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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870883
Report Date: 05/16/2019
Date Signed: 05/16/2019 11:13:18 AM

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: 114DATE:
05/16/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Lynn Verduzco, Office ManagerTIME COMPLETED:
11:30 AM
NARRATIVE
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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 relating to incident. Based on the interview conducted and information obtained, LPA determined that there was a personal rights violation. This poses as an potential risk to the health and safety of the children in care. Per Principal, staff meeting was conducted the following day regarding personal rights..

California Code of Regulations, Title 22, Division 12, are being cited on the attached LIC 809D.

The Licensee was provided a copy of their appeal rights.

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 Office Manager and with Principal over the phone.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Susann SanchezTELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MILES AVENUE EARLY EDUCATION CENTER
FACILITY NUMBER: 191870883
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/16/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/30/2019
Section Cited
CCR
101223(a)(3)
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Personal Rights
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.This requirement was not met as evidenced by staff and child interviews determined that staff #1 rasies his/her
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Per Director, she will conduct a staff meeting on 05/16/2019 to discuss children personal rights and will submit the agenda to LPA by POC date of 05/30/2019. Director also removed staff #1 from the classroom and has not been in the classroom since 04/27/2019.
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 voice and scaring children.This poses a potential risk to the health and safety of children in care.
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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) 981-3439
LICENSING EVALUATOR NAME: Susann SanchezTELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019
LIC809 (FAS) - (06/04)
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