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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600755
Report Date: 12/05/2024
Date Signed: 12/05/2024 04:15:27 PM

Document Has Been Signed on 12/05/2024 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:WESTWOOD PRESBYTERIAN CHURCHFACILITY NUMBER:
191600755
ADMINISTRATOR/
DIRECTOR:		BRIANNE NAIMANFACILITY TYPE:
850
ADDRESS:10822 WILSHIRE BLVDTELEPHONE:
(310) 474-2889
CITY:LOS ANGELESSTATE: CAZIP CODE:
90024
CAPACITY: 80TOTAL ENROLLED CHILDREN: 58CENSUS: 54DATE:
12/05/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:35 AM
MET WITH:Director Brianne NaimanTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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An unannounced Case Management-Incident inspection was conducted on this date by Licensing Program Analyst (LPA) Amelia Morales to follow up on an Unusual Incident which occurred on 11/22/24 and was reported via phone on 11/22/24 to Community Care Licensing. LPA arrived at the facility and met with Director Brianne Naiman, who guided LPA on a tour of the facility. There were 54 children and 12 staff present at the time of the visit.

Incident: A child hit the back of his head on a playground structure and received 2 staples.

During staff interviews it was discovered that no staff had active supervision of the child who obtained an injury. LPA advised that no child(ren) shall be left without the supervision of a teacher at any time.

During the inspection, LPA obtained a copy of the child care facility roster, staff roster, and conducted interviews with staff, took photos and made observations of the play structure where the incident occurred. Director provided a copy of their yard agreement which indicates instructions on how teachers should be positioned when outside, and the rules for the playground.

There was a citation issued during today’s inspection.

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

An exit interview was conducted with the Director and a copy of this report was provided along with the Appeals Rights.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2024
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 12/05/2024 04:15 PM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Amelia Morales On 12/05/2024 at 03:14 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: WESTWOOD PRESBYTERIAN CHURCH
FACILITY NUMBER: 191600755

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type B
01/03/2025
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary...
(1) No child(ren) shall be left without the...Supervision shall include visual observation.

This Requirement has not been met as evidence by
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Staff will watch the "Supervervisin Children in Child Care Centers" then
write a paragraph of their understanding/ expectations are. Facility will submit to LPA via email. Director stated they will be implamenting a designated area for staff members.
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Based on interviews with staff there was no supervison provided, to child that was injured.
This poses a potential health, saftey, or personal rights risk to the children in care.
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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:Amelia Morales
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2024


LIC809 (FAS) - (06/04)
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