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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870675
Report Date: 09/16/2019
Date Signed: 09/16/2019 10:07:15 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 CENTERFACILITY NUMBER:
191870675
ADMINISTRATOR:JOHNSON, GREGORYFACILITY TYPE:
850
ADDRESS:1700 ALVIRA STREETTELEPHONE:
(323) 939-1224
CITY:LOS ANGELESSTATE: CAZIP CODE:
90035
CAPACITY:110CENSUS: 20DATE:
09/16/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Christiane Townsend, PrincipalTIME COMPLETED:
10:15 AM
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On 09/16/2019 at 08:00 am, Licensing Program Analyst (LPA) Sabrina Martinez conducted an inspection at Crescent Heights Early Education Center for the purpose of following up on the self-reported unusual incident that occurred at the facility on 07/15/2019. The El Segundo Regional Office received the written unusual incident/injury report (UIR) on 07/19/2019. 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.

During this inspection, LPA conducted interviews with the child's parent, child involved in the incident and staff#1. LPA also conducted a tour of the outdoor play ground and inspected the playground apparatus. LPA was unable to conduct an interview with facility staff who witnessed the incident due to the staff being out. At this time, further investigation is still needed.

An exit interview was conducted and a copy of this report along with the Notice of Site Visit were provided to Christiane Townsend, Principal.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2019
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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