Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493466
Report Date: 08/10/2017
Date Signed 08/10/2017 10:33:33 AM

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:LITTLE GARDEN PRESCHOOL, THEFACILITY NUMBER:
197493466
ADMINISTRATOR:DOUCHETTE, JOLENEFACILITY TYPE:
850
ADDRESS:2929 WASHINGTON BLVD.TELEPHONE:
(310) 694-7347
CITY:MARINA DEL REYSTATE: CAZIP CODE:
90292
CAPACITY:46CENSUS: 0DATE:
08/10/2017
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
07:11 AM
MET WITH:Jolene Doucette/licensee TIME COMPLETED:
10:35 AM
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Licensing Program Analyst (LPA) Trevino Cochran met with applicant Jolene Doucette to conduct an announced Pre-licensing inspection. The applicant has submitted application for 46 Preschool children ages 2 through kindergarten. LPA Cochran inspected inside and outside of the facility. The fire department has approved the fire clearance for the requested capacity of 46 preschool children. Fire Clearance granted 5/31/2017 by Inspector Reddick, LA City Fire Department.

The preschool is located next to Chabat of Marina Del Rey. Parents can access the school on Washington street. Parents are able to drop off in the front of the Preschool (Washington st.) and in the rear of the preschool (access by alley). Pre school operating hours 8:30am - 3:30pm, Monday through Friday. The preschool is completely fenced in (Perimeter Fence all round). The areas include 1 building, and 1 outdoor play area. There is 1 classroom for learning , activities and stimulation. Parents can access the classroom from the front of the school. LPA observed a locked gate for safety. Outside the classroom is a breezeway that leads to the back outdoor play area. The directors office is located inside classroom and will be used as an isolation area for sick children. There is a community center next to the classroom behind a locked door. Community center is used by Chabat of Marina Del Rey. There are no bodies of water observed on the premises.

The following measurements were observed for the Preschool:
Preschool Classroom - (44x34) main class = 1,496sq.ft. <minus> (6x2.6) + (1.3x4.9) + (3x2) + (6x1) = 33.97 sq.ft. = 1,462.63 divided by 35 = 41 Preschoolers
Total: Pre-School = 41 Preschoolers

Rear/Garden/Outdoor Play Area : (17x19) garden = 323 sq.ft.
Rear/Outdoor Space Play Area: (50x44) <minus> (19x26) = 1,706 sq.ft.
Outdoor Classroom/Activity Space : (38x12) + Outdoor bike path (47x12) = 1,020 sq. ft.
Total Outdoor space 323 + 1,706 + 1,020 = 3,049 divided by 75 = 40 Preschoolers
SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Trevino CochranTELEPHONE: (310) 337-4335
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2017
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: LITTLE GARDEN PRESCHOOL, THE
FACILITY NUMBER: 197493466
VISIT DATE: 08/10/2017
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The applicant was informed of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541
Email Address: childcareadvocatesprogram@dss.ca.gov

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. The ADA requires that child care providers not discriminate against persons with disabilities on the basis of disability, that is, that they provide children and parents with disabilities with an equal opportunity to participate in the child care center's programs and services.

The following was discussed with applicant in order for the preschool to be ready for licensing.
1. LPA informed applicant cabinets under sink/food prep area in classroom need locks/latches for safety.

2. LPA informed applicant a gate is needed for stairs located in outdoor breezeway..

3. LPA informed applicant a door safety knob cover is needed for storage closet.

4. LPA informed applicant Rabbi's associated with Chabat of Marina Del Rey, fingerprints are needed.

A license to operate preschool will be issued following final administrative review, and receipt of outstanding corrections needed. No license will be issued today 8/10/2017. Applicant will notify LPA when corrections have been made.



An exit interview was conducted and a copy of this report was provided to the applicant on 8/10/2017.
SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Trevino CochranTELEPHONE: (310) 337-4335
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2017
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: LITTLE GARDEN PRESCHOOL, THE
FACILITY NUMBER: 197493466
VISIT DATE: 08/10/2017
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Outdoor Play Area: Preschool playground is located in rear of school. Outdoor playground is equipped with fencing (at least 4 ft. high) around the perimeter for safety. Age appropriate play slide is anchored and secure for safety. Playground has adequate shade (shade sails), free from miscellaneous debris and hazards. There are no bodies of water on the premises. Drinking water is available outside for children. Outside of classroom is a breezeway for shaded outdoor activities, snack , and arts/crafts.

