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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600630
Report Date: 02/22/2024
Date Signed: 02/26/2024 11:19:22 AM

Document Has Been Signed on 02/26/2024 11:19 AM - 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ST ANTHONY'S DAY NURSERYFACILITY NUMBER:
191600630
ADMINISTRATOR:YADIRA VILLALOBOSFACILITY TYPE:
850
ADDRESS:1044 W. 163RD STREETTELEPHONE:
(213) 477-9832
CITY:GARDENASTATE: CAZIP CODE:
90247
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 65DATE:
02/22/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Gisela PedrazaTIME COMPLETED:
02:00 PM
NARRATIVE
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On 2/22/24, Licensing Program Analyst (LPA) V. Wheatley conducted an unannounced case management inspection. LPA met with director Gisela Pedraza regarding an incident whereby Child #1 arrived at the school with the parent and the child's sibling. They were allowed to enter the building. Child #1 arrived in his classroom and realized the students were not there and turned around to go find them and walked out of the front of the building. The child was outside of the building alone for approximately one to two minutes per the director. The director observed the child on the phone camera while she was in the kitchen and quickly went to get the child. The child was outside of the building in front of the entrance. The child was found safe and unharmed.

The director informed the parents, the school staff and all other parents who have children enrolled through the school Playground App. However, the director failed to inform the Department until today. The facility is being cited a Type A violation for Lack of Supervision and failing to report the incident.

See LIC 809D.

Exit interview conducted. A copy of the report was provided to the director.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2024
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 02/26/2024 11:19 AM - It Cannot Be Edited


Created By: Veronica Wheatley On 02/22/2024 at 12:36 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: ST ANTHONY'S DAY NURSERY
FACILITY NUMBER: 191600630

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/23/2024
Section Cited
CCR
101229(a)(1)

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101229(a)(1) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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The director informed all the parents immediately. The director has installed a lock on the second door that goes into the facility so the children cannot get out of the facility unsupervised. Director understands children are to be supervised at all times. Director will submit a plan of correction to the Department as soon as possible.
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This requirement was not met as evidenced by: The director failed to report to the Department that Child #1 wandered out of the facility through a door which leads to the front entrance in November or December 2023. The child was left unsupervised for approximately one to two minutes. The director observed the child on the phone video camera and brought the child back inside of the building.
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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:Maureen Neal
LICENSING EVALUATOR NAME:Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2024


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Document Has Been Signed on 02/26/2024 11:19 AM - It Cannot Be Edited


Created By: Veronica Wheatley On 02/26/2024 at 10:54 AM
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: ST ANTHONY'S DAY NURSERY
FACILITY NUMBER: 191600630

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/23/2024
Section Cited
CCR
101212(d)(1)(c)

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101212(d)(1)(c)Reporting Requirements-
Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone next working day. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
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The Director understands that required incidents must be reported to the Department as soon as possible by phone and with a written report (LIC 624) within 7 days. The director will submit a LIC 624 to the Department regarding the incident and corrections by 2/26/24.
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This requirement was not met as evidenced by: The director failed to report verbally or in writing to the Department that Child #1 wandered out of the facility in November or Deceber 2023.
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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:Maureen Neal
LICENSING EVALUATOR NAME:Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2024


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