197413515-10-3-2019-30-CC-KSCT-BGM24Y-20191003170444

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197413515
Report Date: 10/03/2019
Date Signed: 10/03/2019 05:04:55 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:	GARDENA EARLY EDUCATION CENTER		FACILITY NUMBER:	197413515
ADMINISTRATOR:	CHILDRESS, CANDIE		FACILITY TYPE:	850
ADDRESS:	1350 WEST 177TH STREET		TELEPHONE:	(310) 354-5091
CITY:	GARDENA	STATE: CA	ZIP CODE:	90248
CAPACITY:	168	CENSUS: 112	DATE:	10/03/2019
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	08:49 AM
MET WITH:	Desilisa Mitchell		TIME COMPLETED:	05:18 PM

NARRATIVE

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Licensing Program Analyst (LPA) Keyona Scott, conducted an unannounced Case Management inspection to the Gardena Early Education Center, on 10/03/2019, for the purpose of following up on an unusual incident report submitted to the Regional Office on 09/30/2019. The incident involved two, three year old siblings, that were found outside of the facility.

LPA met with the facility's Principal, Desilisa Mitchell, and toured the facility. There were 112 preschoolers in care, with the adequate teacher/adult to child ratios, at the time of the facility tour.

During today's inspection, the physical plant was inspected, interviews were conducted, children's files reviewed and observation conducted. The following documents were also obtained:

Child Care Facility Roster (LIC 9040)
Sign In/Sign Out Sheet for September 2019
Staff Schedule for July 1, 2019 to July 30, 2020

Based on todays interview and observation, a citation was issued for Lack of Care and Supervision.

During this inspection, the facility was cited for Type A, Title 22 Deficiency (see LIC 809-D attached).

The following was thoroughly discussed with the Principal:

Principal was notified that a copy of this Licensing Report must be given to each existing parent by the end of today or next day children are in care, and to the parent of children enrolled over the next 12 months. In addition, a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) must be signed by each parent and kept in each child's file.

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SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GARDENA EARLY EDUCATION CENTER	FACILITY NUMBER: 197413515
	VISIT DATE: 10/03/2019

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The following was thoroughly discussed with the Principal (continued):

The Principal was advised that, once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, (Type A violation), a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days.

New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment

An exit interview was conducted with Principal, Desilisa Mitchell. A copy of this report (LIC 809), deficiency (LIC 809D) and appeal rights were discussed with and provided to the Principal, Desilisa Mitchell, whose signature confirms receipt of today's inspection and report.

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SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GARDENA EARLY EDUCATION CENTER	FACILITY NUMBER: 197413515
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/03/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 10/04/2019 Section Cited	1 2 3 4 5 6 7	101229 Responsibility of Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time... shall include visual observation. This requirement is not met as evidenced by:
	8 9 10 11 12 13 14	Based on interview and observation, two children were not supervised and as a result, the children were able to exit the facility, which poses an immediate Health, Safety and/or Personal Rights risk to the children in care.	8 9 10 11 12 13 14	plans. Principal states will hold all staff meeting no later than 10/11/2019. Principal will email LPA the sign in sheet and agenda for the meeting on 09/27/2019 by 10/04/19. Principal will email the sign in sheet and agenda for the all staff meeting by 10/11/2019.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019

LIC809 (FAS) - (06/04)

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