Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417385
Report Date: 06/22/2017
Date Signed 06/22/2017 01:48:22 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME:DEVONSHIRE PRESCHOOL AND INFANT CENTERFACILITY NUMBER:
197417385
ADMINISTRATOR:LORELL BATTERWORTHFACILITY TYPE:
830
ADDRESS:21203 DEVONSHIRE STREETTELEPHONE:
(818) 700-2821
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY:43CENSUS: 20DATE:
06/22/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Lorell BatterworthTIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA), Margarit Sislyan met with the facility Director/Owner, Lorell Batterworth and conducted a Random Annual visit. Infant Center utilizes 2 rooms and there are 2 separate crib areas.
Upon arrival, LPA observed 7 infants and 3 teachers present.
LPA observed:
  • Furniture & Equipment was age appropriate and in good repair
  • No Baby walkers on premises
  • High chairs or feeding tables have broad-based legs. Plastic seats in good repair
  • Sanitary solution out of infant reach.
  • Changing tables have at least one-inch-thick paddings covered with washable vinyl or plastic. Sides raised a minimum of 3 inches. Changing table within arm’s length of sink when in use.
  • Toys safe, with no sharp ages, splinters or points, nor made of small parts that can be pulled off and swallowed.
  • Cribs or other appropriate napping equip available for each crib age infant
  • Bedding separately identified and stored for each infant

Play area was observed to be free of debris. Play area was inspected for hazards and inaccessibility to bodies of water.
LPA observed the placement of cribs did not allows for entry/exit from the napping space. LPA advice Licensee to change the placement of cribs to allow for entry/exit from the napping space.

Children are inspected for illnesses as they are picked up from their class. Most ill children are sent home prior to the end of the school day. A review of medication policy indicated that only prescription medication is administered. The classroom teacher administers the medication and documents the dosage, date and time onto a log. There is a separate area for isolation and care of ill children in the office.
SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (310) 337-4346
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2017
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, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME: DEVONSHIRE PRESCHOOL AND INFANT CENTER
FACILITY NUMBER: 197417385
VISIT DATE: 06/22/2017
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Play area was observed to be free of debris. Play area was inspected for hazards. There are no bodies of water.
The food is provided by parents, it is properly labeled and stored separately.
Teacher child ratios were observed. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign in and out sheets were reviewed. The parent board was reviewed and has all of the required forms posted.

Children's records were reviewed and observed to be complete. All staff certified in Pediatric CPR and First Aid (Expiration date 7/18)

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

Senate Bill 792: This bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles.
New Immunization Requirement: Law enacted by SB 277, beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

LPA informed the director forms and a copy of Title 22 Regulations may be obtained at the department's website www.ccld.ca.gov.

No deficiencies cited according to Title 22 Regulation
A copy of this report must be available to the public, at the facility site for 3 years.
An exit interview was conducted.
SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (310) 337-4346
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2017
LIC809 (FAS) - (06/04)
Page: 2 of 2