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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494300
Report Date: 11/20/2024
Date Signed: 11/20/2024 11:36:27 AM

Document Has Been Signed on 11/20/2024 11:36 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CRYSTAL STAIRS HEAD START - LITTLE STARSFACILITY NUMBER:
197494300
ADMINISTRATOR/
DIRECTOR:		LAURA CARDENASFACILITY TYPE:
850
ADDRESS:2720 W SLAUSON AVETELEPHONE:
(323) 421-2662
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 16DATE:
11/20/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Norma Izucar, Site SupervisorTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
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On 11/20/2024, Licensing Program Analyst (LPA) Loyce Phillips, conducted a case management inspection to follow up on an Unusual Incident, reported to the department by email on 11/6/2024. LPA was greeted by Lead Teacher Alicia Parker. LPA toured the facility and took a census of the children. LPA observed 16 children in care with 3 staff members. Norma Izucar, Site Supervisor joined the visit at 10:05am.

Description of the incident: On 11//024, approximately 10:25am Child 1 (C1) was running in the classroom and ran into another child. The child fell backwards and started crying. Staff went over to C1 and noticed child was holding his left arm. Staff comforted the C1 and applied an ice pack to his left arm. Parent was called at 10:45am. Parent picked up C1 at 12:00pm and took child to the doctor. Parent reported back to the facility that C1 had gotten an x-ray and sustained a broken wrist. C1 returned to the facility on 11/7/2024 with restrictions. Doctors note on file.

During this inspection, LPA toured the facility, interviewed staff and children, reviewed pertinent documents, and obtained a copy of the facility roster and sign in sheet for 11/5/2024. LPA also inspected the classroom area where the incident occurred..

Based on the information provided and interviews conducted further investigation is required.

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

Karren StarksTELEPHONE: (424) 301-3069
Loyce PhillipsTELEPHONE: 424-301-3206
DATE: 11/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/20/2024
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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