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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197404132
Report Date: 11/05/2024
Date Signed: 11/05/2024 04:01:57 PM

Document Has Been Signed on 11/05/2024 04:01 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. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:PACE - WEST BOULEVARDFACILITY NUMBER:
197404132
ADMINISTRATOR/
DIRECTOR:		SILVA DE LA ROSAFACILITY TYPE:
850
ADDRESS:1809 WEST BLVD.TELEPHONE:
(323) 954-8099
CITY:LOS ANGELESSTATE: CAZIP CODE:
90019
CAPACITY: 68TOTAL ENROLLED CHILDREN: 68CENSUS: 43DATE:
11/05/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:LaShaye Davis- Regional Site DirectorTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 11/5/2024 at 1:20 p.m. Licensing Program Analyst (LPA)Doris Whitmore conducted an follow up unannounced visit for conducting a Case Management Inspection due to an incident that occurred on 10/03/2024 and was reported to the Regional Office. LPA met with Lashaye Davis, Regional Site Director and informed the nature of the visit. LPA observed 43 Children in care with proper teacher/child ratios observed. There was a total of 6 staff.
On 10/16/2024 LPA Whitmore was unable to continue with the interview due to S1 was time fro her to get off from work. Incident happened 10/3/2024, at the time of the incident there were 11 children and two staff. LPA Whitmore was able to interview S2 as well. According to S1 stated that they were outside and the children were playing around, and that she was this distance form the child( S1 was able to show LPA Whitmore) S1 saw C1 going down to the floor. At the time of the incident S2 was with a child who was crying and saw when S1 was bringing C1 back. Both S1 and S2 was able to explain to LPA Whitmore that they both move around. S2 was able to share with LPA Whitmore Zone A & B when supervising the children. C 1 was given a ice pack.Another teacher did come in to assist with the other children. S1 called the mom, mom came and took C1 home and stated she would take the child to the doctor. C1 returned with a doctor's note. LPA Whitmore obtained a copy of the doctor's note.
Based on interviews and documentation obtained on 10/16/2024 there was no lack of supervision. There are no violations of Title 22 Regulations, no deficiencies cited. An exit interview was conducted with Regional Site Director Lashaye Davis. A copy of this report, Notice of Site Visit, & Appeal Rights were issued.
Karren StarksTELEPHONE: (310) 740-3038
Doris WhitmoreTELEPHONE: 424-301-3029
DATE: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2024
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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