<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870883
Report Date: 05/08/2019
Date Signed: 05/08/2019 12:37:38 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:MILES AVENUE EARLY EDUCATION CENTERFACILITY NUMBER:
191870883
ADMINISTRATOR:CLAUDIA ARAUJOFACILITY TYPE:
850
ADDRESS:2855 SATURN AVE.TELEPHONE:
(323) 581-2410
CITY:HUNTINGTON PARKSTATE: CAZIP CODE:
90255
CAPACITY:164CENSUS: 137DATE:
05/08/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Lynn Verduzco, Office ManagerTIME COMPLETED:
01:50 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 Analyst (LPA) Susann Sanchez conducted an unannounced case management inspection to follow up on an incident that was reported to the Department. Upon arrival, LPA met with Office Manager , Lynn Verduzco, who provided LPA a tour of the facility inside and outside. Principal Ana Vida was not present during inspection. Census was taken.

On 04/26/2019, an unusual incident report was made to the department regarding an incident that a staff member was rising his/her voice and scaring children as a punishment. The facility reported this incident to the Department within the required 24 hours. During this investigation LPA conducted interviews with staff and children. LPA obtained documentation and relating to incident. During inspection, LPA conducted interviews however, LPA was unable to interview all staff and child involved in the incident, due to not being present during this inspection. Due to insufficient information being available at this time, a follow up visit will be required at a later date.

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. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Lynn Verduzco, Office Manager.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Susann SanchezTELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019
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 1