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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197413346
Report Date: 04/05/2021
Date Signed: 04/08/2021 12:17:25 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:JUNIORVERSITYFACILITY NUMBER:
197413346
ADMINISTRATOR:CREWS, GWENDOLYNFACILITY TYPE:
850
ADDRESS:2400 CENTRAL AVENUETELEPHONE:
3106383500
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY:83CENSUS: 13DATE:
04/05/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Gwendolyn Crews- Director TIME COMPLETED:
11:50 AM
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This is an unannounced Case Management Inspection call conducted on 04/05/21 at 10:30 AM by Alicia Bailey Licensing Program Analyst (LPA). Due to COVID-19 and precautionary measures this case management inspection call was conducted via telephone with director Gwendolyn Crews regarding the usual incident report received in the office on 11/24/2020.

On 11/24/20 director Crews submitted an unusual incident report to the Department for the incident on 11/24/20. LPA Bailey interviewed Director Crews via phone on 04/05/21 regarding Child 1 injury during that incident.

The incident involved Child #1 who sustained a wound to the chin requiring medical attention. LPA Bailey interviewed director who was present in the classroom and observed the incident. Director stated during clean up time the child # 1 was running trip and fell face forward. Director stated that she observed the child # 1 trip and hit his chin on the floor. Director tended to the child immediately and cleaned child up and applied ice pack. Director who followed up called the child's parent. Parent took child to urgent care where the wound was treated Child returned the following school day with instructions to keep wounded area clean and dry. Per director, there were no obstructions or anything that could have caused the trip and fall. Based on director interview, there was enough supervision in the classroom. LPA Bailey determined that the incident was an accident.

Based on all information obtained on this date, and interview conducted, no follow-up is necessary regarding the incident. Director followed the required protocol in terms of first aid and "reporting requirements" as the incident was reported to Child Care Licensing within the required 24 hours. No deficiencies were cited on this date.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: JUNIORVERSITY
FACILITY NUMBER: 197413346
VISIT DATE: 04/05/2021
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Exit interview was conducted with Director Gwendolyn Crews. This report along with a copy of the appeal rights will be sent to the director via email with a read receipt or confirmation of receipt of email, which will act as the Applicants/Licensee’s signature. A copy of the signed report will also be sent to the Department
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2021
LIC809 (FAS) - (06/04)
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