198001658-6-12-2019-33-CC-JDOY-BD3TVG-20190612150356

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198001658
Report Date: 06/12/2019
Date Signed: 06/12/2019 03:04:05 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	CHILDREN'S INSTITUTE INC. (INFANTS)		FACILITY NUMBER:	198001658
ADMINISTRATOR:	MARY M. EMMONS		FACILITY TYPE:	830
ADDRESS:	711 S. NEW HAMPSHIRE AVE.		TELEPHONE:	(213) 385-5100
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90005
CAPACITY:	60	CENSUS: 25	DATE:	06/12/2019
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	01:25 PM
MET WITH:	Luissana Cano		TIME COMPLETED:	03:10 PM

NARRATIVE

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An unannounced Case Management-Incident inspection was conducted on this date by Licensing Program Analyst (LPA) Justin Dorsey to follow up on an Unusual Incident which occurred on 06/06/19 and was reported via phone to Community Care Licensing on 06/07/19.

LPA met with Site Supervisor Luissana Cano. Upon arrival there were 25 children and 12 staff at the facility. Staff-child ratio was met.

The Unusual Incident which was reported occurred on 06/06/19 stating that Child #1 was left unsupervised in the play area of classrooms A1 and A2. The child was found outside by Staff #1 and Staff #2 while coming into the facilities entrance (child was seen through a fence).

During today's visit, interviews were conducted in-person on-site with five staff. The facilities roster was obtained.

The Center is being cited for the following: Lack of Supervision as the child was left outside in the play area unsupervised.

SUPERVISOR'S NAME: Adriana Hernandez	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CHILDREN'S INSTITUTE INC. (INFANTS)	FACILITY NUMBER: 198001658
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/12/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 06/20/2019 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101229(a)(1) RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Facility will provide LPA Dorsey with documentation of children's headcount when coming in from the outside play areas for one week. The facility will have an upcoming meeting covering care and supervision. Facility plans on purchasing mirrors for the play area as well as placing a warning sign on the play area doors asking teachers if they have conducted their headcounts.
	8 9 10 11 12 13 14	Based on observation and interview on 06/06/19, a child was left unsupervised outside of classroom A1 and was later found by a teacher. A civil penalty is not being assessed as the Licensee is a Public Agency.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Adriana Hernandez	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CHILDREN'S INSTITUTE INC. (INFANTS)	FACILITY NUMBER: 198001658
	VISIT DATE: 06/12/2019

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Upon receipt, the Licensee shall post the Notice of Site Visit and the Licensing report. This report and the Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posting as required will result in a $100 civil penalty. A copy of this report shall be provided to the parents/guardians of the children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parents/guardians of any children newly enrolled at the facility for the next twelve (12) months. The LIC 9224 Acknowledgement of Receipt of Licensing Reports must be maintained in each child's file immediately upon receipt from the parent.

An exit interview was conducted with Luissana Cano, Appeal Rights have been provided.

SUPERVISOR'S NAME: Adriana Hernandez	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019

LIC809 (FAS) - (06/04)

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