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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 03:19:24 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:
01:30 PM
MET WITH:Claudia Araujo - DirectorTIME COMPLETED:
02:45 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 19, 2019. The El Segundo Child Care Office received the incident report via Telephone on 04/22/2019 and by FAX on April 22, 2019.

LPA met with Teacher Wendy Workman who guided LPA on a tour of the facility. Director Claudia Araujo arrived later. 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's food was thrown away while still eating.

Director investigated the situation and obtained statements from pertinent parties. Staff was dismissed from facility. Director conducted an all staff meeting on Personal Rights.

Facility will be cited for Personal Rights.

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)
Page: 1 of 2
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
101223(a)(3)
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The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a
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Director corrected the situation immediately. Suspended staff from facility and banned staff from being assigned to the site. Director condcuted an all staff training on Persoal Rights immedialtely after incident.
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punitive nature including but not limited to: interference with functions of daily living including eating,sleeping or toileting;or withholding of shelter, clothing, medication or aids to physical functioning. Staff threw food away inappropriately in front of child.
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Plan of Correction was conducted immediately.
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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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