191804750-4-20-2022-30-CC-DLOE-CDP2HX-20220420172529

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191804750
Report Date: 04/20/2022
Date Signed: 04/20/2022 05:25:40 PM

Document Has Been Signed on 04/20/2022 05:25 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	CENTER FOR EARLY EDUCATION		FACILITY NUMBER:	191804750
ADMINISTRATOR:	JENNA JANZEN		FACILITY TYPE:	850
ADDRESS:	563 N. ALFRED ST.		TELEPHONE:	(323) 651-0707
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90048
CAPACITY:	118	CENSUS: 26	DATE:	04/20/2022
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Amy-Marie Rivera		TIME COMPLETED:	05:35 PM

NARRATIVE

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On 4/20/2022 at 3:30 pm, Licensing Program Analyst (LPA) Deborah Lowe arrived at facility to conduct a case management visit – licensee initiated for a capacity increase visit.

At 3:30 pm LPA Lowe toured the facility and observed 26 under supervision of 14 staff.

Review of Guardian associations of Criminal Background Clearance shows one staff member with a criminal background clearance that has not completed the background clearance process. Permanent association date to facility was observed as 3/30/2021.

This observation will result in a Type A Citation with a Civil Penalty $500.

LPA advised this Type A citation will include a civil penalty of $500, $100 for each day the employee was present without a clearance. Allowing any person who is subject to a background check to work, reside or volunteer who does not have either a criminal record clearance or exemption. A civil penalty shall be assessed for a maximum of 5 days for the first violation. For subsequent violations within a 12 month period, a civil penalty shall be assessed for a maximum of 30 days. See California Health and Safety Code Section 1522(c)(1); 1568.09(c); 1569.17(c); and 1596.871(c).

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D)

LPA Lowe informed facility representative Amy-Marie Rivera that this report dated 4/20/2022 documents 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

LPA Lowe informed the licensee to provide a copy of this licensing report dated 4/20/2022 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Deborah Lowe	TELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CENTER FOR EARLY EDUCATION	FACILITY NUMBER: 191804750
	VISIT DATE: 04/20/2022

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day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Licensee was provided a copy of their appeal rights.

An exit interview was conducted and a copy of this report (LIC 809) and Notice of Site Visit were provided to Amy-Marie Rivera.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Deborah Lowe	TELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/20/2022 05:25 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CENTER FOR EARLY EDUCATION	FACILITY NUMBER: 191804750
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/20/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/27/2022 Section Cited	1 2 3 4 5 6 7	Criminal Record Clearance 101170 (e)(2)(f)(1)(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:(2) .... This requirement is not met as evidenced by:
	8 9 10 11 12 13 14	Based a review of Guardian employee's background clearance was showing "In Process", not cleared to be at facility which poses an immediate health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14	On 4/20/2022 Director of ECE provided a declaration stating they understand employee shall not be present in faciltiy until background clearance has been received.
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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: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Deborah Lowe	TELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022

LIC809 (FAS) - (06/04)

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