2021. LPA observed staff to have current Mandated Reporter Training (AB1207). LPA observed staff immunization records (i.e. Influenza, Measles, and Pertussis).

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. UPDATE: Parent’s Rights Poster was provided to the licensee during this inspection. LPA provided
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2021
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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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: EAGLES NEST PRESCHOOL - INFANT CENTER
FACILITY NUMBER: 198018448
VISIT DATE: 07/02/2021
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the following documents about SIDS: A Child Care Provider’s Guide to Safe Sleep from the American Academy of Pediatrics, Never Shake a Baby, and Effects of Lead Exposure flyer.

New Sleep Regulation: 101429 Responsibility for Providing Care and Supervision for Infants
a) In addition to Section 101229, the following shall apply:

(1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times.

(2) Sleeping infant(s) shall be directly observed by sight and sound at all times.

(A) This shall include when the infants are going to sleep, are sleeping, or are in the process of waking up.

(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:

1. Labored breathing.

2. Signs of distress, which includes but is not limited to flushed skin color, increase in body temperature and restlessness.

3. Infants up to 12 months of age who are sleeping in a position other than on their back.

a. If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping.

4. If staff observes labored breathing or signs of distress as specified in Subsection (a)(2)(B)(1. or 2)., staff shall obtain emergency medical treatment and immediately notify the infant’s authorized representative.

(C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following:

=
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2021
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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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: EAGLES NEST PRESCHOOL - INFANT CENTER
FACILITY NUMBER: 198018448
VISIT DATE: 07/02/2021
NARRATIVE
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1. Date.

2. Infant’s name.

3. Time of each 15-minute check.

4. Initials of staff person who conducted each check.

(D) In the event a separately walled room is used as a designated sleeping area, staff must adhere to the staff-infant ratio requirements, as specified in Section 101416.5(d), unless there is a half-wall or transparent wall that allows for constant audial and visual supervision.
LPA explained new sleep regulation and advised no children to be swaddled.

The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22.



Exit interview was conducted with Jennifer Campbell. A copy of this report (LIC 809), Appeal Rights and Procedures, and the Notice of Site Visit were explained and provided. 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: Claudia Guangorena
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2021
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Document Has Been Signed on 07/02/2021 02:22 PM - It Cannot Be Edited


Created By: Alanna Gontarek On 07/02/2021 at 12:15 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: EAGLES NEST PRESCHOOL - INFANT CENTER
FACILITY NUMBER: 198018448

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/02/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/16/2021
Section Cited
CCR
101239.2(a)

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Drinking Water: (a) Drinking water from a noncontaminating fixture or container shall be readily available both indoors and in the outdoor activity area. This requirement was not met as evidenced by: Licensee did not provide available drinking water outside. At 9:39 a.m., LPA observed no available drinking
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Per Director, will conduct a staff meeting, and will submit meeting notes and employee signatures. Per Director, will put water permanently outside via Sparklets container. Per Director, will submit pictures of water and Staff meeting notes and staff signatures
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water on outdoor Infant playground. This poses a potential health and safety risk to the children in care.
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via email to LPA on the due date of 7/16/2021.
Type B
07/16/2021
Section Cited
CCR101227(a)(19)

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Food Services: (a) In child care centers providing meals to children, the following shall apply: (19)All food shall be protected against contamination. Contaminated food shall be discarded immediately. This requirement was not met as evidenced by: Licensee did not protect food against
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Per Director, will conduct staff meeting regarding the procedure for opening food containers and properly sealing and storing. Per Director, will update Opening and Closing Procedures in each classroom to include checking food storage areas, and have staff complete a food contamination training from
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contamination. At 9:25 a.m., LPA observed 3 open boxes of Gerber Banana Cookies, not sealed properly. Pictures were captured. This poses a potential health and safety risk to the children in care.
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CACFP food program. Per Director, will submit meeting notes, staff signatures, Opening and Cosing procedures list,and contamination training certificates via email to LPA by due date of 7/16/2021.
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:Claudia Guangorena
LICENSING EVALUATOR NAME:Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:
DATE: 07/02/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/02/2021


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