Napping Equipment: Mats are available for children in care. Classroom will be used for napping. Mats are stored in storage closet inside classroom.

Staff/Children Files: No Staff files were observed. LPA discussed what sections are needed for personnel, qualifications and evaluations. Children files were observed with sections for admissions agreement, immunizations, medication consent, and authorizations.

Medication: All medication will located in the Directors office.

First Aid: Preschool has First Aid kits throughout main classroom.

Postings: All postings will be posted in the front of the classroom and visible for parents. LPA observed required postings (Facility License (TBD), Emergency Disaster Plan, Parents Rights Poster, Personal Rights Form)

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

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

DATE: 08/10/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2017
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: LITTLE GARDEN PRESCHOOL, THE
FACILITY NUMBER: 197493466
VISIT DATE: 08/10/2017
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Bathroom 1: 1 toilet + 1 sink
Bathroom 2: 8 toilets + 2 sinks inside bathroom/2 sinks outside bathroom

Total number of toilets: 9
Total number of sinks: 5

Based on the indoor space, outdoor space and number of toilets and sinks, the facility can accommodate 40 Preschool children. Applicant was informed that the license capacity is based on the least total number of maximum capacity.

LPA observed the facility to be gated all around, safe, sanitary and in good repair. Isolation area is located in Directors office and equipped with a couch for ill children. Separate toilet and sink were observed for sick children.

During prelicensing inspection LPA observed the following:

Classrooms: Classroom is equipped with age appropriate furniture and equipment. Furniture and equipment is clean and in good repair. Heating, lighting and ventilation is adequate in each classroom. Adequate storage is used for children's belongings in each classroom. Age appropriate learning materials, games and activities were inventoried in each classroom. Drinking water is ready available indoors and outdoors for children in care. Classrooms are equipped with a sink for hand washing.

Bathrooms: Age appropriate toilets are in the restrooms. Toilets flush and faucets work. Toilet paper and paper towels are available for children in care. Bathrooms are clean, safe and have adequate lighting.

Lunch & Snack: Facility will provide 1 snack per day and 1 lunch per day. Parents have the option to provide lunch for their children daily. All menus will be posted for viewing. Kitchen will be used for food preparation. Kitchen is located in Classroom. Food prep area is clean, equipped with locks and free of hazards.
SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Trevino CochranTELEPHONE: (310) 337-4335
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2017
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: LITTLE GARDEN PRESCHOOL, THE
FACILITY NUMBER: 197493466
VISIT DATE: 08/10/2017
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The following was discussed with the applicant:
Mandatory Forms for the children’s files and provider’s files, Requirements for fire drills, earthquake drills and documentation for both. Role and responsibilities of being a mandated reporter were discussed. The applicant was advised how to access forms and Regulations for Family Child Care online at www.ccld.ca.gov . Applicant was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. Applicant was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. The applicant was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. CCLD must have the facility’s phone number at all times; if the phone number is changed, CCLD must be notified. Regulation prohibits the smoking of tobacco on the premises.

Requirements for fingerprint clearances and associations were discussed with the applicant. Licensee (when licensed) can be cited a civil penalty of $100 per day, up to $500.00 (5 days) for the 1st offense and up to $3000.00 for the 2nd offense within a 12 month period. The applicant was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and licensing within the time frame specified by the regulation.

The "Notification of Parent's Rights" (PUB394) poster must be posted in an area accessible to parents. The information regarding new legislation with regards to exemptions and Parent’s Rights was also discussed.
The applicant was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Copies of the reports must also be provided to each parent when a serious deficiency, Type A, is cited (LIC9224).
An appeal may be filed, in writing 15 business days from the date of receiving the penalty assessment.

As of September 1, 2016, SB 792, 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.
SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Trevino CochranTELEPHONE: (310) 337-4335
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2017
LIC809 (FAS) - (06/04)
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