198016201-9-10-2019-54-CC-RRAS-BFVVP4-20190910163609

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198016201
Report Date: 09/10/2019
Date Signed: 09/10/2019 04:36:15 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:	SOUTH REGION EARLY EDUCATION CENTER #2		FACILITY NUMBER:	198016201
ADMINISTRATOR:	ANDRA ESTRADA		FACILITY TYPE:	850
ADDRESS:	8914 HUNT AVE		TELEPHONE:	(323) 249-5779
CITY:	SOUTH GATE	STATE: CA	ZIP CODE:	90280
CAPACITY:	175	CENSUS: 142	DATE:	09/10/2019
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:	Ana Vidal, Principal		TIME COMPLETED:	04:50 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 Analysts (LPAs) Rita Ramos and Alicia Mooberry conducted an unannounced case management inspection due to incidents that occurred at the facility. LPAs met with Ana Vidal, Principal, who guided LPAs on a tour of the facility. There were 142 children and 27 staff present upon arrival. LPAs conducted interviews and obtained documentation during this visit. The incident that occurred on 06/27/19, was reported to the Department on 06/27/19 via fax. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence. Information reported to the Department indicated that Child #3 sustained a serious injury that required medical attention. The incident that occurred on 10/31/18 was reported to the Department on 11/01/18 via telephone. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence. Information reported to the Department indicated that Staff #1 may have violated Child #1's personal rights. The incident that occurred on 10/23/18 was reported to the Department on 10/24/18 via telephone. The facility reported the Unusual incident to the Department within the required 24 hours of occurrence. Information provided to the Department indicated that Staff #1 may have violated Child #2's personal rights. The incident that occurred on 10/18/18 was reported to the Department on 10/19/18 via fax. An initial follow-up visit to the 10/18/18 incident was conducted on 10/23/19. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence. Information provided to the Department indicated that Staff #1 may have violated Child #1's personal rights. ---Page 1 of 2

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2019

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SOUTH REGION EARLY EDUCATION CENTER #2	FACILITY NUMBER: 198016201
	VISIT DATE: 09/10/2019

NARRATIVE

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Based upon the information obtained during the inspection, Staff #1 is no longer employed at the facility. Therefore, Staff #1 is no longer a threat to the health and safety of children in care. In addition, Child #1 and Child #2 no longer attend the facility. Therefore, LPAs were not able to obtain sufficient information to determine whether or not there was a violation of personal rights.

For the incident that occurred on 06/27/19, Per Principal, Child #3's parent stated that Child #3 sustained a serious injury. Principal did not observe a serious injury on Child #3 and requested a doctor's note from the parent as a district/facility policy. Child #3's parent provided a doctor's note, however, the doctor's note does not indicate that Child #3 sustained a serious injury. Per Principal, Staff #2 observed the incident and LPAs were provided with supporting documentation indicating that first aid was provided and parent was notified.

There were no deficiencies cited during today’s inspection.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Exit interview was conducted with Elizabeth Okoro, Head Teacher, including, but not limited to Provider Rights, Appeal Procedures

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SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2019

LIC809 (FAS) - (06/04)

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