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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870707
Report Date: 12/07/2023
Date Signed: 12/07/2023 10:11:58 AM


Document Has Been Signed on 12/07/2023 10:11 AM - 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 CENTERFACILITY NUMBER:
191870707
ADMINISTRATOR:ELIZABETH BLACKWELLFACILITY TYPE:
850
ADDRESS:901 WEST 52ND STREETTELEPHONE:
(323) 752-2119
CITY:LOS ANGELESSTATE: CAZIP CODE:
90037
CAPACITY:114CENSUS: 40DATE:
12/07/2023
TYPE OF VISIT:Case Management - Infectious Disease OutbreakUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Dr. Elizabeth Blackwell, PrincipalTIME COMPLETED:
10:30 AM
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On 10/04/2023 at 9:30 AM, 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 10/16/2023 an incident was reported to Department in regards to a parent expressing concern over a scratch that was on the child's nose. 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 stated she did thorough investigation which includes written statements and interviews, LPA reviewed these documents at time of inspection. Principal states at this time they are conducting threat assessment with parent due to history of allegations being made, which includes meeting with Early Ed Director, Law Enforcement, and Mental Health Representative. Investigation has been closed by District.

On 12/01/2023 an incident was reported to Department in regards to a parent allegation in regards to personal rights of a child at the facility. Principal states she is currently in the middle of the investigation at this time, though she did interview the child named in report and he was able to corroborate the information on the report during this interview. Principal states that they followed LAUSD protocol in regards to these types of incidents which includes reporting to multiple Agencies, including the Police Department. Child is still attending and Principal states parent did not want him moved from his current class. Principal states that Staff self reported incident to her and is still present at the facility during investigation.

During inspection, LPA was unable to interview staff and children. Due to insufficient information being available at this time, a follow up visit will be required at a later date.
Report Continues - Page 1 of 2
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2023
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: 12/07/2023
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Based on the information provided and LPA observations made, there will be no deficiencies cited in regards to any of the incidents reported at this time.

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 GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2