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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191604874
Report Date: 10/06/2026
Date Signed: 10/06/2026 03:03:46 PM

Document Has Been Signed on 10/06/2026 03:03 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CRESTWOOD HILLS PRESCHOOLFACILITY NUMBER:
191604874
ADMINISTRATOR/
DIRECTOR:
JOANNA PORTFACILITY TYPE:
850
ADDRESS:986 HANLEY AVENUETELEPHONE:
(310) 472-1566
CITY:LOS ANGELESSTATE: CAZIP CODE:
90049
CAPACITY: 34TOTAL ENROLLED CHILDREN: 34CENSUS: 29DATE:
10/06/2026
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:42 AM
MET WITH:Joanna PortTIME VISIT/
INSPECTION COMPLETED:
03:42 PM
NARRATIVE
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On 10/06/2026, Licensing Program Analyst (LPA) DeCondia Ferguson conducted an unannounced Required 3-Year inspection at Crestwood Hills Preschool. LPA arrived at the facility at 08:42 a.m. and met with Director Joanna Port. LPA explained the purpose of the inspection and provided Director with a copy of the LIC 125, Entrance Checklist – Child Care Centers, to facilitate the inspection. Director Port provided information regarding program operations and guided LPA on a tour of the facility. LPA conducted a review of the facility's compliance with applicable Title 22 regulations and health and safety requirements.

Facility Information and Census

The facility has a licensed capacity of 34 children. Per Director, the program hours are Monday through Friday from 08:00 a.m. to 04:00 p.m. Per Director the facility operates as a Parent Cooperative where parents are required to assist 2 times per month working a 3-hour shift per day. Per Director parents assist with cleaning, setting/cleaning up snack, cleaning yard.

LPA observed 29 children, 11 teaching staff, 3 parents, 1 bookkeeper and the Director present during the inspection. LPA reviewed the sign-in sheet which reflected 29 children present and the LIC 9040, Children's Roster, which reflected 34 children currently enrolled. LPA observed children to be under the care and supervision of teaching staff during the inspection. The observed census was within the capacity and limitations specified on the facility license.
Raul Navarro
Decondia Ferguson
DATE: 07/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/03/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 10/06/2026 03:03 PM - It Cannot Be Edited


Created By: Decondia Ferguson On 10/06/2026 at 12:46 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CRESTWOOD HILLS PRESCHOOL

FACILITY NUMBER: 191604874

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/06/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in 6 out of 6 staff did not have current mandated reporter training on file which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/16/2026
Plan of Correction
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The Director agrees to ensure all six staff complete the required mandated reporter training and will submit copies of current certificates to the Department by the POC due date. Director to email certificates to LPA.
Type B
Section Cited
CCR
101216(g)(1)
Personnel Requirements
(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in 2 out of 6 staff did not have a current Health Screen Report on file which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/30/2026
Plan of Correction
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Director agrees to ensure Staff #2 (S2) and Staff #4 (S4) obtain completed health screenings (LIC 503). Copies of the completed LIC 503 forms will be maintained in each staff member's personnel file and submitted to LPA by the POC due date. Director will email reports to LPA. If more time is needed to obtain an appointment, Director will contact LPA to advise of appoinment status.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Raul Navarro
NAME OF LICENSING PROGRAM MANAGER:
Decondia Ferguson
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/06/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/06/2026 03:03 PM - It Cannot Be Edited


Created By: Decondia Ferguson On 10/06/2026 at 12:46 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CRESTWOOD HILLS PRESCHOOL

FACILITY NUMBER: 191604874

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/06/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101220(a)
Child's Medical Assessments
(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in 4 out of 6 children did not have a current Physicians Report on file which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/30/2026
Plan of Correction
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Director agrees to obtain completed Physician's Reports (LIC 701) for C1, C2, C3, and C4 and submit copies to LPA by the POC due date via email. Director will notify LPA if more time is required to obtain an appoinment.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Raul Navarro
NAME OF LICENSING PROGRAM MANAGER:
Decondia Ferguson
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/06/2026


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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CRESTWOOD HILLS PRESCHOOL
FACILITY NUMBER: 191604874
VISIT DATE: 10/06/2026
NARRATIVE
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LPA observed required licensing documents posted in a prominent and publicly accessible area. LPA conducted a walkthrough of the indoor and outdoor areas and inspected the areas identified on the facility sketch.

