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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890359
Report Date: 11/21/2024
Date Signed: 11/21/2024 03:17:41 PM

Document Has Been Signed on 11/21/2024 03:17 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:HADDON AVENUE EARLY EDUCATION CENTERFACILITY NUMBER:
191890359
ADMINISTRATOR/
DIRECTOR:
CLAUDIA ARAUJOFACILITY TYPE:
850
ADDRESS:10085 HADDON AVE.TELEPHONE:
(818) 896-5501
CITY:PACOIMASTATE: CAZIP CODE:
91331
CAPACITY: 166TOTAL ENROLLED CHILDREN: 166CENSUS: 88DATE:
11/21/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Marietta Tambalo, Head TeacherTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced case management inspection on 11/21/2024 to follow up on an incident that was reported to the Department. LPA arrived at the facility at 1:15PM and met with Marietta Tambalo, Head Teacher, who guided LPA on a toured of the facility. There were 88 children and 19 staff present upon arrival.

The incident that occurred at the facility on 09/16/2024, was reported to the Department on 09/17/2024, via telephone. The facility made the report to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that Child #1 bit Child #2 while in care.

LPA obtained a copy of the facility roster and conducted an interview with S1 who is the personnel responsible for the care of Child #1 and Child #2. During the interview, S1 disclosed that at no time was Child #1 and Child #2 left unsupervised. S1 disclosed that Child#1 is in the process of receiving individualized resources and the facility has continues to ensure that Child#1 and Child #2 needs are being met.

There were no deficiencies cited during today’s inspection.

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

Exit interview conducted and report was reviewed with Marietta Tambalo, Head Teacher .
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
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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