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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890346
Report Date: 05/03/2023
Date Signed: 05/03/2023 02:37:41 PM


Document Has Been Signed on 05/03/2023 02:37 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:HILLARY BROADOUS EARLY EDUCATION CENTERFACILITY NUMBER:
191890346
ADMINISTRATOR:MERMELL, RACHELFACILITY TYPE:
850
ADDRESS:11736 BROMONT AVE.TELEPHONE:
(818) 897-2009
CITY:PACOIMASTATE: CAZIP CODE:
91331
CAPACITY:118CENSUS: 54DATE:
05/03/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Rachel MermellTIME COMPLETED:
02:15 PM
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On 5/3/2023 at approximately 12:01 pm Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced Case Management – Incident inspection related to a self-reported Unusual Incident Report (UIR) submitted on 4/11/2023. Upon arrival, LPA met with Principal Rachel Mermell, and explained the purpose of the visit.

LPA observed 54 children in care supervised by 10 staff members. Children were observed napping in their respective classrooms.

According to the UIR, on 4/11/2023 Child 1 (C1) when C1 was picked up and asked about their day, C1 responded that arm hurt. Mom proceeded to ask what happened and C1 responded that that teacher squeezed it. The following day, mom informed facility of what was shared. Mom mentioned that everyone at home had interviewed C1. Staff and C1 were interviewed by Principal. Principal followed LAUSD reporting procedures and completed a full investigation.

During today’s inspection, LPA interviewed Principal, staff members and children. LPA requested the following: Child Care Roster (LIC 9040) and Personnel Report (LIC 500). At this time, further investigation is needed.

An exit interview was conducted. A copy of this report (LIC 809) and Notice of Site Visit were provided to principal, Rachel Mermell.

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: 424-301-3060
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2023
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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