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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191601484
Report Date: 08/14/2024
Date Signed: 08/14/2024 04:30:28 PM

Document Has Been Signed on 08/14/2024 04:30 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:UCLA EARLY CARE AND EDUCATIONFACILITY NUMBER:
191601484
ADMINISTRATOR/
DIRECTOR:		MINOR, ALICIAFACILITY TYPE:
850
ADDRESS:101 S. BELLAGIO DR.TELEPHONE:
(310) 825-5086
CITY:LOS ANGELESSTATE: CAZIP CODE:
90095
CAPACITY: 122TOTAL ENROLLED CHILDREN: 122CENSUS: 42DATE:
08/14/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Director / Alessandra PinheiroTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On 8/14/24, at 8:15AM, Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced Case Management Visit to this facility. Upon arrival, LPA met with Director / Alessandra Pinheiro,
who guided LPA on a tour of the facility. There were 42 children with 12 staff observed present in the preschool program. LPA explained the purpose of today's visit is to follow-up on an incident that was reported to Community Care Licensing (CCL) on 8/9/24.

The incident that occurred sometime in May or June of 2024 (exact date unknown), was reported to the Department on 08/09/24, via Unusual Incident/Injury Report.

During today's visit, LPA Katrdzhyan conducted interviews, obtained copies of personnel files and written statements from Staff members 1 and 2 and obtained copies of the children's and staff roster and other pertinent documentation.

Based on the information gathered, this incident will need further investigation.

There were no deficiencies cited 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: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024
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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