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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870909
Report Date: 10/11/2019
Date Signed: 10/11/2019 03:52:54 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:WESTMINSTER AVENUE EARLY EDUCATION CENTERFACILITY NUMBER:
191870909
ADMINISTRATOR:SCRUGGS, LIZAFACILITY TYPE:
850
ADDRESS:1010 MAIN ST.TELEPHONE:
(310) 392-4581
CITY:VENICESTATE: CAZIP CODE:
90291
CAPACITY:117CENSUS: 57DATE:
10/11/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Ricky Lim, PrincipalTIME COMPLETED:
03:50 PM
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On 10/11/2019 at 2:15 Pm, Licensing Program Analyst (LPA) Denise Miranda conducted an unannounced case management incident inspection at Westminster Early Education Center for the purpose of following up on the self-reported incident that occurred at the facility on 06/252019. LPA informed the Ricky Lim, Principal the purpose of this visit..
There was a total census of 57 children in care with 12 staff and the Principal. During this inspection the Director was not present.
According to the report, on 06/25/2019, Staff#2 and #3 observed child#1 outside of the classroom on his cot. Child#1 stated that staff#1 placed him outside of the classroom.

During this inspection, LPA obtained copies of the following documents:
Conference with staff#1 dated on 9/27/2019
· Policy Bulletin on Code of Conduct with Students
· Board Rule Reaffirming the Respectful Treatment of All Persons
· Discipline Foundation Policy
· The California Standards for the Teaching Profession
· Title 22 regulation - Programmatic Requirements
· Training conducted 9/20/2019 – Attendance, Communication, child abuse, children’s safety, lesson plan, outdoor expectation.
· Training conducted 9/24/29 – Safe School Plan – discuss the staff roles and responsibilities
· Training conducted 10/11/19 - Outdoor Expectation
· Training will conduct 10/17/2019 – Safety Environment.

* Principal will send no later than 10/14/2019 sign in/sign out staff and children in care dated on 6/25/2019. Copy and proof of the Unusual Incident Report that was submitted to El Segundo Regional Office, and declarations from the staff regarding to this incident..
At this time, further investigation is needed.
An exit interview was conducted and a copy of this report along with the Notice of Site Visit were provided to Ricky Lim, Principal.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2019
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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