Classrooms and Physical Plant

LPA observed one licensed classroom on the premises which included a separate designated art room.

LPA observed the classroom, floors, restrooms, and toileting areas to be clean, organized, safe, and maintained in sanitary condition. Classrooms were furnished with age-appropriate furniture, toys, equipment, and materials that were observed to be in good repair and free of visible hazards. Children's personal belongings were stored in designated cubbies within each classroom.

Trash cans in the classrooms and restrooms were equipped with tight-fitting lids. Cleaning compounds, disinfectants, medications, and other hazardous materials were securely stored and made inaccessible to children in care. Materials, toys, and equipment accessible to children were observed to be safe and non-toxic. Floors were observed to be clean and free of visible hazards. No poisons were observed in the classrooms or restrooms.

Per Director, children nap do so in the Directors office. LPA observed napping mats and sleeping equipment at the facility. Per Director the facility provides sheets for the mats which are washed weekly on Fridays. Per Director, parents provide blankets which are taken home on Fridays for laundering.

Restrooms and Diapering Areas

LPA observed operational toilets and sinks available for children in care. Classroom was equipped with 3 sinks and 3 toilets.


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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Decondia Ferguson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2026
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CRESTWOOD HILLS PRESCHOOL
FACILITY NUMBER: 191604874
VISIT DATE: 10/06/2026
NARRATIVE
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Children's toilets and sinks were observed to be age-appropriate in height and size and readily accessible to children in care. Restrooms were adequately stocked with toilet paper and paper towels and had adequate lighting and ventilation. Sink and toileting surfaces were observed to be constructed of cleanable, moisture-resistant materials and maintained in sanitary condition. A separate staff restroom was available and inaccessible to children in care.

Kitchen, Food Service, and Drinking Water

LPA observed the kitchen, food preparation, and food storage areas to be clean and maintained in sanitary condition. The facility has a galley-style kitchen located within the classroom. The refrigerator was observed to be operational. Cleaning agents, detergents, and other hazardous substances were securely stored and separated from food supplies. Solid waste containers were observed to be in good repair and equipped with tight-fitting covers. LPA observed the kitchen is not inaccessible to children in care as the kitchen is part of the classroom. LPA observed children being under direct supervision while in kitchen area.

Per Director, children bring their own lunches to the facility, and parents participating in the cooperative are responsible for providing and/or preparing snacks.

LPA observed drinking water to be readily available to children both indoors and outdoors. Drinking water is provided using personal water bottles. Per Director, water bottles are filled with Sparklets Water provided by Primo Water Company.

Health and Safety

Telephone service, heating, lighting, and ventilation were evaluated and observed to be adequate. LPA observed no swimming pools or other bodies of water on the premises. Per Director, firearms and ammunition are not permitted or stored on the premises.


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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Decondia Ferguson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2026
LIC809 (FAS) - (06/04)
Page: 6 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CRESTWOOD HILLS PRESCHOOL
FACILITY NUMBER: 191604874
VISIT DATE: 10/06/2026
NARRATIVE
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LPA observed tamper-resistant electrical outlets installed throughout the facility. The facility is equipped with operational smoke and carbon monoxide detectors in compliance with Title 22, Section 101238(b). Fire extinguishers (2A:10BC) were observed throughout the facility with a current service date of August 26, 2026. The drill log was reviewed and found to be current. Last fire drill was conducted 03/12/2026 and earthquake drill conducted on 05/13/2026. First Aid supplies were observed and were well stocked. Per Director, Incidental Medical Services (IMS) is administered at the facility. LPA reviewed medications for children receiving Incidental Medical Services (IMS) and observed corresponding medication instructions to be on file. Medications reviewed were observed to be current and not expired.

