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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870748
Report Date: 11/15/2023
Date Signed: 11/15/2023 04:50:13 PM

Document Has Been Signed on 11/15/2023 04:50 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:HYDE PARK EARLY EDUCATION CENTERFACILITY NUMBER:
191870748
ADMINISTRATOR:ALLISON SPEIGHTFACILITY TYPE:
850
ADDRESS:6428 11TH AVE.TELEPHONE:
(323) 751-4147
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY: 77TOTAL ENROLLED CHILDREN: 77CENSUS: 46DATE:
11/15/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Luvenia Donalson, Head Teacher DesigneeTIME COMPLETED:
05:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced case management inspection on 11/15/2023 to follow up on incidences that were reported to the department. LPA arrived at the facility at 11:15AM and met with Luvenia Donalson, Head Teacher Designee, who guided LPA on a tour of the facility. There were 46 children and 14 staff present upon arrival.

The incident that occurred on 9/26/2023, was reported to the Department on 09/28/2023, via telephone. The facility did not report the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that Child #1 personal rights may or may not have violated.

LPA conducted interviews and obtained documentation during this visit.

Based upon information received from the interviews conducted it was determined that the personal rights of child #1 was violated when staff #2 withheld child #1 to prevent child from throwing rocks.

The incident that occurred on 10/12/2023, was reported to the Department on 10/13/2023, via telephone. The facility did report the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that child #3 personal rights may or may not have been violated.

LPA conducted interviews and obtained documentation during this visit.

Based upon information received from the interviews conducted it was determined that the personal rights of child #1 were not violated. ---Page 1 of 2
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HYDE PARK EARLY EDUCATION CENTER
FACILITY NUMBER: 191870748
VISIT DATE: 11/15/2023
NARRATIVE
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The incident that occurred on 10/09/2023, was reported to the Department on 10/10/2023, via telephone. The facility did report the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that child #2 bit child #3 while in care.

The incident that occurred on 10/12/2023, was reported to the Department on 10/13/2023, via telephone. The facility did report the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that child # 2 scratched child #4 while in care.

The incident that occurred on 11/2/2023, was reported to the Department on 11/6/2023, via telephone. The facility did not report the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that child #2 bit child #5 while in care.

The incident that occurred on 11/6/2023, was reported to the Department on 11/6/2023, via telephone. The facility did report the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that child #2 bit #6 while in care.

LPA conducted interviews and obtained documentation during this visit.

During staff interviews, staff# 1 disclosed that they did not observe child #2 bite child #3, child #5 and child #6. Staff #1 also disclosed that they did not observe child #2 scratched child #4. Staff# 7 disclosed that they did not observe child #2 bite child #3, child #5 and child #6. Staff #7 also disclosed that they did not observe child #2 scratched child #4. Staff#8 disclosed that they did not observe child #2 bite child #3, child #5 and child #6. Staff #8 also disclosed that they did not observe child #2 scratched child #4.

Based upon information received from the interviews conducted it was determined that staff were not providing adequate care and visual supervision when child #2 bit and scratched various children on various dates. This is an immediate risk to the health and safety of children in care. ---Page 2 of 3
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2023
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HYDE PARK EARLY EDUCATION CENTER
FACILITY NUMBER: 191870748
VISIT DATE: 11/15/2023
NARRATIVE
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The following deficiencies listed on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent.
A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided during this visit.

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

Exit interview conducted and report was reviewed with Luvenia Donalson, Head Teacher Designee.

---Page 3 of 3
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2023
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Document Has Been Signed on 11/15/2023 04:50 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 11/15/2023 at 04:22 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: HYDE PARK EARLY EDUCATION CENTER
FACILITY NUMBER: 191870748

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/15/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/15/2023
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 to meet the children's needs...Supervision shall include visual observation.
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Per Head Teacher Designee, documentation regarding parent conference with child #2 with a plan of action on how to support child and staff meeting regarding care and supervision will be submitted to LPA via email by 11/17/2023.
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This requirement was not met as evidenced by interviews conducted and disclosures made indicating that child #2 was not observed biting various children on various dates which poses an immediate health, safety, and personal rights risk to 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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2023


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Document Has Been Signed on 11/15/2023 04:50 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 11/15/2023 at 04:31 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: HYDE PARK EARLY EDUCATION CENTER
FACILITY NUMBER: 191870748

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/15/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/29/2023
Section Cited
CCR
101223(a)(3)

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Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights...be free from corporal or unusual punishment, infliction of pain, humiliation...aids to physical functioning.
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Per Head Teacher Designee, documents to support that personal rights were review and discussed with staff will be submitted to LPA via email by the POC due date.
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This requirement was not met as evidenced by interviews conducted and disclosures made indicating that staff #2 withheld child #1 to prevent child from throwing rocks which poses a potential health, safety, and personal rights risk to 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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2023


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