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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494241
Report Date: 12/04/2019
Date Signed: 12/05/2019 09:42:24 AM

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:PACE - ALOHA LEARNING CENTERFACILITY NUMBER:
197494241
ADMINISTRATOR:NUBIA JUAREZFACILITY TYPE:
850
ADDRESS:13000 VAN NESS AVENUETELEPHONE:
(424) 340-2640
CITY:GARDENASTATE: CAZIP CODE:
90249
CAPACITY:92CENSUS: 56DATE:
12/04/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Karin Berry & Florence OlarewajuTIME COMPLETED:
01:30 PM
NARRATIVE
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Licensing Program Analyst (LPA), V. Wheatley conducted a case management inspection and met with the Head Start Site Lead, Sanji Peiries at 10:45am who informed LPA that the incidents occurred on the Early Head Start Program ages 18 to 36 months. LPA met with Early Head Start Manager, Florence Olarewaju and toured the premises. LPA observed the staff supervising within proper ratios in both programs. LPA met with Early Head Start Site Director Karin Berry regarding the incidents.

LPA investigated an incident involving a toddler enrolled on the premises. On October 10, 2019, a child which had an outbreak was diagnosed with an allergy to dust mites. The parents were called and the child was taken to the doctor. The child was tested for allergies and returned to school.

According to the EHS Site Director, the cots were sanitized and linen were laundered. There have been no more incidents.

Based on information obtained, interviews conducted and records reviewed there are no violations cited.
Exit interview. Report provided.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019
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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