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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191203783
Report Date: 07/26/2024
Date Signed: 07/26/2024 04:00:57 PM

Document Has Been Signed on 07/26/2024 04:00 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:CHILD EDUCATIONAL CENTER, CALTECH/JPL COMMUNITYFACILITY NUMBER:
191203783
ADMINISTRATOR/
DIRECTOR:
ELLEN VESELACKFACILITY TYPE:
850
ADDRESS:140 FOOTHILL BOULEVARDTELEPHONE:
(818) 354-3418
CITY:LA CANADASTATE: CAZIP CODE:
91011
CAPACITY: 139TOTAL ENROLLED CHILDREN: 139CENSUS: 31DATE:
07/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:26 AM
MET WITH:Ellen Veselack TIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 07/26/24, Licensing Program Analyst, (LPA) Shushanik Safaryan conducted an unannounced Case Management inspection for the purpose for the following up on an unusual incident report. Upon arrival at 08:30 am , LPA met with Director, Ellen Veselack , to whom the purpose of the inspection was explained. Tour of the facility was provided. There were 31 children and 11 staff members were present during the inspection.

On 07/24/24 an unusual incident report was submitted to the Department regarding a child sustaining an injury on the facility grounds. Child was playing in the classrooms dramatic play area and fell from the table . Per staff members child was attended immediately by staff #1 and ouch report was created for the child on the day of the injury .Child was taken to the urgent care by a parent where cast was placed on her elbow . During the visit LPA inspected the area where incident took place . Table was removed by the staff after the incident . Per staff members table was there temporarily from the different class and was returned to that class . Based on the interviews 14 children and 2 staff members were present during the incident. Per staff #1 child climbed on the table and was reminded to keep her feet on the floor when incident happened .Per staff # 2 she observed child #1 climbing on the table and observed staff #1 reminded the child to keep her feet on the ground .Per child #1 she observed staff #1 sitting at the table when she was playing and fell when she was coming down from the table .Based on the information obtained and observation , LPA determined that there was adequate supervision on the day of injury and no citations issued at this time .

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 conducted with the Director and Copy of Report provided.

END OF REPORT

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2024
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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