191870675-9-25-2019-30-CC-SMAZ-BGCLWS-20190925090737

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191870675
Report Date: 09/25/2019
Date Signed: 09/25/2019 09:07:45 AM

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:	CRESCENT HEIGHTS EARLY EDUCATION CENTER		FACILITY NUMBER:	191870675
ADMINISTRATOR:	JOHNSON, GREGORY		FACILITY TYPE:	850
ADDRESS:	1700 ALVIRA STREET		TELEPHONE:	(323) 939-1224
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90035
CAPACITY:	110	CENSUS:	DATE:	09/25/2019
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Christiane Townsend, Principal		TIME COMPLETED:	09:20 AM

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	On 09/25/2019 at 08:00 am, Licensing Program Analyst (LPA) Sabrina Martinez arrived at Crescent Heights Early Education Center for the purpose of delivering the investigation findings on the unusual incident that occurred at the facility on 07/15/2019. LPA met with Christiane Townsend, Principal, and discussed the purpose of the visit. According to the unusual incident/injury report (UIR) that the Department received, on 07/15/2019 at approximately 10:30 am, staff #1 was supervising the apparatus on the playground when staff witnessed child#1 climbing the steps (railing) and accidentally missed the top step and fell forward hitting her chin on the top base section of the apparatus. Staff#1 cleaned the injury while staff#3 went for an ice pack. Staff#3 contacted child's parent and the child was taken to the hospital. Based on the information that were gathered through interviews, LPA’s observations of the facility and review of records, it was revealed that on 07/15/2019 at approximately 10:00 am, child #1 sustained an injury when child #1 climbed the deep rung arch climber in the playground, missed the top step and hit chin on the top base section of the apparatus. Child was taken to Cedars Sinai Hospital where child was diagnosed with chin laceration. According to interviews conducted, the teacher was present in the playground, however, had her back against the children and failed to supervise children utilizing the playground apparatus. Based on the available information, it appears that the incident was the result of a Title 22 violation for lack of supervision. Facility was cited a Type A violation today, 09/25/2019. (See LIC 809-D for deficiency cited.) The following was discussed with licensee: AB 633: Upon receipt by the licensee, licensees are to provide to parents/guardians the following: Copies of

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina Martinez	TELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019

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: CRESCENT HEIGHTS EARLY EDUCATION CENTER	FACILITY NUMBER: 191870675
	VISIT DATE: 09/25/2019

NARRATIVE

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any licensing reports that document a Type A citation- this includes facility visits and substantiated complaint investigations; copy of licensing documents pertaining to a conference conducted by a local licensing agency management representative and the licensee of this family child care home in which issues of noncompliance are discussed or copies of a summary of an accusation indicating the Department's intent to revoke the facility's license. Copies of any of the above licensing documents the licensee has received in the prior 12 months shall be provided to parents/guardians of newly enrolled child at the facility.

An exit interview was conducted and a copy of this report, appeal rights along with the Notice of Site Visit were provided to Christiane Townsend, Principal.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina Martinez	TELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019

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: CRESCENT HEIGHTS EARLY EDUCATION CENTER	FACILITY NUMBER: 191870675
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/25/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 09/25/2019 Section Cited	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision. No child(ren) shall be left without the supervision of a teacher at any time, ... Supervision shall include visual observation. This requirement is not met as evidenced by: On 07/15/2019 at approx.10:00 am, child#1 sustained an injury when child #1
	8 9 10 11 12 13 14	climbed the deep rung arch climber in the playground, missed the top step and hit chin on on the top base section of the apparatus. Child was taken to Cedars Sinai Hospital where child was diagnosed with chin laceration. This is a type A violation and it poses an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14	visual observation. Director agrees to send copies of agenda and sign in sheets of staff members in attendance on/or before closing of business day, 09/30/19. The documents will be mailed to the: El Segundo Regional Child Care Office located at 300 N. Continental Blvd., Suite 290A , El Segundo, CA 90245
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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: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina Martinez	TELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019

LIC809 (FAS) - (06/04)

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