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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401089
Report Date: 11/09/2023
Date Signed: 11/09/2023 02:40:29 PM


Document Has Been Signed on 11/09/2023 02:40 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:SONY PICTURES ENTERTAINMENT CHILD DEV. CTR.FACILITY NUMBER:
197401089
ADMINISTRATOR:BUTTERWORTH, JENNIFERFACILITY TYPE:
850
ADDRESS:3845 CLARINGTON AVE.TELEPHONE:
(310) 244-8400
CITY:LOS ANGELESSTATE: CAZIP CODE:
90036
CAPACITY:88CENSUS: 27DATE:
11/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Vanessa Ruiz - Assistant DirectorTIME COMPLETED:
03:00 PM
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Licensing Program Analysts (LPAs) Nolan Tcheng and Suzana Safaryan conducted an unannounced Case Management-Incident inspection for the purpose of following up on a incident that was reported to the Department on 10/31/2023. Upon arrival at 1:35pm, LPAs met with Assistant Director Vanessa Ruiz, to whom the purpose of the inspection was explained. Tour of the facility was provided. Children were present during tour.

Census was taken. There were 27 children with 8 staff members. During today's inspection, LPAs conducted interviews with two staff members and obtained documentation in the form of pictures and ouch report.

On 10/26/2023, a child was in the outdoor play area by the sandbox. Child was playing by the sand and was walking on the play area rocks and tripped, landing on their right eyebrow and bridge of nose. Child received immediate first aid on site, and further medical treatment to close the open wounds. Interview with Staff #2 disclosed that they observed the child fall while they were playing outside. Staff #2 was directly in front of the child as they were walking back from grabbing a toy silicone spoon and bucket, and tripped. Per Staff #1, child had toy equipment in both hands as they were walking along the play area rocks. Pictures of the play area where the incident took place, were obtained. LPAs received pictures of the child playing just moments before the incident occurred, on incident date. Ouch report was reviewed.

The Department has reviewed the incident, and has determined that the facility staff could not have done anything to prevent the incident from occurring. Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit.

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

Exit interview conducted and report was reviewed with the Assistant Director Vanessa Ruiz, at 2:45pm. Copy of Report provided.

END OF REPORT

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3391
LICENSING EVALUATOR NAME: Nolan TchengTELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:
DATE: 11/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/09/2023
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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