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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400490
Report Date: 06/13/2024
Date Signed: 06/13/2024 02:49:11 PM

Document Has Been Signed on 06/13/2024 02:49 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:CALIFORNIA HOSPITAL MEDICAL CENTER-THE NESTFACILITY NUMBER:
198400490
ADMINISTRATOR/
DIRECTOR:
VILMA MEDINAFACILITY TYPE:
850
ADDRESS:3651 S. VERMONT AVETELEPHONE:
(213) 742-6385
CITY:LOS ANGELESSTATE: CAZIP CODE:
90007
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 22DATE:
06/13/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Vilma MedinaTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On 06/13/2024 at 10:15 am Licensing Program Analysts (LPA), Claudia Kam and Andrea Carter made an unannounced required visit at above licensed facility. LPAs disclosed the purpose of the inspection and was granted entry into the facility.

LPAs met with Vilma Medina Director and was taken on a guided tour of both indoors and outdoors of the facility. LPAs observed Teacher-child ratios, and staff names recorded. All center staff that was present during today’s inspection had fingerprint clearance and are associated to the designated license number. Care and supervision evaluated it is determined that the basic needs and personal rights of children are met and appropriate.

The hours of operation are 7:30 am – 5:00 pm, Monday - Friday. Facility is currently licensed for a capacity of 32. At the initial start of the site visit, there is a total census of 22 children and a total census of 9 teachers present. The facility is made up of 4 classrooms. Toddler pod had 4 children and 2 staff, Pod 1: had 5 children and two staff, Pod 2: 7 children and two staff, Pod 3: 8 children and 3 staff present at time of inspection. LPAs observed all posting requirements for operation on the posting board and the following documents were observed LIC 203A-License, LIC 610 A-Emergency Disaster Plan, LIC 9148-Earthquake Preparedness Check List, PUB 394-Notification of parent’s rights poster, LIC 613A- Personal Rights, PUB 269- Child Car Seat Law, Menus, and Activity Schedule.
Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. Children napping equipment met the requirement regulation at time of inspection. Storage for children's belongings, bathrooms facilities, and isolation areas were inspected. Pod 1, 2 and 3 have a shared bathroom with 2 toilets, 1 child sink and 1 adult sink and changing table. Toddler pod has its own bathroom with 1 toilet, changing table and 1 child size sink and 1 adult size sink.

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CALIFORNIA HOSPITAL MEDICAL CENTER-THE NEST
FACILITY NUMBER: 198400490
VISIT DATE: 06/13/2024
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Age-appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, safety, and sanitation. LPAs observed cubbies with wooden toys, puzzles, books, and other appropriate toys to be clean and free of hazards at time of inspection.

All classrooms were outfitted with dramatic play areas, reading nooks, child size tables and chairs. LPAs observed carpets and and flooring to be in good repair. LPAs observed first aid kits kept in each classroom. First Aid supplies were inventoried and were found to be in compliance with regulation.

Breakfast, snack and lunch menus were reviewed at time of inspection. Facility provides breakfast, lunch, and snacks. All food items delivered daily to the facility by California Hospital Medical Center and all meals are prepared with allergy restriction for any children who need specialized diets. Drinking water is tap water provided from the child size sinks in each classroom with disposable paper cups for dispensing. Carbon monoxide and smoke detectors tested detectors at time of inspection and were determined to be in operable condition. Fire extinguishers were observed as serviced on 05/28/2024. Hazardous items including poisonous cleaning compounds are not kept in the facility as a third party does the cleaning for the facility. A review of medication policy, including administering, labeling, storage, and records was made. Fire & Earthquake drill observed conducted monthly with last drill conducted on 05/28/24 per observation.



LPAs observed outdoor play area which consists of a play structure, musical installation, sand play, sensory play, small tables and chairs for outdoor activities, tricycles for Pod 1, 2, 3. The toddler pod has its own playground with a climbing tunnel, sand box and dramatic play. Outdoor equipment was inspected for safety, cushioning material, good repair, and age-appropriateness. Required shade and fencing were inspected, door to the street has been inspected and door does have an alarm with a 15 second window to allow notification to the center prior to being able to be opened. Alarm was observed to be on at the time of inspection. LPA advised Director that the children need to be always within the direct care and visual supervision by the teachers. Per Director, the children have access to drinking water via tap water provided by the outside sink. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed at time of inspection.

Staff and Children’s Records were reviewed. Criminal Record Clearances were reviewed for adults. LPAs observed current CPR and First Aid Certification for center staff. Mandatory Forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. Role and responsibilities of being a Mandated Reporter were reviewed.
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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CALIFORNIA HOSPITAL MEDICAL CENTER-THE NEST
FACILITY NUMBER: 198400490
VISIT DATE: 06/13/2024
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The Director was advised how to access forms and Regulations online at www.ccld.ca.gov. to ensure the most current information regarding regulations for all those who assists in providing care.

The following were discussed with the Director: The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and Carbon Monoxide detectors should be checked, and batteries replaced as needed. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location. The Director was also 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

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.

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.

Center was reviewed for lead compliance and center meets standards for lead. 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


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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CALIFORNIA HOSPITAL MEDICAL CENTER-THE NEST
FACILITY NUMBER: 198400490
VISIT DATE: 06/13/2024
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(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 childcare 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.

LPAs discussed the safe sleep regulations with facility representative Vilma Medina and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPAs also informed Director Vilma Medina of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

This facility provides Incidental Medical Services – IMS. LPAs 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.html

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.



The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today 06/13/2024.

A notice of site visit was given and must remain posted for 30 days.



Exit interview conducted and report was reviewed with Director, Vilma Medina.
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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2024
LIC809 (FAS) - (06/04)
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