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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600684
Report Date: 07/24/2023
Date Signed: 07/24/2023 04:07:59 PM


Document Has Been Signed on 07/24/2023 04:07 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:FIRST LUTHERAN CIRCLE OF LOVE PRESCHOOLFACILITY NUMBER:
191600684
ADMINISTRATOR:NANCY J. DURKOVICFACILITY TYPE:
850
ADDRESS:1100 POINSETTIA AVE.TELEPHONE:
(310) 545-5653
CITY:MANHATTAN BEACHSTATE: CAZIP CODE:
90266
CAPACITY:125CENSUS: 46DATE:
07/24/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Nancy Durkovic, DirectorTIME COMPLETED:
04:20 PM
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On 7/24/2023, Licensing Program Analyst (LPA) Loyce Phillips, conducted a case management inspection to follow up on an Unusual Incident reported to the department by telephone on. LPA was greeted by Director, Nancy Durkovic, toured the facility and took a census of the children. Upon arrival, there were 46 children and 11 staff present today.

Description of the incident: On 7/18/2023 at approximately 3:00 to 3:15pm during outdoor playtime. Child 1 (C1) and Child 2 (C2) were playing together on the playground. Staff 1 (S1) observed C1 laying in the sand and C2 pulling up his pants. S1 asked both children what was going on and C1 stated C2 was doing something inappropriately to his private area. S1 explained to S2 and S3 what she observed between both children. C2 mother was present on the playground when the incident occur. All parents were notified about the incident. Director reported the incident to the child abuse hot line and a report was generated.

During this inspection, LPA toured the facility, inspected and took photos of the play ground area. LPA also interviewed staff, obtained pertinent information, a copy of the facility roster, play ground sign-in/out sheet and daily sign-in/out sheets.

Based on the information provided and interviews conducted the incident will require further investigation.

An exit interview was conducted, a copy of this report and notice of site visit was provided to Director.

SUPERVISOR'S NAME: Karren StarksTELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:
DATE: 07/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/24/2023
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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