191670506-10-13-2023-54-CC-SSAZ-CWKQX6-20231013123300

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191670506
Report Date: 10/13/2023
Date Signed: 10/13/2023 02:32:48 PM

Document Has Been Signed on 10/13/2023 02:32 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	ARTESIA HIGH SCHOOL CHILDREN'S CENTER		FACILITY NUMBER:	191670506
ADMINISTRATOR:	TOM WOODWARD		FACILITY TYPE:	850
ADDRESS:	20651 NORWALK BLVD		TELEPHONE:	(562) 229-7959
CITY:	LAKEWOOD	STATE: CA	ZIP CODE:	90715
CAPACITY:	48	CENSUS: 30	DATE:	10/13/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Dr. Lynch, Administrator		TIME COMPLETED:	12:55 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) Susann Sanchez conducted an unannounced case management inspection to follow up on incident that was reported to the Department. Upon arrival, LPA met with Teacher Crystal, who provided LPA a tour of the facility inside and outside. There were 30 children during inspection. Dr. Lynch arrived around 10:00am and give LPA a tour of the "Sunbeam Cove," where there was 3 staff and 17 children. Facility hours are Monday to Friday 8:30am to 11:30am. On 08/18/23, an unusual incident report was made to the department regarding an incident that occurred on 08/17/23. Where at approximately 11:30 AM while children were being signed out a homeless person walked in the facility and came inside Classroom 2 which is called "Cutter Creak." Teacher Crystal Pintada saw the homeless person was escorted out of the room. Atresia High School Resource Officer was called and arrived quickly. During todays inspection, LPA interviewed staff and observed the scene where incident took place. Based on interviews and pick up procedures at the time of incident, the individual came into the school from the side gate through the yard, pasting the Sunbeam Cove classroom and inside the Critter Creek room. LPA walked from the entrance of the gate to the front door of the Critter Creek room and which took 29 steps. LPA then walked from the entrance of the classroom to where Staff 1 stated individual stood which was 10 steps. At 9:40 am, Staff 1 was interviewed. Staff 1 stated during interview that the individual was in the classroom for less then 5 minutes. Per Staff 1, Staff 2 (who is not available for interview) noticed right away and questioned the individual, asking if they where a parent. The individual gave a different response. Staff 1, then got up and escorted the individual all the way out to the gate. Staff 1, stated that individual came in with Parent 1 and at that time all the children that where present on 08/17/23 where still in the classroom.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ARTESIA HIGH SCHOOL CHILDREN'S CENTER	FACILITY NUMBER: 191670506
	VISIT DATE: 10/13/2023

NARRATIVE

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At 9:50am Staff 3 was interviewed. Staff 3 stated in interview, that this incident happened during sign out between 11:30am to 11:35am. Staff 3 was monitoring the gate but did not see the individual come in the school. Per Staff 3, their back was facing the line of parents.

Dr. Lynch stated that the next day there was a meeting held, where staff and Child Welfare and Attendance (head of security) observed sign in procedures, and placed gates at the door of Critter Creak classroom for extra security and to ensure this incident can not happen again. Cameras were discussed and will be installed in the near future. A letter was sent out to parents the same day. The School District sent out 2 extra security guards the next day until the end of the following week 08/25/23.

Based on the interview conducted and information obtained, and observations made, the preponderance of evidence that incident did occur and this is a violation of children's personal rights and is being cited under California Code of Regulations, (Title 22, Division 12, Chapter number 1) are being cited on the attached LIC 809D.

A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility. Both the notice of site visit and licensing report shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC 9224) shall be in each child’s file, acknowledging receipt.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Dr. Lynch, Administrator. Appeal rights were discussed and provided to the Administrator.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/13/2023 02:32 PM - 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ARTESIA HIGH SCHOOL CHILDREN'S CENTER	FACILITY NUMBER: 191670506
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/13/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Deficiency Dismissed

Type A

Section Cited

CCR

101223(a)(2)

101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observations and interviews, the facility did not comply with the section cited above. On 08/17/23, approximately 11:30 AM a homeless person walked in the facility and came inside Classroom 2. This poses an immediate health, safety, or personal rights risk to persons in care.
	POC Due Date: 08/18/2023
	Plan of Correction
1 2 3 4	Incident was corrected on 08/18/23. New drop - off and pick - up procedures are in place. Extra gate where installed.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023

LIC809 (FAS) - (06/04)

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