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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494325
Report Date: 04/18/2024
Date Signed: 04/18/2024 04:27:30 PM


Document Has Been Signed on 04/18/2024 04:27 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:CRYSTAL STAIRS HEAD START - CHAPEL OF PEACEFACILITY NUMBER:
197494325
ADMINISTRATOR:CARDENAS, LAURAFACILITY TYPE:
850
ADDRESS:1009 NORTH MARKET STREETTELEPHONE:
(323) 421-1100
CITY:INGLEWOODSTATE: CAZIP CODE:
90302
CAPACITY:55CENSUS: 45DATE:
04/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:14 PM
MET WITH:Marina DeHonor- Sie SupevisorTIME COMPLETED:
04:26 PM
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 On 04/18/2024 Licensing Program Anayst ( LPA) Doris Whitmore conducted a Case Management- Incident inspection for the purpose of following up on the Unusual Incident Report (UIR). LPA Whitmore met with the Site Supervisor Marina De Honor, and discussed the purpose of the visit. LPA Observed 45 children with 12 staff.
According to the UIR, On 02/14/2024 The children were in the classroom during choice time and (C1) cut C2 finger while ( S1) was attending to another child. (S1) looked over and saw that ( C2) was bleeding from his hand.(S1) immediately applied pressure , ( S1) cleaned the hand and saw that ( C2) right ring finger was cut( (C2) told the teacher his classmate cut him with the scissors

During the investigation, LPA conducted interviews with ( S1), ( S2), and ( C1). LPA toured the inside of the classroom and spoke with( S1) to demonstrate where ( C2) was sitting and where she was sitting at. During the interview (C1) demonstrated How she used the scissors. LPA was unable to view the file at the facility(C2) has transferred to another location.

At this time further investigation is needed.

An exit interview was conducted and a copy of this report along with the Notice of Site Visit were provided to Marina De Honor.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:
DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/18/2024
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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