191870707-10-4-2023-54-CC-KCHE-CWARXM-20231004132458

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191870707
Report Date: 10/04/2023
Date Signed: 10/04/2023 01:25:02 PM

Document Has Been Signed on 10/04/2023 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:	COLLINS EARLY EDUCATION CENTER		FACILITY NUMBER:	191870707
ADMINISTRATOR:	ELIZABETH BLACKWELL		FACILITY TYPE:	850
ADDRESS:	901 WEST 52ND STREET		TELEPHONE:	(323) 752-2119
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90037
CAPACITY:	114	CENSUS: 30	DATE:	10/04/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Dr. Elizabeth Blackwell, Principal		TIME COMPLETED:	01:40 PM

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 10/04/2023 at 12:15 PM, Licensing Program Analyst (LPA) Katrina Chicote conducted an Unannounced Case Management Inspection to follow up on several incidents reported to The Department. All incidents were reported within 24 hours of when incident occurred and written report submitted within seven days. LPA announced purpose of visit and met with Dr. Elizabeth Blackwell, Principal. Census was taken. On 08/30/2023 an incident was reported to Department in regards to a child making an allegation towards a staff member regarding personal rights. Principal states that they followed LAUSD protocol in regards to these types of incidents which includes reporting to multiple Agencies, including the Police Department. Police Department provided directive that incident must be handled internally. Principal conducted thorough internal investigation which includes interview of various staff and child involved. LPA observed records in regards to investigation conducted. Principal states that during interview she was not able to qualify child and child provided inconsistent statements in regards to incident. At this time, child is still attending the facility. Per Principal, child is currently in the process of being assessed and Parent is working in partnership with them. On 09/13/2023 an incident was reported to Department in regards to a child suffering an injury that required medical treatment. LPA was provided tour of where the incident took place. Principal states they followed LAUSD protocols in regards to injuries requiring medical and an investigation was conducted which includes staff interviews. Per Principal, staff observed a child fall while playing on the play apparatus. LPA observed apparatus to be age appropriate at time of inspection. Per Principal, staff notified parent of the fall and attempted to administer First Aid to which the parent refused. Facility was later notified by the parent that the child was taken to the Emergency Room where it was revealed that the child suffered a broken elbow. Principal states that Parent initially alleged that facility was hiding the severity of injury, to which Principal denied and stated that they did not observe signs of a broken elbow and First Aid was denied by Parent. Child is no longer attending the facility. Per Principal, child only attended for one day. Report Continues - Page 1 of 2

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023

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 2

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: COLLINS EARLY EDUCATION CENTER	FACILITY NUMBER: 191870707
	VISIT DATE: 10/04/2023

NARRATIVE

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On 09/13/2023, an incident was reported to The Department in regards to a parent alleging their child's personal rights were violated. Principal states that they followed LAUSD protocol in regards to these types of incidents which includes reporting to multiple Agencies, including the Police Department. Per Principal, incident was thoroughly investigated which includes interviews with staff. Per Staff interviews, they did not observe the alleged incident and Principal states that bathroom protocols of two staff members in the bathroom when a child is being changed for wet clothes were followed. Child only attended for one day and is no longer attending, though Principal states parent stated the nature of removal is due to being enrolled in another program same as the sibling. Principal states there will be follow up conducted with staff involved to ensure protocols are going to continue to be followed.

On 09/22/2023, an incident was reported to The Department in regards to a parent alleging their child's personal rights were violated at the facility. Principal states that they followed LAUSD protocol in regards to these types of incidents which includes reporting to multiple Agencies, including the Police Department and DCFS. Per Principal, child attends facility part time and is transported by LAUSD bus to another facility. Principal conducted full investigation of the incident. Parent alleges incident occurred at this facility and denies the incident occurring at the other facility, though Principal states Parent was abrupt on the phone and provided inconsistent statements to herself and other staff in regards to incident. Child is still attending facility at this time.

Based on the information provided and LPA observations made, there will be no deficiencies cited in regards to any of the incidents reported.

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

Exit interview was conducted and report was reviewed with the Principal, Dr. Elizabeth Blackwell.

Report Ends - Page 2 of 2

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2