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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870699
Report Date: 07/26/2021
Date Signed: 07/26/2021 05:04:48 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:EL SERENO EARLY EDUCATION CENTERFACILITY NUMBER:
191870699
ADMINISTRATOR:LESSLY MORAFACILITY TYPE:
850
ADDRESS:3802 PUEBLO AVE.TELEPHONE:
(323) 221-2121
CITY:LOS ANGELESSTATE: CAZIP CODE:
90032
CAPACITY:114CENSUS: 0DATE:
07/26/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:44 PM
MET WITH:Principal, Lessly MoraTIME COMPLETED:
04:20 PM
NARRATIVE
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On July 26, 2021 at 3:44 p.m., Licensing Program Analyst (LPA) Mireya García contacted the facility via telephone due to COVID 19 and precautionary measures in order to conduct a Case Management inspection due to an incident that was reported to the Department on June 03, 2021. LPA García discussed the purpose of the call and conducted this inspection with Principal, Lessly Mora. At 3:50 p.m., the call was transferred into a Zoom tele-inspection. During this tele-inspection, Principal, took LPA García on a virtual tour of the facility. There were no day care children observed to be present. The center’s current hours of operation are Monday- Friday from 7:00 a.m., - 3:30 p.m.

The incident that occurred on 06/03/2021 was reported to the Department on 06/03/2021, via telephone. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that Staff #1 violated Child #1's personal rights. During interviews conducted with staff, disclosures were made regarding a Personal Rights violation conducted by Staff #1. More than one (1) Staff confirmed this information.

REPORT CONTINUES ON NEXT PAGE 1 OF 2.

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3390
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: EL SERENO EARLY EDUCATION CENTER
FACILITY NUMBER: 191870699
VISIT DATE: 07/26/2021
NARRATIVE
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Based upon information received from the interviews conducted it was determined that the personal rights of Child #1 were violated by Staff #1. This poses a potential health and safety risk to children in care. Title 22 Regulation Section 101223 Personal Rights states (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.

The deficiency listed on the following page is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809d. Deficiency that is being cited needs to be cleared to protect the children’s health & safety.



Exit interview was conducted with Principal, Lessly Mora via tele-inspection, during which Appeal Rights were verbally explained to Principal. A copy of this report has been signed by LPA García. This report, along with a copy of the Appeal Rights (LIC 9058) will be scanned via e-mail to Principal, Lessly Mora, who understands that an electronic “Read Receipt” and/or confirmation of receipt of the e-mail confirms receipt of the report and constitutes an electronic signature. The facility representative was provided with the mailing address to the Monterey Park Regional Office (1000 Corporate Center Drive, Suite 200B, Monterey Park, CA 91754) and agrees to send a copy of the signed LIC 809 reports by email to LPA and mail originals forms to the office.

REPORT ENDS HERE PAGE 2 OF 2.

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3390
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: EL SERENO EARLY EDUCATION CENTER
FACILITY NUMBER: 191870699
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/16/2021
Section Cited

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Personal Rights: (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement is not met as evidenced by:
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LPAs interviews conducted with staff reveal, disclosures were made regarding a Personal Rights violation conducted by Staff #1. More than one (1) Staff confirmed this information. This poses a potential health and safety risk to children in care.
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Staff will provide a video written response and compliance plan. Principal will send LPA Garcia via email training staff agenda, sign in sheet and staff written responses/compliance plan by POC due date 08/16/2021.

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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: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3390
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3