Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018125
Report Date: 01/10/2018
Date Signed 01/10/2018 01:51:28 PM

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:ST. ANNE'S EARLY LEARNING CENTER AT BEVERLYFACILITY NUMBER:
198018125
ADMINISTRATOR:RUBY GARCIAFACILITY TYPE:
850
ADDRESS:1505 BEVERLY BOULEVARDTELEPHONE:
(213) 381-2931
CITY:LOS ANGELESSTATE: CAZIP CODE:
90026
CAPACITY:43CENSUS: 25DATE:
01/10/2018
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Lilian Saysay, Acting Center Manager & Amanda Velasquez, Assistant DirectorTIME COMPLETED:
02:00 PM
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An unannounced Required 3-Year Inspection was conducted on this day by Licensing Program Analysts (LPAs) Jacqueline Martinez and Judy Mora. Facility is currently licensed for a capacity of 43 preschoolers. LPAs met with Lilian Saysay, Acting Center Manager who guided analysts on a tour of the facility. This is a preschool program which is operated by St. Anne's Early Learning Center. The program consists of a full day program in rooms 1, 2 and 3. Days & Hours of Operation are from: M-F from 7:30 am to 2:30 pm.

All areas identified on the Indoors and Outdoors Facility Sketch were inspected. LPAs observed a total of 12 preschoolers with Staff #1 and Staff #2 in Room 3; 13 preschoolers with Staff # 3 and Staff #4 in Room 2 and 13 children with Staff #5 and Staff #6 in Room 1. Teacher child ratios were observed and staff names recorded. Sign in and out sheets and procedures were reviewed.

INDOORS
Furniture and equipment was inspected for age appropriateness, good repair and free of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated. The facility changed the hours of operation in August 2017 from part time to a full day schedule. Napping equipment (mats/cots) were not observed or made available to the children. LPAs observed 3 preschoolers napping directly on the rug/floor in Room 1. This is an immediate risk to the health and safety of the children in care as they are not being accorded with safe, healthful and comfortable accommodations, furnishings and equipment.

Ill isolation area is in Director's office. Drinking water is available indoors for children to drink freely through a water jug. There are disposable cups available. Carbon monoxide detectors and smoke detectors are present and in operable condition. Fire extinguishers have last been serviced on January 2017.
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2018
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: ST. ANNE'S EARLY LEARNING CENTER AT BEVERLY
FACILITY NUMBER: 198018125
VISIT DATE: 01/10/2018
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The following was discussed with the Director: As of January 1, 2018, Health & Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. New employees shall have 90 days from date of employment to complete training as required. The training may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules at: http://www.mandatedreporterca.com/. Forms LPAs advised the Center Manager to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

Deficiencies : The following deficiencies listed on the attached deficiency page are being cited in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.



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.

Upon receipt of this report, the Licensee shall do the following:
1.Post the Notice of Site visit and any licensing report documenting a Type “A” deficiency in each room and in a place where its visible to the parents who come into each room.
2.The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.
3.A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year).
4. The Acknowledgement form (LIC 9224) must be maintained in each child’s file immediately upon receipt from parent. A copy of the parent Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form and Appeals Right was provided during this visit.

An exit interview was conducted with Amanda Velasquez, Assistant Director. A copy of this report was provided. Appeal rights were issued and discussed.
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2018
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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: ST. ANNE'S EARLY LEARNING CENTER AT BEVERLY
FACILITY NUMBER: 198018125
VISIT DATE: 01/10/2018
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Age appropriate sinks (#8 ) and toilets (# 5 ) were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. First Aid supplies were inventoried. A review of medication policy, including administering, labeling, storage, and records was made.

Food and snack menus were reviewed. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. The facility provides food through an outside food vendor. The facility provides, breakfast, lunch and an a PM snack. Food preparation area was toured for safety, cleanliness and proper equipment. All storage containers for solid waste, including moveable bins had tight-fitting covers that are kept on, and in good repair. The facility was observed to be free of flies, other insects and rodents. Disinfectants, cleaning solutions, medications and other items that are dangerous to children, were inaccessible to children.

OUTDOORS
Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade, drinking water and fencing were inspected. Drinking water is made available outdoors for children to drink freely via a water jug and disposable cups. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards were observed. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall.

RECORDS REVIEW
Children's records were reviewed. Staff files were not reviewed as staff files are kept at the located at main office and will be reviewed at a later date. If there are any deficiencies during that review, this report may be amended. Staff #2 and Staff #6 provided proof of current Pediatric First Aid. Sampling of children’s emergency information reviewed and appear to be current.

Incidental Medical Services (IMS) 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. A 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: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2018
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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: ST. ANNE'S EARLY LEARNING CENTER AT BEVERLY
FACILITY NUMBER: 198018125
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/10/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/24/2018
Section Cited
CCR
101230(b)(1)
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(b) All children shall be given an opportunity to nap or rest without distraction or disturbance from other activities at the center. (1) A napping space and a cot or mat shall be available for each child under the age of five.
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Assistant Director states the facility will ensure that fold out mats are available. Assistant Director will be providing photographs of sleeping mats and an invoice for sufficient napping equipment by due date.
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Napping equipment (mats/cots) were not observed or made available to the children. LPAs observed 3 preschoolers napping directly on the rug/floor in Room 1.
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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: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2018
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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: ST. ANNE'S EARLY LEARNING CENTER AT BEVERLY
FACILITY NUMBER: 198018125
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/10/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/17/2018
Section Cited
CCR
101223(a)(2)
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Personal Rights. Each child shall be accorded safe, healthful and comfortable accommodations, furnishings and equipment.
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Assistant Director states the facility will ensure that fold out mats are available. Assistant Director will be providing photographs of sleeping mats and an invoice for sufficient napping equipment by due date.
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LPAs observed 3 preschoolers napping directly on the rug/floor in Room 1. This is an immediate risk to the health and safety of the children in care as they are not being accorded with safe, healthful and comfortable accommodations, furnishings and equipment.
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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: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2018
LIC809 (FAS) - (06/04)
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