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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017158
Report Date: 05/20/2022
Date Signed: 05/20/2022 02:59:35 PM


Document Has Been Signed on 05/20/2022 02:59 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:ELLA FITZGERALD CDC/DREW CHILD DEVELOPMENT CORPORAFACILITY NUMBER:
198017158
ADMINISTRATOR:OLA BAILEYFACILITY TYPE:
850
ADDRESS:2590 INDUSTRY WAYTELEPHONE:
(310) 669-9440
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:40CENSUS: 19DATE:
05/20/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Maribel Ortega & Brandi GreenTIME COMPLETED:
03:15 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) Rita Ramos conducted an unannounced case management inspection on 05/20/22. LPA arrived at the facility at approximately 1:05PM and met with Maribel Ortega, Teacher, who guided LPA on a tour of the facility. There were 19 napping children present with 3 staff upon arrival. LPA was later met by Teacher Brandi Green.

The purpose of the visit was to follow-up on two incidents that were reported to the department.

LPA conducted interviews and obtained copies of documentation during this visit.

The incident that occurred on 05/10/22, was reported to the Department on 05/10/22, via telephone. The incident that occurred on 05/18/22 was reported to the department on 05/20/22 via telephone.

Information reported to the Department indicates that Child #1's and Child #2's personal rights may have been violated.

Due to insufficient information available at this time, LPA would have to return on a later date and time.

There were no deficiencies cited during today’s inspection.

The Notice of Site Visit must remain posted for 30 days. Exit interview was conducted with Brandi Green, Teacher, including appeal rights and procedures.

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:
DATE: 05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/20/2022
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