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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890476
Report Date: 05/07/2019
Date Signed: 05/07/2019 03:22:10 PM

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:SYLVAN PARK EARLY EDUCATION CENTERFACILITY NUMBER:
191890476
ADMINISTRATOR:SAINZ-ANDERSON, CARMELAFACILITY TYPE:
850
ADDRESS:15011 DELANO ST.TELEPHONE:
(818) 997-8972
CITY:VAN NUYSSTATE: CAZIP CODE:
91411
CAPACITY:166CENSUS: 113DATE:
05/07/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Claudia Araujo - Director TIME COMPLETED:
03:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Peter Flores, conducted a Case Management Incident inspection to follow up on the self reported incident that occurred at Sylvan Park Early Education Center on April 22, 2019. The El Segundo Child Care Office received the incident report via FAX on April 22, 2019.

LPA met with Teacher Wendy Workman, Director Claudia Araujo arrived later. LPA was guided on a tour of the facility by Wendy Workman. LPA observed 113 children present and 17 staff members. Children were napping at the initial time of inspection. Facility is under Title 22 and Title 5.

On the unusual incident, reporter stated that a child wondered away from classroom. Child was outside of the office in the gated grassy area. The grassy area is secured with a tall chain linked fence.

Director was notified by staff. Parents were called.

Facility notified parents of child wondering away. Facility scheduled an Emergency Staff meeting. Facility will be cited for Neglect/Lack of Supervision; Responsibility for Providing Care and Supervision.

The notice of site visit must be posted for 30 days upon receipt.

An exit interview was conducted and a copy of this report was given to Director Claudia Araujo.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Peter FloresTELEPHONE: (424) 301-3063
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2019
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SYLVAN PARK EARLY EDUCATION CENTER
FACILITY NUMBER: 191890476
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/07/2019
Section Cited
CCR
101229(a)(1)
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A child wondered away for approximately 6-7 minutes in to the gated grassy area. This poses an immediate Health and Safety risk to the clients in care.
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Director Claudia Araujo, immediately conducted training for all staff to ensure that all children are accounted for at all times. Director will conduct a training on Lack of Care and Supervision to all staff and submit the minutes and a copy of the training
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The licensee shall provide care and supervision as necessary to meet the children's needs.
No child(ren) shall be left without the supervision of a teacher at any time.
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material to the Department by 05/13/2019.

Director will submit a statement to the Department explaining how the facility will ensure that this vioation is not repeated to CCL by 05/13/19.
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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: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Peter FloresTELEPHONE: (424) 301-3063
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2019
LIC809 (FAS) - (06/04)
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