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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417300
Report Date: 09/01/2022
Date Signed: 09/01/2022 11:26:17 AM


Document Has Been Signed on 09/01/2022 11:26 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:GREEN BEGINNING COMMUNITY PRESCHOOL, LLC.FACILITY NUMBER:
197417300
ADMINISTRATOR:CABELLO/ VERONICAFACILITY TYPE:
850
ADDRESS:3047-49 S. ROBERTSON BOULEVARDTELEPHONE:
(310) 841-6100
CITY:LOS ANGELESSTATE: CAZIP CODE:
90034
CAPACITY:35CENSUS: 28DATE:
09/01/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Veonica Cabello, DirectorTIME COMPLETED:
11:35 AM
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On 09/01/2022, 10:40AM Licensing Program Analyst (LPA) Denise Miranda arrived at Green Beginning Community Preschool, located at 3047-3049 S. Robertson Boulevard, Los Angeles, CA 90034, for the purpose of following up on the unusual incident that occurred at the facility on 06/06/2022. The self reported unusual incident was received by the El Segundo Child Care Regional Office on 06/07/2022. LPA met with Veronica Cabello, Director, and discussed the purpose of the visit.

According to the report, on 06/06/2022 at 12:20pm, during outside play. Child#1 was going down the slide with a another (child#2) located at the front yard. Right before child#1 got the bottom of the slide, child#1 got off to his right side and instantly started crying when he landed. Child#1 was holding his right foot. The teacher asked to the child#1, how he hurt , and he said he had bumped it with the slide. When the teacher asked him to stand, she was observed him to have difficulty putting weight on his foot. The director was called to assess the situation. Director applied ice on child’s ankle, parents were notified immediately, and Director recommended parents to take their child’s to the Doctor. Parents of child took him to the doctor that showed no fracture or broken bones, however, Doctor placed a cast.

Based on the information gathered throughout the course of the investigation, the incident that occurred on 06/06/2022 was not a result of a violation of Title 22 Regulations. LPA provided a technical advisory to the Director.

An exit interview was conducted and a copy of this report along with the Notice of Site Visit and an advisory notes were provided to Veronica Cabello, Director.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2022
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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