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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870920
Report Date: 02/29/2024
Date Signed: 02/29/2024 10:38:15 AM


Document Has Been Signed on 02/29/2024 10:38 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:THIRTY SIXTH STREET EARLY EDUCATION CENTERFACILITY NUMBER:
191870920
ADMINISTRATOR:VERONICA MURPHYFACILITY TYPE:
850
ADDRESS:3556 SOUTH ST. ANDREWS PLACETELEPHONE:
(323) 734-3644
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY:116CENSUS: 63DATE:
02/29/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Veronica Murphy, Facility Representative TIME COMPLETED:
11:00 AM
NARRATIVE
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On 02/29/2024 at 10:00 AM an Unannounced Case Management inspection was made to the above facility by Licensing Program Analyst (LPA) Katrina Chicote. LPA met with Facility Representative, Veronica Murphy, Principal, to discuss deficiency being cited as a result of a complaint investigation not related to the allegations made. Census was taken.

As a result of a complaint investigation concluded on 02/29/2024, LPA determined, through consistent statements by provided in interviews, that the allegations of a child sustaining injury while in care was not reported to the child's Authorized Representative causing a misrepresentation of the nature of the injury. Although, LPA was able to determine the nature of allegations were unfounded the alleged incident should have been reported to Authorized Representative when made known.

The following citations are being cited today on the attached 809-D.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with the Facility Representative, Veronica Murphy.


Report Ends - Page 1 of 1
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:
DATE: 02/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/29/2024
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


Document Has Been Signed on 02/29/2024 10:38 AM - It Cannot Be Edited

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: THIRTY SIXTH STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191870920

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/29/2024
Section Cited
CCR
101212(f)

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101212(f) Reporting Requirements
(f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.
This regulation was not met as evidened by:
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Facility Representative (FR) states she has provided training to staff on reporting procedures and FR observed teacher make report to parent. FR states facility staff are now aware of reporting procedures. Clearing deficiency on this date.
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Based on multiple interviews of different pertinent individuals, an incident regarding a child's injury was not reported in a timely manner to child's Authorized Representative.
This poses a potential health, safety, and personal rights risk to 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: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:
DATE: 02/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/29/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2