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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492753
Report Date: 09/12/2019
Date Signed: 09/12/2019 04:51:36 PM

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:BEGINNINGS LEARNING CENTER, INC.FACILITY NUMBER:
197492753
ADMINISTRATOR:TALAR SUCUFACILITY TYPE:
850
ADDRESS:5554 CAHUENGA BLVD.TELEPHONE:
(818) 643-5916
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91601
CAPACITY:64CENSUS: 19DATE:
09/12/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Sandra Donis, Assistant DirectorTIME COMPLETED:
02:50 PM
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Licensing Program Analyst (LPA), Sophia Lord-Richard, conducted a Case Management Incident Report visit to follow up on a self-reported incident that occurred at Beginnings Learning Center Preschool on 07/16/2019.

The El Segundo Child Care Office received the incident report on July 16, 2019, by Assistant Director Sandra Donis. Report stated that on July 16, 2019, child#1 was outside on the play yard. The child had a ball in her hand and she was running towards the play structure and tipped on her shoes causing her to fall. The child hit her forehead on the bench under the apparatus. The fall caused a cut on the forehead. First aid was provided to the child and her parent was contacted. Two teachers were on the play Yard and both assisted the child. The child was taken to Urgent Care, and released by the doctor to return back to school with no restrictions.

Based on today’s visit, and interviews conducted, the incident does not require any further investigation. LPA reviewed child’s file, and obtained documents. An exit interview was conducted, copy of this report, and notice of site visit issued.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sophia Lord-RichardTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
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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