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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493709
Report Date: 05/24/2023
Date Signed: 05/24/2023 12:43:51 PM


Document Has Been Signed on 05/24/2023 12:43 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:LAUNCH PAD LEARNINGFACILITY NUMBER:
197493709
ADMINISTRATOR:EMILY WALTONFACILITY TYPE:
850
ADDRESS:4141 EL SEGUNDO BLVD.TELEPHONE:
(310) 644-2176
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY:113CENSUS: 77DATE:
05/24/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Sonia Portalatin, Assistant DirectorTIME COMPLETED:
01:05 PM
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On 5/24/2023, Licensing Program Analyst (LPA) Loyce Phillips, conducted a case management incident inspection to follow up on an Unusual Incident reported to the department by telephone on 5/16/2023. LPA was greeted by Assistant Director, Sonia Portalatin. LPA toured the facility and took a census of the children. Upon arrival, there were 77 children and 15 staff present today. Director, Emily Walton joined the visit at 12:00pm.

Description of the incident: Director reported on 5/15/2023 C1 transitioned from outside to the inside with her class. C1 reported to S1 that she was sleepy. S1 took C1 temperature and temperature read 98.3 degrees. C1 was sitting at the table when she became unresponsive. The facility called 911 and C1 parents. The paramedic and fire department arrived and took C1 vitals. The parents arrived and child was transported by to the hospital by paramedic.

During this inspection, LPA conducted a record review and obtained a copy of C1 file and the facility roster.

Based on the information provided the incident will require further investigation.

An exit interview was conducted, a copy of this report and notice of site was provided to Director.

SUPERVISOR'S NAME: Karren StarksTELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:
DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/24/2023
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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