197417300-6-23-2022-30-CC-DMIA-CFNUTP-20220623155217

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197417300
Report Date: 06/23/2022
Date Signed: 06/23/2022 03:52:24 PM

Document Has Been Signed on 06/23/2022 03:52 PM - 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/ VERONICA		FACILITY TYPE:	850
ADDRESS:	3047-49 S. ROBERTSON BOULEVARD		TELEPHONE:	(310) 841-6100
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90034
CAPACITY:	35	CENSUS: 0	DATE:	06/23/2022
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	02:01 PM
MET WITH:	Veronica Cabello, Director		TIME COMPLETED:	04:00 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 06/06/2022, 2:01PM Licensing Program Analyst (LPA) Denise Do Amaral 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#1got 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, was observed 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. During this inspection, LPA conducted interview with Director. LPA was unable to interview children involved and teacher due no teacher or children were present. LPA obtained copy of Sign in Sign for the day 6/6/2022, Identification emergency information for child#1 & child#2, personal record for Teacher#1 and Teacher#2, copy of the children roster. LPA inspected the playground equipment and observed Playground equipment is age

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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
	VISIT DATE: 06/23/2022

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appropriate and the slide is securely anchored to the ground. LPA observed that facility shall fix parts of woods of the equipment’s due termites. Per Director, an eco-friendlly fumigation will be conducted and will fix the necessary part of the equipment.

LPA observed no children present or using this equipment during this inspection.

At this time, further investigation is needed.

An exit interview was conducted and a copy of this report, technical advisory and Notice of Site Visit were provided to Veronica Cabello, Director

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022

LIC809 (FAS) - (06/04)

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