197493116-3-6-2024-30-CC-DWHE-D34VWT-20240306154828

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493116
Report Date: 03/06/2024
Date Signed: 03/06/2024 03:48:40 PM

Document Has Been Signed on 03/06/2024 03:48 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:	CCRC HEAD START - MELVIN		FACILITY NUMBER:	197493116
ADMINISTRATOR:	NEREYDA LEVINGS		FACILITY TYPE:	850
ADDRESS:	7700 MELVIN AVENUE		TELEPHONE:	(818) 700-4406
CITY:	RESEDA	STATE: CA	ZIP CODE:	91335
CAPACITY:	40	CENSUS: 14	DATE:	03/06/2024
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	01:07 PM
MET WITH:	Carla Morales- Center Director		TIME COMPLETED:	03:46 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 03/06/2024 Licensing Program Anayst( 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 01/29/2024.LPA Whitmore met with Carla Morales,Center Director. Center Director was informed about the purpose of the visit. There was a total of 14 children and four teachers. The report stated that there was an parent engagement at the school , after the parent engagement child 1 was picked up at 10:19 a.m.. Father called back at 11:00a.m. and stated that child1 reported hurting his left thumb on the chair at the school but did not tell the teachers because he wanted to go home and tell the parents instead. Finger was swollen and not broken. Parent took the child for medical assistance and x-rays were taken. Child1 returned back to the facility without any restrictions. Child1 had a follow up appointment and a cast was recommended to prevent further injury. LPA obtained a copy of Unusual Incident/ Injury Report, Health Report, & Instructions for Cast Care. LPA Whitmore interviewed three staff. After conducting interviews Staff#1,#2,& Staff #3 were able to share the the purpose of the Family Engagement, the time frame, and the parent activity with the children. LPA Whitmore was able to read all the messages that the parents were in communication with the staff. During the interviews staff were able to share with LPA where they were positioned on 01/17/2024. Staff did not know that child1 hurt his thumb until the parent called the school. LPA was able to view in one picture Activity that the child was engaged in on 01/17/2024. LPA Whitmore was able to review many other pictures. In one of the pictures LPA was able to view a staff sitting next to child 1. The only documentation that was given was Instructions for a cast. Child 1 returned back to school on 01/19/2024 signed in at 8:05 a.m. and signed out at 2:33p.m. Child 1 did not have any restrictions. LPA contacted parents and there was no answer. Facility called parents as well no answer or returned call. In reviewing the pictures LPA was able to see child 1 engaging in activity using both hands.At this time based on the available information and interviews it does not appear this incident was the result of a Title 22 violation for lack of care and supervision. An exit interview was conducted; the notice of site visit was given to the Center Director Carla Morales.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Doris Whitmore	TELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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 - MELVIN	FACILITY NUMBER: 197493116
	VISIT DATE: 03/06/2024

NARRATIVE

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LPA: How was the center director informed?
Staff #2 When the parent called.
LPA: Who contacted the parent?
Staff#2: The parent called us.
LPA: How was the incident written up?
Staff#2 Ms. Carla called the health team and the whole process started checking on the child, asking mom if she was going to take the child to the doctor.
LPA: Does the child live with both parents or does one have primary custody?
Staff#2 Yes.
LPA: Why was it not called in prior to 01/29/24 if this occurred on 01/17or 01/18?
Staff#2: When it comes to report to licensing. I believe that has to be done with her supervisor.
LPA: When was the facility notified of the injury? What was the actual injury?
Staff#1: 01/17/2024/
LPA: Was the injury due to lack of Supervision?
Staff#1: No, there was a lot of supervision.
LPA: What was the supervision during the parent engagement.
Staff#1: The teachers were walking around and assisting each child who did not have an adult. The Temp teacher sat with him because there was no adult.
LPA: How was there parent engagement and then they call back to say the child was injured?
Staff#2; Parent engagement was on that day. Parents were not present.
LPA: What was the timeline for the parent engagement and what did it consist of
Staff#2 15 to 25 minutes. We were doing an activity oblec and mixing the corn starch with water.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Doris Whitmore	TELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024

LIC809 (FAS) - (06/04)

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