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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493709
Report Date: 05/13/2022
Date Signed: 05/13/2022 05:50:26 PM


Document Has Been Signed on 05/13/2022 05:50 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:LAUNCH PAD LEARNINGFACILITY NUMBER:
197493709
ADMINISTRATOR:SHIREEN PANJWANIFACILITY TYPE:
850
ADDRESS:4141 EL SEGUNDO BLVD.TELEPHONE:
(310) 644-2176
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY:93CENSUS: 53DATE:
05/13/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Emily WaltonTIME COMPLETED:
05:50 PM
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On 05/13/2022 at 4PM, Licensing Program Analyst (LPA) Veronica Wheatley conducted an unannounced case management inspection and met with the new director Emily Walton. The purpose of the inspection is regarding three cases of Hand, Foot, and Mouth disease. The cases were reported to parents and CCL in a timely manner. The parents were provided a handout in regarding prevention, treating and symptoms. The handout was posted on the children's binders and in Procare. The children returned to the facility with doctor's notes.

According to the director, the staff cleaned and sanitized the entire the facility inside and out.

There are no deficiencies cited today.

Exit interview. The report was provided to the director.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:
DATE: 05/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/13/2022
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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