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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411203
Report Date: 02/27/2020
Date Signed: 02/27/2020 02:40:13 PM

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:PACE - ANDERSON HEAD STARTFACILITY NUMBER:
197411203
ADMINISTRATOR:NICOLE JOHNSONFACILITY TYPE:
850
ADDRESS:4130 W. 154TH STREET, RM. 6TELEPHONE:
(310) 219-1173
CITY:LAWNDALESTATE: CAZIP CODE:
90260
CAPACITY:18CENSUS: 12DATE:
02/27/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Davida BrownTIME COMPLETED:
02:45 PM
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On 02/27/2020, Licensing Program Analyst (LPA) Karren Starks made an unannounced visit for an incident that occurred and was reported on 11/07/19. LPA met with the Site Supervisor, Davida Brown who had 12 children in care along with 2 additional staff members.

Per the incident reported the facility was closed due to a staff shortage for the enrollment. Per the Site Supervisor, staff received notification from the Regional Site Director that the facility would be closed and they were to report to the Bright Starts location on Van Ness and Marine to work that day. The parents of the children enrolled at the Anderson location were notified via text and call system prior to 7am of the closure.

Based on the information obtained it does not appear this incident was the result of a Title 22 violation for Teacher/Child Ratios.

The facility appeared to be in substantial compliance and care resumed on 11/8/2019.

No deficiencies cited.

Copy of report and Notice of Site visit issued.
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020
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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