<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191601954
Report Date: 05/17/2024
Date Signed: 05/17/2024 11:13:36 AM

Document Has Been Signed on 05/17/2024 11:13 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:UCLA EARLY CARE AND EDUCATION-INFANTSFACILITY NUMBER:
191601954
ADMINISTRATOR/
DIRECTOR:		MINOR, ALICIAFACILITY TYPE:
830
ADDRESS:101 S. BELLAGIO DR.TELEPHONE:
(310) 825-5086
CITY:LOS ANGELESSTATE: CAZIP CODE:
90095
CAPACITY: 60TOTAL ENROLLED CHILDREN: 50CENSUS: 41DATE:
05/17/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:45 AM
MET WITH:Rosaura Castillo, Center CoordinatorTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
An unannounced Case Management-Incident inspection was conducted on this date by Licensing Program Analyst (LPA) Silva Garibyan to follow up on an Unusual Incident which allegedly occurred on 05/01/24 and was reported via phone on 05/03/24 to Community Care Licensing. LPA arrived at the facility and met with Rosaura Castillo, Center Coordinator who guided LPA on a tour of the facility. There were 23 toddlers, 18 infants, nine toddler and nine infant staff present at the time of the visit.

The incident that occurred on 05/01/24 was reported to the Department via telephone on 05/03/24. The Unusual Incident which was reported concerns the possible violation of the Personal Rights of a Toddler (C1).
During the inspection conducted on May 17, 2024, LPA Garibyan conducted interviews with the Center Coordinator and three staff. Based on the interviews conducted, there was no evidence to support the allegation reported. No additional follow up is necessary regarding the incident reported.

No deficiencies are being cited at this time.


Center Coordinator Rosaura Castillo was provided with The Notice of Site Visit (LIC 9213) – which must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.


Exit interview conducted with Rosaura Castillo, Center Coordinator. Appeal Rights explained and provided to Rosaura Castillo, Center Coordinator, during this visit.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1