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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870801
Report Date: 05/02/2024
Date Signed: 03/05/2025 11:36:29 AM

Document Has Been Signed on 03/05/2025 11:36 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:MARVIN AVENUE EARLY EDUCATION CENTERFACILITY NUMBER:
191870801
ADMINISTRATOR/
DIRECTOR:		MICHAEL HAGGOODFACILITY TYPE:
850
ADDRESS:2341 SOUTH CURSONTELEPHONE:
(323) 933-5882
CITY:LOS ANGELESSTATE: CAZIP CODE:
90016
CAPACITY: 162TOTAL ENROLLED CHILDREN: 162CENSUS: 80DATE:
05/02/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:35 AM
MET WITH:Armando Inclan, Principal/Facility RepresentativeTIME VISIT/
INSPECTION COMPLETED:
12:05 PM
NARRATIVE
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Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced case management inspection on 02/07/2024 to follow up on incidences that were reported to the department. LPA arrived at the facility at 8:30AM and met with Rochelle Cosby, Head Teacher Designee, who guided LPA on a tour of the facility. LPA was later met by Armando Inclan, Principal/Facility Representative. There were 80 children and 20 staff present upon arrival.

The incident that occurred on 01/26/2024, was reported to the Department on 01/29/2024, via telephone. The facility reported 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 been violated.

LPA conducted interviews regarding this incident. LPA also obtained rosters and other pertinent information. During the interviews, LPA was not able to obtain enough information to determine if Child #1 personal rights were violated.

No deficiencies were issued for this incident.

The incident that was reported to the facility on 01/31/2024, was reported to the Department on 02/01/2024, via telephone. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that Child #2 personal rights may or may not have been violated.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/02/2024
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 03/05/2025 11:36 AM - It Cannot Be Edited


Created By: Lilia Hernandez On 05/02/2024 at 11:16 AM
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: MARVIN AVENUE EARLY EDUCATION CENTER
FACILITY NUMBER: 191870801

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/02/2024
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...(3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...
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Per Principal, Staff #8 was placed on reassignment and has not been at the facility since 01/26/2024.
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This requirement was not met as evidenced by interviews conducted and disclosures made indicating that Child #2 were violated when Staff #8 hurt Child #2 when Staff #8 grabbed Child #2 arm. This was an immediate risk to the health and safety of 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: 05/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/02/2024


LIC809 (FAS) - (06/04)
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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: MARVIN AVENUE EARLY EDUCATION CENTER
FACILITY NUMBER: 191870801
VISIT DATE: 05/02/2024
NARRATIVE
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LPA interviewed Child #2 regarding the incident that occurred with Staff #8. Child #2 disclosed that Staff #8 hurt Child #2 when Staff #8 grabbed Child #2 by the arm.

LPA conducted an interview with Parent #3 who disclosed that Child#2 was afraid to return to school because Staff #8 grabbed Child#2 by the arm.

Staff #8 has not been present at the facility since 01/26/2024.

During follow up interviews with Child #2, Child #2 disclosed again to LPA that Staff #8 grabbed their arm and hurt them. Child#2 stated they are happy that Staff #8 has not returned to the facility.

Based on interviews conducted, it was determined that the personal rights of Child #2 were violated when Staff #8 hurt Child #2 when Staff #8 grabbed Child #2 by the arm. This was an immediate risk to the health and safety of children in care.

California Code of Regulations, Title 22, Division 12, Chapter 1, 101223(a)(3) Personal Rights is being cited on the attached LIC9099D.

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.

The Notice of Site Visit was given and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

Exit interview was conducted and report was reviewed with Armando Inclan, Principal/Facility Representative.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2024
LIC809 (FAS) - (06/04)
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