Per Director, if a child becomes ill the designated isolation area for an ill child is the Director's office. Director further stated that if the office is being utilized for napping, an ill child would be supervised in an area near the front gate while awaiting pick-up.

Outdoor Activity Space

The facility has two fully enclosed and fenced outdoor activity areas. LPA inspected the outdoor play area and observed the play equipment to be maintained in safe condition and free of visible hazards. Required cushioning material was observed beneath and around climbing structures to provide fall protection. The outdoor activity area was observed to be free of debris and provided adequate shade for children in care.

Per Director, facility staff and parents from the cooperative clean the outdoor play area daily. Weekly on Wednesday a gardener comes to maintain the trees on the yard. LPA reminded Director that children shall remain under the supervision of qualified staff while in care, including during outdoor activities.

Sign-In/Sign-Out

The facility utilizes an electronic sign-in/sign-out system (Playground). LPA reviewed the sign-in/sign-out documentation and observed the children present during the inspection to be properly documented.


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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Decondia Ferguson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2026
LIC809 (FAS) - (06/04)
Page: 7 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CRESTWOOD HILLS PRESCHOOL
FACILITY NUMBER: 191604874
VISIT DATE: 10/06/2026
NARRATIVE
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Children's Records

LPA reviewed a sample of children's records for required documentation, including, as applicable, Admission Agreements; LIC 613A, Personal Rights; LIC 700, Identification and Emergency Information; LIC 701, Physician's Report; LIC 702, Child's Preadmission Health History – Parent's Report; LIC 995, Notification of Parents' Rights; LIC 627, Consent for Emergency Medical Treatment; and immunization records.

During today’s review of children’s files, a Type B citation is being issued for CCR §101220(a) – Child's Medical Assessments - Based on record review, the licensee did not comply with the section cited above in that 4 out of 6 children's records reviewed did not contain a completed Physician's Report (LIC 701). This poses a potential health, safety, or personal rights risk to children in care.

Staff Records

LPA reviewed a sample of staff records for required documentation, including educational qualifications; immunization records for measles and pertussis and documentation regarding influenza vaccination/declination, as applicable; tuberculosis clearance or risk assessment; LIC 501, Personnel Record; LIC 503, Health Screening Report; LIC 508, Criminal Record Statement; LIC 9108, Statement Acknowledging Requirement to Report Child Abuse; current Mandated Reporter Training certificates; and LIC 9052, Employee Rights.

LPA verified that at least one staff member with current Pediatric CPR and First Aid certification was present during the inspection. LPA also verified documentation of required Preventive Health and Safety training, including nutrition and lead poisoning prevention training, as applicable.

During today’s review of staff files, a Type B citation is being issued for CCR §101216(g)(1) - Personnel Requirements - Based on record review, the licensee did not comply with the section cited above in 2 out of 6 staff files reviewed. Staff #2 (S2) and Staff #4 (S4) did not have documentation of a completed health screening (LIC 503) available for review, which poses a potential health, safety, or personal rights risk to children in care.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Decondia Ferguson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2026
LIC809 (FAS) - (06/04)
Page: 8 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CRESTWOOD HILLS PRESCHOOL
FACILITY NUMBER: 191604874
VISIT DATE: 10/06/2026
NARRATIVE
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During today’s review of staff files, a Type B citation is being issued for HSC §1596.8662(b)(1) – Mandated Reporter Training - Based on record review, the licensee did not comply with the section cited above in that 6 out of 6 staff records reviewed contained expired mandated reporter training certificates. This poses a potential health, safety, or personal rights risk to children in care.

