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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419005
Report Date: 06/13/2019
Date Signed: 06/13/2019 11:35:16 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:CII/SOUTH VERMONT HEAD STARTFACILITY NUMBER:
197419005
ADMINISTRATOR:TELMA CEAFACILITY TYPE:
850
ADDRESS:9022 S. VERMONTTELEPHONE:
(213) 385-5100
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY:55CENSUS: 0DATE:
06/13/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Telma Cea, Site Supervisor TIME COMPLETED:
11:40 AM
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On 06/13/2019 at 08:30 am, Licensing Program Analyst (LPA) Sabrina Martinez arrived a CII/ South Vermont Head Start for the purpose of following up on the self reported incident that occurred at the facility on 04/03/2019. The El Segundo Regional Child Care Office received the report via phone call on 04/04/2019 and the written unusual incident report was received on 04/09/2019.

According to the report, on 04/04/2019, child's parent came to speak to staff #1 allegedly slapping child #1. Parent stated that the child began to cry at home and did not want to come to school because staff #1 slapped child on the face. Per the parent, the incident occurred on 04/03/19 during outside time.

Upon arrival, LPA met with Telma Cea, Site Supervisor, and discussed the purpose of the visit. LPA did not observe any children in care at the time of this inspection. Per Ms. Cea, the facility is currently on summer break and classes will resume in September.

During this inspection, LPA conducted interviews with facility staff, reviewed staff and child's records and obtained documents.

At this time, further investigation is needed.

An exit interview was conducted and a copy of this report along with the Notice of Site Visit were provided to Telma Cea, Site Supervisor.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
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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