<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191606804
Report Date: 05/16/2019
Date Signed: 05/16/2019 02:04:46 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:
191606804
ADMINISTRATOR:ROBERTA RAMIREZFACILITY TYPE:
830
ADDRESS:769 W. 3RD STREETTELEPHONE:
(310) 514-4999
CITY:SAN PEDROSTATE: CAZIP CODE:
90732
CAPACITY:10CENSUS: 49DATE:
05/16/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Roberta Ramirez, DirectorTIME COMPLETED:
02:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Miriam Cohen conducted a Case Management Incident inspection to follow up on the self-reported incident that occurred on 05/09/2019 at Comprehensive Child Development Services Infant Center, Facility number 191606804 located at 769 W. 3rd Street, San Pedro, CA 90731. The El Segundo Regional Office received the incident report on 05/09/19. Upon arrival, LPA observed 17 infants being supervised by six teachers. All center staff 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 interview and observation, it revealed that, on the day of the incident, there were four infants being supervised by two adults (one infant teacher was on her afternoon break). Per interview, eye witness (staff 1) stated in that in the afternoon of 05/09/19, approximately 3:00 PM, she observed a teacher assistant opened the door from the infant classroom, walked out, hung the infant bibs, walked back to her classroom, and close the door. She left behind one infant standing alone holding a toy.

The Site Supervisor, Roberta Ramirez, immediately notified the Program Director, Diane Payton and the Parent of the child/victim. Based on the available information: interview conducted with two teachers and one 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.

The content of this report was read and discussed in detail at the time of inspection with Site Supervisor, Roberta Ramirez. An exit interview was conducted, and a copy of appeal rights was provided.
The notice of site visit must be posted for 30 days upon receipt.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019
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 2
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: 191606804
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/16/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/16/2019
Section Cited
CCR
101429(a)(1)
1
2
3
4
5
6
7
Responsibility for Providing Care and Supervision for Infants
(a) In addition to Section 101229, the following shall apply:
(1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. Under no circumstances shall ANY infant be left unattended.
1
2
3
4
5
6
7
Director conducted a mini satff meeting regarding safety on 05/13/19. Director agreed to conduct a more comprehensive safety training with the entire staff. Proof of correction with training agenda, materials/handouts, and staff sign in sheet will be submitted to LPA via email by 05/21/19, end of business day.
8
9
10
11
12
13
14
Per interview, eye witness (staff 1) stated that in the afternoon of 05/09/19, approximately 3:00 PM, she observed
a teacher assistant opened the door from the infant classroom, walked out, hung the infant bibs, walked back to her classroom, and close the door. She left behind one infant standing alone holding a toy.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: 05/16/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2