<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003674
Report Date: 12/06/2019
Date Signed: 12/06/2019 12:46:20 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:COMPREHENSIVE CHILD DEVELOPMENT, INC.FACILITY NUMBER:
198003674
ADMINISTRATOR:INDRA CERVANTESFACILITY TYPE:
850
ADDRESS:2565 PACIFIC AVENUETELEPHONE:
(562) 427-3713
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY:72CENSUS: 40DATE:
12/06/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Diane Peyton, Site DirectorTIME COMPLETED:
01:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced case management visit on 12/6/19 at 11:45AM. Upon arrival, LPA met with Diane Peyton, Site Director. There were 40 children present during inspection.

On 11/22/19, Licensee submitted an unusual incident/injury report to the Department. LPA interviewed Site Director, Diane Peyton. The child who sustained an injury is still enrolled and has returned to the facility. The injury occurred on the children's playground. Child#1 was riding a tricycle when child#2 pulled child #1 off the tricycle. Child #1 fell on elbow. The parents were called and the child was taken to a medical facility to receive treatment. The child sustained a fractured elbow. Since the incident, the child has returned back to the facility and is doing well.

The facility had a follow up meeting with the parents on Wednesday, 11/27/2019. Thalia Solis and Director were present. Director also had two sessions with staff on supervision and safety.


Based on information obtained during my interviews and inspecting documents, LPA determined there were no violations that resulted from the incident. No deficiencies were cited on this date. Licensee met reporting requirements for this incident.

Exit interview conducted with Site Director, Diane Peyton . A copy of this report was provided. Notice of Site Visit was issued and must remain posted in the facility for 30 days. Failure to do so will result in a civil penalty.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1