During today’s visit Technical Assistance was provided on the following:

Physical Plant – Technical Assistance: CCR §101700(b)
LPA reviewed the facility's lead testing report dated 07/16/2021 and observed that there were no lead exceedances identified. LPA informed the Director that the facility's lead testing is past due and that new lead testing is required. During today's inspection, the facility bookkeeper contacted a lead testing agency and scheduled testing to be conducted. Per the facility, the agency is scheduled to conduct the testing between 10/07/2026 and 10/09/2026.

Food Service – Technical Assistance: CCR §101227(a)(6)
LPA observed that a current snack menu was not posted at the facility. The Director stated that the facility operates as a parent cooperative program and parents provide snacks for the children. LPA provided Technical Assistance and advised the Director to coordinate with parents in advance to develop and post the upcoming snack menu in accordance with licensing requirements.

Director Joanna Port was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. LPA discussed the Community Care Licensing website www.ccld.ca.gov which provides access to resources such as forms, regulations, Provider Information Notices (PINS), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 101212).

Director Joanna Port was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified. Regulation prohibits the smoking of tobacco on the premises. Director Joanna Port states there is no smoking in the facility.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Decondia Ferguson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2026
LIC809 (FAS) - (06/04)
Page: 9 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CRESTWOOD HILLS PRESCHOOL
FACILITY NUMBER: 191604874
VISIT DATE: 10/06/2026
NARRATIVE
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The following were also discussed with the Director Joanna Port:

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.

New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment. All appeals must be sent to:


Community Care Licensing
300 Continental Blvd., #290A
El Segundo, CA 90245

Assembly Bill 1207: California Child Care Workers; Mandated Training Requirement. Beginning January 1, 2018, all licensed providers, applicants, directors and employees must complete Mandated Reported Training prior to March 30, 2018 and renew training every two years at: www.mandatedreporterca.com.

Nutrition Requirement: Beginning January 1, 2016, AB 290 will require for each new license issued, at least one director or teacher at each child care center or family child care home to have at least one hour of training in the importance of childhood nutrition. This applies to anyone submitting a new application, relocating their facility, selling their facility or transferring their license. Please note this training cannot be completed online or by home study programs. The training must be taken from an Emergency Medical Services Authority (EMSA) approved training program or an accredited college or university.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Decondia Ferguson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2026
LIC809 (FAS) - (06/04)
Page: 10 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CRESTWOOD HILLS PRESCHOOL
FACILITY NUMBER: 191604874
VISIT DATE: 10/06/2026
NARRATIVE
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Criminal Record Clearance: Director Joanna Port 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.

Lead Testing: 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 (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 as specified in Health and Safety Code section 1597.16.

For child care 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 (Interim Licensing Standards) outlined in PIN 21-21.1-CCP. Child Care Center completed testing July 16, 2021, and no Lead Exceedances.

LPA referred Director Joanna Port to the Department website for lead: Lead Toxicity Prevention and Water Testing Information (https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information)

Safe Sleep: LPA discussed the safe sleep regulations with Director Joanna Port 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. LPA also informed Director Joanna Port of the importance of checking for and removing any 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.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Decondia Ferguson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2026
LIC809 (FAS) - (06/04)
Page: 11 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CRESTWOOD HILLS PRESCHOOL
FACILITY NUMBER: 191604874
VISIT DATE: 10/06/2026
NARRATIVE
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Incidental Medical Services (IMS): This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

MyChildCarePlan.org: Director Joanna Port 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.

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 [email protected]. 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.

Based on observations made, records reviewed, and information obtained during today's inspection, three Type B deficiencies were cited. The deficiencies were related to missing staff health screenings (LIC 503), missing children's Physician's Reports (LIC 701), and expired mandated reporter training certificates. Technical Assistance was also provided regarding lead testing requirements and the posting of snack menus.

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

Exit interview conducted and report was reviewed with the Director Joanna Port

Page 9

NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Decondia Ferguson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2026
LIC809 (FAS) - (06/04)
Page: 12 of 12