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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416559
Report Date: 11/07/2019
Date Signed: 11/07/2019 04:08:22 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:CHASE EARLY EDUCATION CENTERFACILITY NUMBER:
197416559
ADMINISTRATOR:WINBUSH, TERRIFACILITY TYPE:
850
ADDRESS:8635 NORTH COLBATH AVENUETELEPHONE:
8188304455
CITY:PANORAMA CITYSTATE: CAZIP CODE:
91402
CAPACITY:168CENSUS: 15DATE:
11/07/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Ms. Rodriguez, Lead TeacherTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA), Sophia Lord-Richard, conducted a Case Management Incident Report visit to follow up on self reported incident that occurred at on Chase EEC on 02/28/2019.

The El Segundo Child care Office received the incident report on February 28, 2019, by Director, Terri Winbush. Report stated that on February 28, 2019, the parent of a child in care went to the Heed Teacher and told them that the her child told her that the teacher's assistant hit them in the head at nap time. No one had observed the incident. The child was questioned and stated the same statement. There was no injuries to the child. The principle stated she questioned the Head Teacher and children in the class but no one witnessed the incident.

LPA reviewed Los Angeles Unified School District (LAUSD) Incident Report on child, staff files and obtained copies of documents. Based upon the information obtained through interviews and documentation, there is Insufficient evidence to establish a violation of Personal Rights. The above unusual incident/injury does not require any further investigation. An exit interview was conducted, copy of this report, and notice of site visit issued.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sophia Lord-RichardTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019
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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