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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870652
Report Date: 02/04/2025
Date Signed: 02/04/2025 01:25:09 PM

Document Has Been Signed on 02/04/2025 01:25 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:DOLORES STREET EARLY EDUCATION CENTERFACILITY NUMBER:
191870652
ADMINISTRATOR/
DIRECTOR:		MIRA HAGOODFACILITY TYPE:
850
ADDRESS:22309 CATSKILL AVETELEPHONE:
(310) 830-6987
CITY:CARSONSTATE: CAZIP CODE:
90745
CAPACITY: 116TOTAL ENROLLED CHILDREN: 116CENSUS: DATE:
02/04/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:La Royce MurphyTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On 2/4/25 LPA Licensing Program Analyst (LPA) Claudia Kam conducted a case management to follow up on an incident reported to the department on 12/17/24 and 1/29/25. On 12/17/24, an incident was reported to The Department where a child had medication in her personal belongings. The facility reported this incident to the Department within the required 24 hours and submitted written report within seven days. Upon arrival, LPA met with principle Dr. La Royce Murphy who provided LPA a tour of the facility. LPA observed proper care and supervision. During this inspection LPA interviewed Facility Representative. She stated that interim priciple followed LAUSD protocols in calling Law Enforcement Agency (LAPD), submitted ISTAR report, and informed LAUSD Operations. LAPD notified Facility Representative to handle Administratively, and no investigation was conducted by them. Facility Representative states that an internal investigation is pending. Child affected is currently still attending care. LPA requested Facility Representative to provide update to Department should one become available.

During this inspection LPA interviewed staff, observed room incident took place in. LPA was unable to observe child named in report, as child was not in care at time of visit. Teacher informed Licensing that a child was found to have medication in her pockets at pick up, discovered by guardian. Child did not ingest the medication. Parent was informed and conference conducted with acting principle. Safety protocol training conducted with staff.



For incident reported on 1/29/25 Facility Representative states that they are conducting their own internal investigations regarding the reported incident which includes interviews of parents and children and obtaining written statements from Staff. The internal investigation is pending. LPA was unable to complete staff interviews as staff were not present. Due to insufficient information being available at this time, a follow up visit will be required at a later date. In the mean time, LPA requested Facility Representative to provide regular updates on course of investigation and to provide necessary documentation to LPA via email.

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Denise GibbsTELEPHONE: (323) 981-3385
Claudia KamTELEPHONE: (626) 602-6842
DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: DOLORES STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191870652
VISIT DATE: 02/04/2025
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LPA Claudia Kam informed principle Dr. La Royce Murphy that on this report dated 2/4/25 documents 1 Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Claudia Kam informed the facility representative to provide a copy of this licensing report dated 2/4/25 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next 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.

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

Exit interview was conducted and report was reviewed with the Facility Representative Dr. La Royce Murphy.

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SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Claudia KamTELEPHONE: (626) 602-6842
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC809 (FAS) - (06/04)
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