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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408424
Report Date: 08/28/2019
Date Signed: 08/29/2019 09:49:02 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:TORRANCE TYKES AT T.E.FACILITY NUMBER:
197408424
ADMINISTRATOR:DEBORAH JONESFACILITY TYPE:
850
ADDRESS:2125 LINCOLN AVENUETELEPHONE:
(310) 533-4500
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY:40CENSUS: 32DATE:
08/28/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:59 PM
MET WITH:Kathleen Bender & Marisela Bazalar TIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA), V. Wheatley conducted a case management inspection and met with Marisela Bazalar at 2:30PM. LPA observed two classrooms with 32 preschool children. The staff were supervising within proper ratios.

The purpose of the inspection is regarding a child (Child #1) that was injured on the premises. The child fell on the playground and sustained injury to the left arm.

LPA reviewed records and interviewed Staff #1 and Staff #2.

Based on information obtained and interviews conducted, the child fell on her own and there were no hazardous equipment in the area. LPA inspected the playground and did not observe any hazards. The staff administered first aid and ice pack immediately and called the parents. The child returned to school a week later. There are no violations according to Title 22 Regulations.

Exit interview and copy of report provided.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019
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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