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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191224454
Report Date: 09/03/2024
Date Signed: 09/03/2024 04:22:09 PM

Document Has Been Signed on 09/03/2024 04:22 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:BUONORA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191224454
ADMINISTRATOR/
DIRECTOR:		NICO BUONORAFACILITY TYPE:
850
ADDRESS:19325 SHERMAN WAYTELEPHONE:
(818) 885-6200
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 12DATE:
09/03/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:11 PM
MET WITH:Nico Buonora DirectorTIME VISIT/
INSPECTION COMPLETED:
04:40 PM
NARRATIVE
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On 9/3/24, LPA Jeanine Lipsey met with Director Nico Buonora, for the purpose of an unannounced Case Management - Deficiencies visit. Upon entry, LPA Lipsey observed 12 children, being supervised by 3 staff members.


Upon review of the Guardian Background Clearance roster, staff Julya Baca was found to have been working, residing or volunteering at the facility without a clearance transfer. Date of hire was 6/1/23. Director will would associate the staff member later today to become into compliance.

Based on today's observation, today's violation will be assessed a civil penalty. See attached LIC 809D. A civil Penalty of $500 was assessed due this violation. See LIC 809D

Exit interview conducted and report was reviewed with Director Nico Buonora on 9/3/24.  A copy of this report, along with Appeal Rights, were provided.  A Notice of Site Visit was given and must remain posted for 30 days. 
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE: DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2024
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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Document Has Been Signed on 09/03/2024 04:22 PM - It Cannot Be Edited


Created By: Jeanine Lipsey On 09/03/2024 at 03:44 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: BUONORA CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191224454

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/03/2024
Section Cited
CCR
101170(e)(2)

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Criminal Record Clearance
Based on record review, the licensee did not ensure all staff was working, at the facility without a background clearance transfer ... which poses an potential Health and Safety risk to persons in care.
This requirement is not met by evidence by:
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Director will associate the staff member later today, 9/3/24 to become into compliance.
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Staff Julya Baca was found to have been working, residing or volunteering at the facility without a clearance transfer. Date of hire was 6/1/23.
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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:Betty Bell
LICENSING EVALUATOR NAME:Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:
DATE: 09/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/03/2024


LIC809 (FAS) - (06/04)
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