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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017389
Report Date: 09/19/2024
Date Signed: 09/19/2024 04:15:20 PM


Document Has Been Signed on 09/19/2024 04:15 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:GLASSELL PARK EARLY EDUCATION CENTERFACILITY NUMBER:
198017389
ADMINISTRATOR:JORGE REYESFACILITY TYPE:
850
ADDRESS:3003 NORTH CARLYLE STREETTELEPHONE:
(323) 221-1008
CITY:LOS ANGELESSTATE: CAZIP CODE:
90065
CAPACITY:168CENSUS: 92DATE:
09/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Jorge ReyesTIME COMPLETED:
04:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Saul Valenzuela conducted an unannounced Case Management inspection due to 3 incidents that were reported to the Department on 1/03/2024, 6/14/2024 and 09/4/2024. LPA met with Principal Jorge Reyes who guided LPA on a tour of the facility. Census was taken.

On January 3rd, 2024, one incident was reported to the Department via Email by the facility who reported a parent alleged that a child's personal rights were violated while in care.



On June 14th, 2024, one incident was self reported to the Department via Email by the facility who reported that a child's personal rights were violated in care.

On September 4th, 2024, one incident was self reported to the Department via Email by the facility who reported a parent alleged that a child's personal rights were violated in care.

All reports were reported within the required 24 hours. The purpose of the inspection was to obtain additional information regarding the incidents reported to the Department.

During the inspection, LPA Valenzuela conducted interviews with seven staff and three children. Regarding the three incidents disclosures were made on this date regarding personal rights violations. LPAs asked for copies of declarations, class roster, personnel roster , and investigation reports conducted by Principal- Principal provided copies of the documents to LPAs.

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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Saul ValenzuelaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2024
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 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: GLASSELL PARK EARLY EDUCATION CENTER
FACILITY NUMBER: 198017389
VISIT DATE: 09/19/2024
NARRATIVE
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Regarding incident that occurred on January 2nd, 2024, child disclosed that staff grabbed them by the neck during nap time to lay them down. LPA was unable to interview Staff #1 (S1) as they were not available at the time of the visit. At the time of the incident Staff #2 (S2) was a substitute teacher and is currently assigned to another school within Los Angeles Unified School District. Child #1 (C1) transitioned out of the preschool program and was unavailable to be interviewed by LPA. LPA obtained declaration statements from staff that were present in the classroom that day. Statements conducted by Principal indicated that Staff #1 was not near C1 during nap time.

Regarding incident that occurred on June 13th, 2024, child stated that staff pulled them by the arm and hurt them. LPA interviewed Staff #3 (S3), Staff #4 (S4), and Staff #5 (S5), and no disclosures were made. LPA obtained declarations from S3, S4, and S5. Child #2 (C2) was interviewed and disclosed that Staff #4 pulled their arm. C2 demonstrated to LPA how S4 pulled their arm. C2 was unable to provide the name of staff, however C2 stated that the teacher is in Child #3 (C3) classroom. LPA verified that C4 is in S4 classroom via class roster and personnel roster. At the time of the incident, C4 was asked by Staff #8 to show them where the accident happened and C4 walked S8 outside and pointed to S4.

Regarding incident that occurred on August 28th, 2024, parent notified staff that their child informed them that a staff in their classroom kicked them. LPA interviewed Staff #6 (S6), and Staff #7 (S7) and no disclosures were made. Child #4 disclosed that Staff Staff #6 kicked them when they were not listening. Child #4 (C4) demonstrated to LPA how S6 kicked C4 on the leg and stated that it hurt when it happened.

Based on the LPA’s observations and interviews, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.


A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Principal, Jorge Reyes.

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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Saul ValenzuelaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 09/19/2024 04:15 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754


FACILITY NAME: GLASSELL PARK EARLY EDUCATION CENTER
FACILITY NUMBER: 198017389

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/10/2024
Section Cited
CCR
101223(a)(3)

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101223 Personal Rights
(3) To be free from corporal or unusual punishment..or other actions of a punitive nature including but not limited to: interference with functions of daily living...

This requirement is not met as evidenced by:
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LPA is requesting that Principal meet with all staff in regards to personal rights. Please submit proof of meeting via email to LPA.
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Based on interviews conducted with C2 and C4, C2 disclosed that S4 grabbed them by the arm and pulled them. C4 demonstrated to LPA how S6 kicked and stated that it hurt when the incident occurred, this poses/posed a potential health and safety risk to children in care.
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LPA is requesting that Staff #4 and Staff #6 review the Department’s training videos at https://ccld.childcarevideos.org/ in regards to personal rights.

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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: Brandi VanOostenTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Saul ValenzuelaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3