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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419189
Report Date: 06/22/2021
Date Signed: 06/22/2021 10:28:55 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:PRUITT FAMILY CHILD CAREFACILITY NUMBER:
197419189
ADMINISTRATOR:PRUITT, DEBORAHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 806-1963
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:14CENSUS: 9DATE:
06/22/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
07:45 AM
MET WITH:Deborah Pruitt, LicenseeTIME COMPLETED:
10:30 AM
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 On 06/22/2021 at 7:50am, Licensing Program Analyst, Adrian Risher conducted a case management inspection regarding an incident: child was injured at the park on 03/26/2021. LPA met with the Licensee and observed the licensee's assistant present. LPA observed 9 children present with 1 assistant.


On March 29, 2021, El Segundo Child Care Regional Office received a call regarding an incident that occurred at the daycare. On March 26, 2021, the children were at Darby Park and child 1 fell down. The assistant checked the child's hand and the child kept playing. The child's mother took the child to the doctor and was told that the child had a hair-line fracture.

LPA received the following documents from Licensee:Roster, Written Incident report from Assistant 2, Child 1 Return to school note, Note written by Licensee, consent form for walks for Child 1, sample field trip slip, consent for emergency medical treatment

LPA reviewed files, conducted interviews with licensee, staff and children. At this time, it does not appear that this incident was the result of a Title 22 violation. No deficiencies were cited today

Based on the investigation which included interviews with relevant parties and observations by the LPA, it has been determined that the incident is unfounded.

Exit interview was conducted and a copy of the report was provided.

SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2021
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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