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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197409223
Report Date: 01/25/2023
Date Signed: 01/25/2023 01:18:16 PM


Document Has Been Signed on 01/25/2023 01:18 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:CHILD'S WORLD SCHOOLFACILITY NUMBER:
197409223
ADMINISTRATOR:CATHERINE LEVYFACILITY TYPE:
850
ADDRESS:5414 CAPISTRANO AVENUETELEPHONE:
(818) 224-4040
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:92CENSUS: 73DATE:
01/25/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:JESSICA WILSON, DIRECTORTIME COMPLETED:
01:30 PM
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On 1/25/2023, Licensing Program Analyst (LPA) Lisa Clayton conducted an unannounced Case Management visit regarding an Unusual Incident involving a parent falling in room 5, on the Preschool campus. LPA Clayton was greeted by Director Jessica Wilson, conducted a Health and Safety inspection, and observed 73 children being supervised and cared for appropriately by 12 teachers, and a Music teacher.

During this inspection, Director Jessica disclosed that on 01/05/2023 at approximately 5:15pm, she received a call from Teacher Margaret Chapman, reporting that the mother of a child in care fell and that the teacher was concerned. Director Jessica called mom to check on her to make sure she was okay, and again the following day.



Director Jessica will submit the LIC624 unusual incident no later than the close of business today, via email to LPA Clayton and the ESRO support staff (both email addresses provided). A Technical Violation issued, with guidance regarding reporting requirements.

Also, LPA Clayton provided copy of LIC624 form, LIC311A Forms/Records to Keep in a Child Care Center.

An exit interview was conducted and a copy of this report, appeal rights and Notice of Site Visit was provided to Director Jessica Wilson.

SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Lisa ClaytonTELEPHONE: (424) 301-3067
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2023
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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