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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191606802
Report Date: 10/31/2019
Date Signed: 10/31/2019 01:18:32 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:COMPREHENSIVE CHILD DEVELOPMENTFACILITY NUMBER:
191606802
ADMINISTRATOR:ROBERTA RAMIREZFACILITY TYPE:
850
ADDRESS:769 W. 3RD STREETTELEPHONE:
(310) 514-4999
CITY:SAN PEDROSTATE: CAZIP CODE:
90731
CAPACITY:62CENSUS: 30DATE:
10/31/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Roberta Ramirez, Site SupervisorTIME COMPLETED:
02:00 PM
NARRATIVE
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On 10/31/2019 @ 9:00 AM, Licensing Program Analyst (LPA) Miriam Cohen conducted a Case Management Incident inspection to follow up on the self-reported incident that occurred on 10/15/2019 at Comprehensive Child Development Services (Preschool with Toddler component), Facility number 191606802 located at 769 W. 3rd Street, San Pedro, CA 90731. The El Segundo Regional Office received the incident report on 10/16/19. LPA Cohen met with Site Supervisor, Roberta Ramirez, and Program Director, Diane Payton, and stated the purpose for the visit.

Upon arrival, LPA observed 32 children being supervised by 11 adults. All center staff members that was present during today’s inspection had fingerprint clearance and associated to the designated license number. Based on the information that were gathered through interviews and observation, it revealed that, on the day of the incident, there were nine children being supervised by three adults (one of the staff members went on a break when children where transitioning back into the classroom).

Per interviews with Site Supervisor and Program Director, an eye witness (a preschool teacher) stated that in the afternoon of 10/15/2019 at approximately 3:05 PM, when she was about to take her class to play outside, she observed one preschooler, left alone in the playground without supervision, attempting to open his classroom door. The eye witness immediately called and informed Ms. Ramirez about the situation.
The Site Supervisor, Roberta Ramirez, immediately notified the Program Director, Diane Payton and the mother of the child/victim.

Based on the available information: written declaration from two teachers, interviews with Site Supervisor and Program Director, physical observation of the site where the incident occurred, it appears that the incident was the result of a Title 22 violation for lack of supervision. A type A citation was issued, and a Civil Penalty will be assessed.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: COMPREHENSIVE CHILD DEVELOPMENT
FACILITY NUMBER: 191606802
VISIT DATE: 10/31/2019
NARRATIVE
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The content of this report was read and discussed in detail at the time of inspection with Site Supervisor, Roberta Ramirez, and Program Director, Diane Payton. An exit interview was conducted, and a copy of appeal rights was provided.

Licensee was cited a Type A deficiency, according to California Code of Regulations Title 22 See 809D report for deficiencies. A copy of this report must be given to all parents and to the parents of any child enrolling within the next 12 months.
Licensee is to post notice of Site Visit for 30 Days upon receipt, failure to do so will result in $100 immediate civil penalty.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: COMPREHENSIVE CHILD DEVELOPMENT
FACILITY NUMBER: 191606802
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/31/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/31/2019
Section Cited

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Responsibility for Providing Care and Supervision
The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections
101216.2(e)(1) and 101230(c)(1).
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Supervision shall include visual observation.
A child was observed left alone in the playground without supervision. The requirement is not met as evidenced by interviews of eyewitness, site supervisor, and program director; written declaration from two staff members; and physical observation of the site where incident occurred. This poses an immediate risk to the health and safety of children in care.
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*Review Playground supervision
*Specific use on how to complete the head count form
*Review specific emergency procedures
*Site Supervisor will verify daily that head count is completed
*Reporting incidents immediately
*Improve communication about children among staff members

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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: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:
DATE: 10/31/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/31/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3