197417000-12-6-2024-54-CC-CKAM-DBPMJG-20241206083904

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197417000
Report Date: 12/05/2024
Date Signed: 12/06/2024 08:39:28 AM

Document Has Been Signed on 12/06/2024 08:39 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	LOCKE EARLY EDUCATION CTR EARLY HEADSTART		FACILITY NUMBER:	197417000
ADMINISTRATOR/ DIRECTOR:	CHARLETHA ROBINSON		FACILITY TYPE:	830
ADDRESS:	320 E. 111TH STREET		TELEPHONE:	(323) 755-0721
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90061
CAPACITY: 18	TOTAL ENROLLED CHILDREN: 18	CENSUS: 12	DATE:	12/05/2024
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:20 AM
MET WITH:	Charletha Robinson		TIME VISIT/ INSPECTION COMPLETED:	01:00 PM

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 12/5/24 LPA Licensing Program Analyst (LPA) conducted a case management to correct report created on 11/19/24 at 12:00pm on Early Education License. On 11/08/24, an incident was reported to The Department where a child ingested an unknown substance while in care. The facility reported this incident to the Department within the required 24 hours and submitted written report within seven days. Upon arrival, LPA met with principle Charletha Robinson who provided LPA a tour of the facility. LPA observed proper care and supervision. During this inspection LPA interviewed Facility Representative, who reported the incident to Licensing, and she stated that she followed LAUSD protocols in calling Law Enforcement Agency (LAPD), submitted ISTAR report, and informed LAUSD Operations. LAPD notified Facility Representative to handle Administratively, and no investigation was conducted by them. Facility Representative states she will be conducting an investigation which involves interviewing staff but has not yet begun. Child affected is currently still attending care. LPA requested Facility Representative to provide update to Department should one become available. During this inspection LPA interviewed staff, observed room incident took place in, and observed child named in report. Teacher informed Licensing that a child consumed a foreign substance while in care at nap time. Teacher states she was notified of the incident when the Aide brought the substance to her and she immediately notified the principle. Teacher states they rinsed out the child's mouth and monitored the child. Principle states that she called the child's mother immediately but no emergency services were contacted. Teacher states that after child continued to play and consumption did not appear to stop child from daily activities. Parent was informed and child picked up at time for parent conference. Page 1 of 2

Denise Gibbs	TELEPHONE: (323) 981-3385
Claudia Kam	TELEPHONE: (626) 602-6842
	DATE: 12/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024

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 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LOCKE EARLY EDUCATION CTR EARLY HEADSTART	FACILITY NUMBER: 197417000
	VISIT DATE: 12/05/2024

NARRATIVE

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Per principle, parent did not take child to the doctor and that child return the next school day. Based on the information obtained and interviews conducted LPA determined that no emergency services or poison control was contacted although the staff had determined the possible substance to have side effects.

LPA Claudia Kam informed principle Charletha Robinson that this report dated 12/5/24 documents 1 Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Claudia Kam informed the facility representative to provide a copy of this licensing report dated 12/5/24 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with the Facility Representative.

Page 2 of 2

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Claudia Kam	TELEPHONE: (626) 602-6842
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

Document Has Been Signed on 12/06/2024 08:39 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LOCKE EARLY EDUCATION CTR EARLY HEADSTART	FACILITY NUMBER: 197417000
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/05/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

(b) The licensee shall make prompt arrangements for obtaining medical treatment for any child if necessary. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4
	POC Due Date: 11/19/2024
	Plan of Correction
1 2 3 4	Staff has been referred to LAUSD Operations. Facility Represenative will identify if there is current protocol for medical from LAUSD and conduct a training with staff regarding medical procedure. Principle will email the agenda and sign in sheet as verification by 1/10/25.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Denise Gibbs	TELEPHONE: (323) 981-3385
Claudia Kam	TELEPHONE: (626) 602-6842
	DATE: 12/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024

LIC809 (FAS) - (06/04)

Page: 3 of 3