Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418475
Report Date: 02/23/2017
Date Signed 02/23/2017 12:31:39 PM

COMPREHENSIVE INSPECTION
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:CRYSTAL STAIRS INC.- SULLIVANFACILITY NUMBER:
197418475
ADMINISTRATOR:JONES-LOWE, CONNIEFACILITY TYPE:
850
ADDRESS:725 W. RAYMOND STREETTELEPHONE:
(310) 933-0760
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY:120CENSUS: 97DATE:
02/23/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Kimberly Hargrave, Site SupervisorTIME COMPLETED:
10:25 AM
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Licensing Program Analyst (LPA), Tiffanie Tran, conducted an unannounced random site visit. LPA met with Kimberly Hargrave, Site Supervisor. LPA toured the facility inside and outside and visually inspected all areas.

The facility operates with two session program (8:00AM - 11:30AM and 1:00 PM - 4:30 PM). LPA observed appropriate care and supervision. All center staff had fingerprinted and associated to the licensed facility.

Furniture and equipment was inspected. Equipment and toys were age appropriate and in good repair. Telephone service, heating, lighting and ventilation were in good condition. Menu was properly posted in addition to all required posting. Per facility staff, all food items and snacks are delivered daily to the facility from the licensee main kitchen. Kitchen area observed to be clean and cleaning supplies were made inaccessible to children. All food and snacks observed were stored properly, and the quantity was found to be sufficient. The facility had a functional smoke detector and carbon monoxide detector. All trash can had tight lids. Outdoor equipment was in good repair. LPA observed shade in the outdoor play area. Drinking water was available indoor and outdoor. Sign in/out sheets reviewed. Children's records were in good order. Staff's files were located in the main office. The facility roster was up to date, fire and disaster drills were conducted monthly. The facility staffs are currently certified in pediatric first aid and CPR.

Incidental Medical Services Plan of Operation (IMS-PO) was discussed. The facility is in the process of completing the IMS-PO then submits to the department.

There were no deficiencies found, this facility was in substantial compliance of Title 22 Regulations at the time of the visit. An Exit interview was conducted. The content of this report was read and discussed in detail at the time of with the noted contact person. Notice of site visit shall be posted for 30 days upon receipt. For additional information visit our website at: www.ccld.ca.gov

SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: 310-337-4335
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2017
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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