191870820-12-7-2023-58-CC-LHEZ-CYAVS5-20231207154058

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191870820
Report Date: 12/07/2023
Date Signed: 12/07/2023 03:41:02 PM

Document Has Been Signed on 12/07/2023 03:41 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	MARINA EARLY EDUCATION CENTER		FACILITY NUMBER:	191870820
ADMINISTRATOR:	SCRUGGS, LIZA		FACILITY TYPE:	850
ADDRESS:	4908 WESTLAWN AVE.		TELEPHONE:	(310) 822-8436
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90066
CAPACITY:	101	CENSUS: 24	DATE:	12/07/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Lewita Shatee, Principal		TIME COMPLETED:	03:50 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	Licensing Program Analysts (LPAs) Brittanee Cleveland and Lilia Hernandez conducted an unannounced case management inspection to follow up on incidences that were reported to the department. LPAs arrived at the facility at 8:30AM and met with Lewita Shatee, Principal, who guided LPA on a tour of the facility. There were 24 children and 16 staff present upon arrival. The incident that occurred on 09/20/2023, was reported to the Department on 09/21/2023, 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 child #1 personal rights may or may not have been violated. LPAs conducted interviews and obtained documentation during this visit. Based upon information received from the interviews conducted it was determined that the personal rights of child #1 were not violated. The incident that occurred on 11/02/2023, was reported to the Department on 11/08/2023, via telephone. The facility did not report the Unusual Incident to the Department within the required 24 hours of occurrence. Information reported to the Department indicated that child #2 personal rights may or may not have been violated. LPAs conducted interviews and obtained documentation during this visit. ---Page 1 of 2

SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia Hernandez	TELEPHONE: 424-301-3071
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)

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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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MARINA EARLY EDUCATION CENTER	FACILITY NUMBER: 191870820
	VISIT DATE: 12/07/2023

NARRATIVE

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Based upon information received from the interviews conducted it was determined that the personal rights of child #2 were not violated.

There were no deficiencies cited during today’s inspection.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

Exit interview conducted and report was reviewed with Lewita Shatee, Principal.

---Page 2 of 2

SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia Hernandez	TELEPHONE: 424-301-3071
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)

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