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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191871246
Report Date: 09/30/2019
Date Signed: 09/30/2019 11:39:27 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:SEVENTY FIFTH STREET EARLY EDUCATION CENTERFACILITY NUMBER:
191871246
ADMINISTRATOR:ALICE REEDFACILITY TYPE:
850
ADDRESS:242 WEST 75TH STREETTELEPHONE:
(323) 753-1177
CITY:LOS ANGELESSTATE: CAZIP CODE:
90003
CAPACITY:144CENSUS: 56DATE:
09/30/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:56 AM
MET WITH:Rhonda Parnell, Principal TIME COMPLETED:
11:56 AM
NARRATIVE
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Licensing Program Analyst (LPA) Rita Ramos conducted an unannounced case management inspection to the above facility. LPA met with Rhonda Parnell, Principal, who guided analyst on a tour of the facility. There 56 children present with 13 staff upon arrival.

Based on information obtained during the inspection, it was determined that an incident occurred at the facility on 09/12/19. The facility failed to report the incident to the Department. This poses a potential health and safety risk to children in care.

LPA advised the Principal that any unusual incident that occurs at the facility needs to be reported within 24 hours of occurrence and a written report needs to be submitted within 7 days after reporting.

The following deficiency listed on the attached deficiencies page is being cited in accordance with California Code of Regulations Title 22The 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 was conducted with Rhonda Parnell, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2019
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: SEVENTY FIFTH STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191871246
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/30/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/14/2019
Section Cited

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Reporting Requirements
Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1), a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.
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This requirement is not met as evidenced by LPA observing that the facility failed to report an incident to the Department that occurred on 09/12/19. This poses a potential health and safety 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: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:
DATE: 09/30/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/30/2019
LIC809 (FAS) - (06/04)
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