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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494241
Report Date: 04/11/2024
Date Signed: 04/11/2024 11:37:11 AM


Document Has Been Signed on 04/11/2024 11:37 AM - 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: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: 74DATE:
04/11/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:17 AM
MET WITH:Nubia Juarez- Regional Site DirectorTIME COMPLETED:
11:36 AM
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 On 04/11/2024 at 8:17 a.m. Licensing Program Analyst( LPA) Doris Whitmore conducted an Case Management Incident to follow up on an incident that occurred on 02/20/2024. Up on arrival LPA met with Regional Site Director Nubia Juarez. There were a total of 74 children and 25 staff. LPA Whitmore interviewed C1, C2,&C3.
Based on information that was obtained throughout the course of the investigation which included interviews with facility staff, and children interviews.Facility Staff administered first aid child return to school on 02/6/2024. C1 complaining that his hand was hurting. Regional Site Director advised dad to take C1 to the doctor. Dad took C1 to the doctor and returned with a doctors note.
Based on the information obtained there were no violations of Title 22 Regulations.
No deficiencies cited
Copy of report and Notice of Site Visit was issued to Regional Site Director Nubia Juarez
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:
DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2024
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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