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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890455
Report Date: 05/23/2019
Date Signed: 05/24/2019 08:38:21 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:VANALDEN AVENUE EARLY EDUCATION CENTERFACILITY NUMBER:
191890455
ADMINISTRATOR:CURD, JOHANNAFACILITY TYPE:
850
ADDRESS:6212 VANALDEN AVE.TELEPHONE:
(818) 343-5595
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:166CENSUS: 23DATE:
05/23/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:58 PM
MET WITH:Maria PalaciosTIME COMPLETED:
05:21 PM
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Licensing Program Analyst (LPA) Christopher Garlington conducted a Case Management Visit to investigate an Unusual Incident Report that was made by telephone on 05/15/2019.

On 5/14/19 around 12:00pm Child #1 disclosed to Staff #1 that he did not want to go to his father's house because his little brother hits him. The brother who struck Child #1 is a toddler of approximately 2 years of age. Staff #1 notified Staff #2 who requested Staff #1 follow Los Angeles Unified School District protocol and notify the Los Angeles Police Department and Child Protective Services of the possible abuse. The reports to both agencies were accomplished immediately.

Based upon information obtained through interviews and visual observation the facility staff have fulfilled their duty as Mandated Reporters and there are no reports of any abuse, neglect, or injury occurring at the facility. Nor are there any allegations of lack of care or supervision levelled against the facility or staff.

The investigation into the above Unusual Incident does not require any further investigation at this time.

A copy of this report was explained and issued to Maria Palacios, teacher and designated signee. A Notice of Site Visit was provided.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Christopher GarlingtonTELEPHONE: (424) 301-3056
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2019
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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