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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197420025
Report Date: 06/06/2024
Date Signed: 06/06/2024 11:56:19 AM


Document Has Been Signed on 06/06/2024 11:56 AM - 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:CCRC HEAD START - BERTRANDFACILITY NUMBER:
197420025
ADMINISTRATOR:TEREZA ANJANFACILITY TYPE:
850
ADDRESS:7021 BERTRAND AVENUETELEPHONE:
(818) 342-2042
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:20CENSUS: 8DATE:
06/06/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Marine Karagulyan- Center DirectorTIME COMPLETED:
12:00 PM
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On 06/6/2024 Licensing Program Analyst(LPA) Doris Whitmore conducted an unannounced visit for the purpose of conducting a Case Management Inspection due to an incident that occurred and was reported to the Regional Office on 05/20/2024 by the Center Director Marine Karagulyan. LPA met with Jacqueline Escobar at the time of arrival. LPA Whitmore informed Jaqueline the purpose of the visit. There was a total of 8 children and 3 staff. The UIR stated that on 05/20/2024 (C1) mother disclosed a physical abuse incident that occurred over the weekend when (C1) was with his father. During Breakfast child disclosed physical abuse by father as well that occurred while he stayed with father over the weekend. Center Director made a call to DCFS and spoke to Iffy Nebo. This case was reportable and will be assigned to West San Fernando Valley Office.
Based on the information obtained and interviews conducted with ( C1) ( S1) ( S2) ( S3) ( S4). On 05/23/2024 Officer Torrez from ( LAPD) came to follow up with ( C1) During the interviews there was no documentation left with the facility staff. During the interviews mother stated that she would take ( C1) to the doctor. There was no documentation given that mom took ( C1) to the doctor. There are no violations of Title 22 Regulations.
no deficiencies cited
Copy of this report and Notice of Site Visit issued.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:
DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/06/2024
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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