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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191602930
Report Date: 05/17/2023
Date Signed: 05/17/2023 03:43:35 PM

Document Has Been Signed on 05/17/2023 03:43 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ISABEL PATTERSON CDCFACILITY NUMBER:
191602930
ADMINISTRATOR:MARIKOS, RHONDAFACILITY TYPE:
840
ADDRESS:5700 ATHERTON STTELEPHONE:
(562) 985-5333
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 19DATE:
05/17/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Alec ColchicoTIME COMPLETED:
03:52 PM
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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced Case Management Incident inspection. This inspection is regarding an incident that took place on May 9, 2023. LPA met with Director Alec Colchico who provided information and assistance during the inspection.

During the inspection, LPA interviewed child #1, staff #1, staff #2 and Director Colchico. Staff #1 indicated staff #1 witnessed the incident and guided LPA to the playground area (where child #1 was accidentally injured). Staff #1 indicated she was approximately 10 feet away when child #1 climbed a small tree (branch is approximately four(4) feet from the ground). When child was asked to come down, the child slipped and fell sustaining a injury to the right arm. Staff #1 walked child #1 to Staff #2 who provided first aid.

Staff #2 indicated that staff #2 was in a different area of the playground and did not witness the incident. Staff #2 informed LPA based on attendance records that day, there were 18 school age children with three (3) staff. LPA observed the tree area to be clean, free of abnormal hazards and appearing to be in safe good condition (with grass surrounding). The tree does not appear high enough to warrant that the tree be off limits. However, LPA is advising the facility to not have children climb the trees.

Note: The child was taken to the doctor for medical treatment. Staff followed the required protocol in terms of first aid and "reporting requirements" as the May 9, 2023 incident was reported to Child Care Licensing within the required 24 hours.

The Notice of Site Visit (LIC 9213) – 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 was conducted with Director Alec Colchico.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2023
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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