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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019152
Report Date: 02/06/2020
Date Signed: 02/06/2020 03:34:14 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:EL PROYECTO EAST LA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198019152
ADMINISTRATOR:EDNA BARRERAFACILITY TYPE:
850
ADDRESS:4824 CIVIC CENTER WAYTELEPHONE:
(818) 830-7133
CITY:LOS ANGELESSTATE: CAZIP CODE:
90022
CAPACITY:88CENSUS: 44DATE:
02/06/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:14 PM
MET WITH:Araceli Robles, Site SupervisorTIME COMPLETED:
03:49 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) Lissete Gonzalez and Roxana Lopez conducted an unannounced Case Management inspection to follow up on an incident that was reported to the Department. Upon arrival, LPAs met with Site Supervisor, Araceli Robles, who provided LPAs a tour of the facility inside and outside. Census was taken.

On 10/30/19, an unusual incident report was made to the department that involved a child in the playground that fell on the sponge where the play structure is located. The child was heard crying and three Teachers walked over to the child and asked the child what happened. The child stated their leg hurt and no mark was observed. The child was unable to get up. Parents were notified and child was taken to the doctor. The child was diagnosed with a fractured tendon. The facility reported this incident to the Department within the required 24 hours.

During this investigation LPAs conducted interviews with staff, inspected the playground, and reviewed video footage of the incident. LPAs also obtained documentation relating to the incident. Based on the information obtained, LPAs determined there was adequate supervision provided the day of the incident and the child was immediately tended to by staff.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit. Exit interview conducted with Site Supervisor, Araceli Robles.

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. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2020
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