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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197409702
Report Date: 01/18/2023
Date Signed: 01/18/2023 06:51:21 PM


Document Has Been Signed on 01/18/2023 06:51 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:
197409702
ADMINISTRATOR:DEBBIE HEIMFACILITY TYPE:
830
ADDRESS:6100 LINDLEY AVENUETELEPHONE:
(818) 343-8122
CITY:ENCINOSTATE: CAZIP CODE:
91316
CAPACITY:44CENSUS: 32DATE:
01/18/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:22 PM
MET WITH:Debbie Heim, Director TIME COMPLETED:
06:50 PM
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On 01/18/2023, at 1:22pm Licensing Program Analyst (LPA) Denise Miranda conducted an unannounced case management inspection to the facility to follow up on the self-reported unusual incident that occurred on 01/18/2023. LPA met with Debbie Heim, Director and informed the purpose of the visit. LPA observed 32 children being supervised by 6 staff.

According to the incident report received, on 01/18/2023, Staff#1 discovered child#1 was not breathing while preforming a sleep check. Staff#3 performed CPR on child#1. At 911 was called and paramedics arrived at the facility performed a CPR and took the child#1 to the hospital. Director immediately notified the child#1 parents about this incident.

LPA obtained a copy of the Child Care Facility Roster, sign in and out sheets dated 01/18/2023, declarations from staff, and copies of timecards for the staff, Child#1 file, Safe sleep Log for child#1. LPA reviewed the Staff files and conducted interviews with the staff.


Director will provide video footage of the classroom that child#1 was attending today. (arrival and departure of child#1). Per Director footage of the video will be email to LPA no later tomorrow 01/19/2023.

Based on the information gathered it was determined that this self-reported unusual incident needs further investigation.

Another Case management visit will be conduct to address deficiencies observed on 01/18/2023 such as criminal record clearance, safe sleep log, Teacher-Child Ratio.
Due to Facility closing at 5:30pm.

An exit interview was conduct and a copy of this report was provided.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:
DATE: 01/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/18/2023
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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