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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197412417
Report Date: 06/26/2019
Date Signed: 06/26/2019 03:14:50 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:KYCC CHILDREN'S CENTERFACILITY NUMBER:
197412417
ADMINISTRATOR:KENEISHA DUNLAPFACILITY TYPE:
850
ADDRESS:1140 CRENSHAW BLVD.TELEPHONE:
(323) 297-0038
CITY:LOS ANGELESSTATE: CAZIP CODE:
90019
CAPACITY:72CENSUS: 60DATE:
06/26/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Myung Rhee, Center DirectorTIME COMPLETED:
03:15 PM
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On 06/26/2019 at 12:50 pm, Licensing Program Analyst (LPA) Sabrina Martinez conducted an unannounced inspection at KYCC Children's Center for the purpose of following up on the self reported incident that occurred at the facility on 06/05/2019. The report was received by the El Segundo Regional Child Care Office on 06/18/2019.

According to the report, on 06/05/2019 at 4:40 pm, child #1 was in the sandbox when child #2 threw sand at the child #1. Child's dad was at the sand box at the time of the incident and took the child home. On 06/06/2019 facility staff noticed child #1's right eyelid was swollen with small redness. Staff #1 asked child #1's parent what had happened and parent stated that it was due to the sand being thrown at the child's face. The following week, the child's right eyelid got more swollen and red. On 06/13/19, the parent informed the center director that the child was taken to the emergency room and had surgery on the affected right eyelid.

During this inspection, LPA conducted interviews with facility staff, day care children and reviewed the sign in and sign out sheets dated 06/05/2019. At this time, further investigation is needed.


An exit interview was conducted and a copy of this report along with the Notice of Site Visit were provided to Myung Rhee, Center Director.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
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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