<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411387
Report Date: 09/20/2024
Date Signed: 09/20/2024 04:17:25 PM


Document Has Been Signed on 09/20/2024 04:17 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:CLEVELAND EARLY EDUCATION CENTERFACILITY NUMBER:
197411387
ADMINISTRATOR:VASQUEZ, SARAFACILITY TYPE:
850
ADDRESS:19031 W. STRATHERN STREETTELEPHONE:
(818) 718-9420
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:120CENSUS: 49DATE:
09/20/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Carmen Vasquez, Principal TIME COMPLETED:
04:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced case management inspection on 09/20/2024 due to self reported incidences that occurred at the facility. LPA arrived at the facility at 1:30PM and met with Carmen Vasquez, Principal. There were 49 children and 18 staff present upon arrival.

The incident that occurred on 08/12/2024 was reported to the Department on 08/14/2024, via telephone. The facility did not reported the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that interactions between Staff #1 and Staff #2 may or may not have violated the personal rights of children in care.

LPA obtained a copy of the facility roster and other pertinent information regarding this incident. LPA was not able to conduct interviews with Staff #1 and Staff #2. Staff #1 and Staff #2 were not present during the inspection. Additional information is needed to determined if the personal rights of children in care were violated.

The incident that occurred on 08/14/2024 was reported to the Department on 08/14/2024, via telephone. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that Staff #3 may or may not have violated the personal rights of Child #1. LPA interviewed Principal and Staff #3 during today's inspection. Based on the information LPA obtained from the interviews, it was determined that the personal rights of Child #1 were not violated.

Resources regarding reporting requirements and personal rights of children in care were provided to the Principal. ---Page 1 of 2
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CLEVELAND EARLY EDUCATION CENTER
FACILITY NUMBER: 197411387
VISIT DATE: 09/20/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
There were no deficiencies cited during today’s inspection.

The Notice of Site Visit was given and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

Exit interview was conducted and report was reviewed with Carmen Vasquez, Principal.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2