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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419005
Report Date: 07/26/2023
Date Signed: 07/26/2023 03:51:43 PM


Document Has Been Signed on 07/26/2023 03:51 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:CII/SOUTH VERMONT HEAD STARTFACILITY NUMBER:
197419005
ADMINISTRATOR:GEORGETTE BRADLEYFACILITY TYPE:
850
ADDRESS:9022 S. VERMONTTELEPHONE:
(213) 385-5100
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY:55CENSUS: DATE:
07/26/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:28 PM
MET WITH:Pamela HartzogTIME COMPLETED:
03:55 PM
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On 07/26/2023 Licensing Program Analyst ( LPA) Doris Whitmore conducted an unannounced Case Management for the purpose of incident Report( UIR) that occurred on 01/25/2023. At the time of the There was a total of 10 teachers present during the visit t and four children. LPA met with two teachers S1 and S2,and informed the nature of the visit. LPA Whitmore interviewed Staff #1 and Staff #2. Staff #3 was absent and will not be back until August 2023.LPA Whitmore was unable to interview child#1 during the interview with teachers C1 last day was 06/16/2023. C1 transitioned to Kindergarten. Child currently is not enrolled in the program anymore.LPA Whitmore spoke to Early Childhood Services Manager Monique Anderson and was able to answer some questions. At the time when the incident was Site Supervisor was Georgette Bradley who is at another facility.
Based on the information obtained throughout the course of the investigation which includes interviews from Staff. and speaking to Early Childhood Service Manger there are no deficiencies. The H.R. Department conducted their own investigation.There are no deficiencies an exit interview was conducted. A copy of this report and Notice of Site Visit was issued.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2023
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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