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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191610280
Report Date: 02/02/2023
Date Signed: 02/02/2023 11:00:44 AM


Document Has Been Signed on 02/02/2023 11:00 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:FERNALD CHILD CARE CENTERFACILITY NUMBER:
191610280
ADMINISTRATOR:ALICIA MINOR BROWNFACILITY TYPE:
850
ADDRESS:320 CHARLES YOUNG DRIVE NORTHTELEPHONE:
(310) 825-2900
CITY:LOS ANGELESSTATE: CAZIP CODE:
90095
CAPACITY:36CENSUS: 32DATE:
02/02/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Alicia Minor Brown, Director TIME COMPLETED:
11:05 AM
NARRATIVE
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On 02/02/2023 at 8:10AM Licensing Program Analyst (LPA) Denise Miranda conducted an unannounced case management – incident inspection to the facility to follow up on the self-reported unusual incident that occurred on 01/10/2023. LPA met with Alicia Minor Brown, Director and Arpine Panosyan, Coordinator, designated of Facility Responsibility and informed the purpose of the visit. LPA observed 32 children being supervised by 06 staff.

According to the incident report received, on 01/10/2023, Child #1 left without supervision inside of the classroom, approximately for 15 minutes. Parent of child#2 found child#1 inside of the classroom and reported to Staff#1 and Staff#2, both Staff were at the outdoor area with a group of children. Staff reported the incident to the parent of child#1 and the Coordinator.


LPA obtained a copy of the Child Care Facility Roster, sign in and out sheets dated 01/10/2023, declarations from staff, and copies of timecards for the staff that were present when the incident occurred. LPA reviewed the Staff files. LPA conducted interviews with the staff, child's parent, and interviewed child#1.

Based on the information obtained throughout the course of the investigation It was revealed that on 01/10/2023, child #1 was left unattended inside of the classroom, while staff#1 and Staff#2 took the whole group of children to the outdoor area. Parent #2, found child#1 inside of the classroom, and reported to Staff#1 and #2.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2023
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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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: FERNALD CHILD CARE CENTER
FACILITY NUMBER: 191610280
VISIT DATE: 02/02/2023
NARRATIVE
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This poses an immediate health, safety, and personal rights risk to children in care. This facility was previously cited on 10/12/2022 for not providing care resulting in another child being left unattended, therefore, this is a repeat violation. A Type A citation, is being issued on today’s date.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Director was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the Director.


A copy of this report, Notice of Site Visit, Appeals Rights were provided to Alicia Minor Brown, Director.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 02/02/2023 11:00 AM - It Cannot Be Edited

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: FERNALD CHILD CARE CENTER
FACILITY NUMBER: 191610280

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/03/2023
Section Cited

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(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time….. Supervision shall include visual observation.
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Per Director, facility conducted training on 01/17/23 and provided a copy to LPA. Per Director will continue conduct a training with all staff quarterly about Care and Supervision and transition.
Director was further instructed to complete this same process for all children who enroll in the facility within 12 months of this
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This requirement is not met as evidenced by: On 01/10/2023 child #1 was left unattended inside of the classroom approximately for 15 minutes. Parent of child#2 found child#1 inside of the classroom and reported to Staff#1 and Staff#2, both Staff were at the outdoor area with a group of children. The incident was reported to the parent of the child#1 and Coordinator. This is a Type A citation and repeat violation. This poses a immediately health and safety risk to children in care.
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report date and maintain copy of lic9924 on children's file and copy of the form lic9224 will be email or mail to LPA no later than 02/3/2023 via email.

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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: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2023
LIC809 (FAS) - (06/04)
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