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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890449
Report Date: 02/08/2023
Date Signed: 02/08/2023 03:45:05 PM


Document Has Been Signed on 02/08/2023 03:45 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:ROSEMONT EARLY EDUCATION CENTERFACILITY NUMBER:
191890449
ADMINISTRATOR:CAROL HAMPARFACILITY TYPE:
850
ADDRESS:430 NORTH ROSEMONT AVENUETELEPHONE:
(213) 413-2999
CITY:LOS ANGELESSTATE: CAZIP CODE:
90026
CAPACITY:119CENSUS: 45DATE:
02/08/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:Angelica Villa, PrincipalTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Mireya García conducted an unannounced Case Management inspection due to an incident that was reported to the Department on January 12, 2023. Due to COVID- 19 precautionary measures were taken, licensing staff present during inspection wore appropriate personal protective equipment. LPA met with Principal, Angelica Villa who guided LPA on a tour of the facility. Census was taken.

On January 12, 2023 an unusual incident report was made to the department regarding an incident that involved a child who sustained injury that require medical attention. The facility reported this incident to the Department within the required 24 hours.

Based on information obtained during interviews conducted with staff, witness and child in question, LPA Garcia determined that during outdoor play child #1 was going up the apparatus step and fell and hit chin on step. Although staff was present and observed the incident, staff could not reach the child in time to prevent child from falling. During this inspection LPA Garcia did not observe any tripping hazards near or on the area where incident took place. Child has returned to day care.

Based on information obtained during this investigation, no follow up is necessary regarding the incident reported. The facility followed all proper procedures; Staff administered first aid, child’s parent was notified, incident report was sent in properly and timely and first aid was administered to child. Per Principal, staff reminded children to walk and not run/spin on apparatus poles to prevent falls, injuries in the future..
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Angelica Villa
END OF REPORT: PAGE 1 OF 1.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3390
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2023
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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