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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197413515
Report Date: 02/14/2023
Date Signed: 02/14/2023 11:28:32 AM


Document Has Been Signed on 02/14/2023 11:28 AM - 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:GARDENA EARLY EDUCATION CENTERFACILITY NUMBER:
197413515
ADMINISTRATOR:CHILDRESS, CANDIEFACILITY TYPE:
850
ADDRESS:1350 WEST 177TH STREETTELEPHONE:
(310) 354-5091
CITY:GARDENASTATE: CAZIP CODE:
90248
CAPACITY:168CENSUS: 69DATE:
02/14/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:33 AM
MET WITH:Gloria Duban (Lead Teacher); Desilisa Mitchell (Principal)TIME COMPLETED:
12:05 PM
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On 2/14/2023, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced case management visit for the purpose of investigating the Unusual Incident Report that was self reported via telephone on 1/18/2023. LPA Suzette met with Lead Teacher Gloria Duban who assisted LPA with indoors and outdoors facility tour. Days and hours of operation are Monday through Friday 7a to 5:30p.

LPA observed all required postings in a prominent area. A review of the sign in/out sheet was conducted to verify the current census of children. LPA observed 69 children and 25 adults. All children are under supervision, including visual supervision, of a teacher at all times. Capacity and limitations as specified on the license are being maintained. A walk through of the classroom area was conducted. LPA observed 7 licensed preschool classrooms on the premises.

All areas identified on the Facility Sketch were inspected. The following staff were present during this inspection:



RM 1: 7 children with a ratio of 3 teachers
RM 2: 6 children with a ratio of 3 teachers
RM 3: 12 children with a ratio of 3 teachers
RM 4: 10 children with a ratio of 3 teachers
RM 5: 6 children with a ratio of 3 teachers
RM 6: 14 children with a ratio of 6 teachers
RM 7: 10 children with a ratio of 2 teachers
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette OrnelasTELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2023
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: GARDENA EARLY EDUCATION CENTER
FACILITY NUMBER: 197413515
VISIT DATE: 02/14/2023
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LPA then met with Principal Desilisa Mitchell who assisted LPA with obtaining the following documents:

-Children's Roster (licensing form) .
-Copy of SCAR .
-Children's Sign In/Out Sheets for the month of November
-Daily Routine Schedule for all Classrooms
-Staff Work Schedule .
-Verification of November Classroom 2 staff

Exit interview was conducted.

This report shall be made available to the public upon request.
LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette OrnelasTELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2