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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419605
Report Date: 12/13/2022
Date Signed: 12/13/2022 04:17:38 PM


Document Has Been Signed on 12/13/2022 04:17 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:PACE - EARLY EXPLORESFACILITY NUMBER:
197419605
ADMINISTRATOR:MARTHA HERNANDEZFACILITY TYPE:
850
ADDRESS:1200 S. MANHATTAN PLACETELEPHONE:
(323) 643-4850
CITY:LOS ANGELESSTATE: CAZIP CODE:
90019
CAPACITY:55CENSUS: 36DATE:
12/13/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:47 PM
MET WITH:Lisa LascanoTIME COMPLETED:
04:16 PM
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On 12/13/2022 Licensing Program Analyst ( LPA) Doris Whitmore conducted an unannounced Case Management- Incident inspection for the purpose of following up on an Unusual Incident Report (UIR) submitted on 09/30/2022. LPA met with Lisa Lascano, Site Lead, who toured with the LPA the inside and outside of the facility. LPA observed 36 children in care and 9 staff.According to the UIR, on 09/30/2022 mice traps were set at site for standard pest and rodent management due to shared space. LPA interviewed Staff #1, Staff#2, Staff#3 & Staff #4. LPA checked every classroom, kitchen, and storage space .LPA reviewed a copy of the HeadStart Daily Classroom& Exterior Review Checklist, Service Inspection Report from 11/28/2022. The facility has taken necessary precautious there is no present of rodents in the facility. Per Title 22 Chapter 12, Chapter 3, California Code of Regulations there are no deficiencies or citations. An exit interview was conducted. A copy of this report (LIC809) and Notice of Site Visit were provided to the Site Lead, Lisa Lascano
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:
DATE: 12/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/13/2022
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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