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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191290429
Report Date: 03/03/2025
Date Signed: 03/04/2025 07:57:07 AM

Document Has Been Signed on 03/04/2025 07:57 AM - 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:L.A. VALLEY COLLEGE CAMPUS CHILD DEVELOPMENT CTNR.FACILITY NUMBER:
191290429
ADMINISTRATOR/
DIRECTOR:		JENNIFER GUEVARAFACILITY TYPE:
850
ADDRESS:5800 FULTON AVENUETELEPHONE:
(818) 947-2931
CITY:VAN NUYSSTATE: CAZIP CODE:
91401
CAPACITY: 165TOTAL ENROLLED CHILDREN: 75CENSUS: 61DATE:
03/03/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH: Ashley NovickTIME VISIT/
INSPECTION COMPLETED:
04:18 PM
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On 3/3/2025, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced case management inspection due to a self reported incident that occurred at the facility. LPA arrived at the facility and met with Designated Director, Ashley Novick.

The incident was reported to the Department on 2/26/2025, via telephone. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that Child 1 informed Parent 1 that Staff 1 had pinched them during lunch time.

Upon LPA's arrival, children were in the process of being picked up and LPA was able to conduct an interview with Parent 1 who was on site to pick up Child 1 as well as conducting an interview with Child 1.

LPA obtained copies of the staff and classroom schedule. LPA conducted interviews with staff, child and parent.

Based upon information obtained today, there are no deficiencies being cited at this time.

The Notice of Site Visit was given and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Exit interview was conducted and report was reviewed with Director, Ashley Novick.
Raul NavarroTELEPHONE: (424) -30-3072
Suzette OrnelasTELEPHONE: 424-301-3008
DATE: 03/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2025
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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