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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414571
Report Date: 03/05/2020
Date Signed: 03/05/2020 10:39:57 AM

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:SOUTH BAY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
197414571
ADMINISTRATOR:RITA BRENESFACILITY TYPE:
850
ADDRESS:521 E. QUEEN STREETTELEPHONE:
(310) 672-0965
CITY:INGLEWOODSTATE: CAZIP CODE:
90301
CAPACITY:120CENSUS: 52DATE:
03/05/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Rita BrenesTIME COMPLETED:
10:50 AM
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
On 03/05/2020 at 09:50 AM Licensing Program Analyst, Stella Gutierrez made an unannounced visit at the facility and met with Rita Brenes, Site Supervisor, for the purpose of conducting an investigation regarding a self reported Unusual Incident/Injury Report that took place on 02/20/2020 at South Bay Child Development Center. at 521 E. Queen Street, Inglewood, CA 90301. Upon arrival LPA observed 53 children and 8 Staff providing care. Facility is operating within ratio and capacity of the license. All adults observed have obtained a criminal record clearance and are associated to the facility.

During today’s inspection LPA, Gutierrez discussed the incident and where the incident took place at the facility. During transition from Lions Class room to the play yard Child #1 fell and hit her mouth in hallway causing an injury. LPA observed the hall area where the incident took place to be a clear path for the children during transition. Hall way area has a linoleum flooring. Per Parent Child #1 shoes were Velcro the day of the incident.

LPA, Gutierrez discussed the following with the Site Supervisor : During transition what the procedure is to ensure safety of the children and the process. Site Supervisor stated that the school is a no run zone. Child #1 was not running the day of the incident and was directly being supervised by Staff #1 during the transition. Both parent and Staff understood the incident with Child #1 was an accident. Director was advised to have staff continue to ensure that the premises is a no running zone.


Based on interviews and observation there will be no deficiencies cited during today’s visit.
An exit interview was conducted, a copy of this report and Notice of site visit was provided to Rita Brenes, Site Supervisor .
SUPERVISOR'S NAME: Victor BautistaTELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Stella GutierrezTELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020
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 1