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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870556
Report Date: 03/04/2025
Date Signed: 03/04/2025 04:16:05 PM

Document Has Been Signed on 03/04/2025 04:16 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CABRILLO AVENUE EARLY EDUCATION CENTERFACILITY NUMBER:
191870556
ADMINISTRATOR/
DIRECTOR:		JACKSON, JOSEMIEFACILITY TYPE:
850
ADDRESS:741 W. 8TH ST.TELEPHONE:
(310) 832-2809
CITY:SAN PEDROSTATE: CAZIP CODE:
90731
CAPACITY: 116TOTAL ENROLLED CHILDREN: 116CENSUS: 85DATE:
03/04/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:08 AM
MET WITH:Paula Swearinegen - PrincipalTIME VISIT/
INSPECTION COMPLETED:
04:32 PM
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Licensing Program Analyst (LPA), Keyona Scott, conducted an unannounced Case Management - Incident inspection at the Child Care Center on 03/04/2025, for the purpose of investigating an incident that occurred on 02/14/2025 between staff and a child. LPA met with Prinicipal Paula Swearinegen at 9:58 AM. LPA was guided on a tour inside and outside of the facility. LPA observed the following appropriate teacher to child ratios at 10:08 AM: sixteen (16) children to one (1) teacher and two (2) Aides in Room 1A; nineteen (19) children to two (2) teachers and three (3) Aides in Room 3/PCC; sixteen (16) children to one (1) teacher and two (2) Aides in Room 2A; thirty-four (34) children to two (2) teachers and four (4) Aides for Rooms 1B and 2B, who were outside playing on the East outdoor play area. As a condition of employment, all individuals working or present at the facility that is operated by a school district shall obtain a criminal record clearance or criminal record exemption. The school district shall notify the Regional Office, if there is a change of status of an individuals criminal record clearance.

During today's inspection, LPA obtained the following documents: copy of Classroom Roster for 02/18/2025 for Room 2B, copy of written Unusual Incident/Injury Report (LIC 624) and copy of the Parent Handbook.

LPA advised Principal to complete and provide LPA with copy of Child Care Facility Roster (LIC 9040) by 03/11/2025.

During today's inspection, LPA conducted interviews and facility observation.

Based on information obtained, incident requires further investigation.

A notice of site visit was given and must remain posted for 30 days.



Exit interview conducted and report was reviewed with Principal, Paula Swearinegen.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Keyona Scott
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
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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