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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870884
Report Date: 01/15/2025
Date Signed: 01/15/2025 03:49:23 PM

Document Has Been Signed on 01/15/2025 03:49 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:SHENANDOAH EARLY EDUCATION CENTERFACILITY NUMBER:
191870884
ADMINISTRATOR/
DIRECTOR:		MARCELLO LOPEZFACILITY TYPE:
850
ADDRESS:8861 BEVERLYWOOD ST.TELEPHONE:
(310) 838-7328
CITY:LOS ANGELESSTATE: CAZIP CODE:
90034
CAPACITY: 115TOTAL ENROLLED CHILDREN: 115CENSUS: 57DATE:
01/15/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:MARCELLO LOPEZ, PRINCIPALTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
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On 01/15/2025 Licensing Program Analyst (LPA) Lisa Clayton arrived at the Shenandoah Early Education Center unannounced, to conduct a Case Management – Incident inspection. LPA Clayton was greeted by Principal Marcello Lopez. LPA Clayton observed 57 children in care being supervised and cared for by 15 fingerprint cleared staff.

Incident details: On 11/22/2024, according to substitute teacher assistant S1, C1 missed the first step on the apparatus/play structure after he was told not to run. C1 bumped his head on the second step and sustained a cut to his forehead. Staff calmed the child and called his parents. Mom reported that C1 had received 3 stitches to the right side of his forehead.

Incident update: On Saturday 11/23/2024, Principal Lopez contacted Mom to check on C1 and she reported that the child was doing fine, not in any pain. C1 returned to return to school on Monday December 2, 2024.

During today’s visit, LPA Clayton observed C1 talking and playing with his classmates. LPA Clayton observed a small scar on the child’s forehead. LPA Clayton interviewed C1 and he stated that his foot went in the hole and he fell and hit his head on the step.

LPA Clayton inspected the playground and observed a gaping hole in the surface of the outdoor space near the steps where the child fell (photos taken). LPA Clayton also observed the surface of the outdoor activity space surrounding and under the play structure to be warped and bubbling in several places. LPA Clayton also observed the surface of the outdoor space surrounding the play structure to be “pulling away or shrinking from the edge” on 3 of the 4 edges, creating a tripping hazard (photos taken). Per Principal Lopez, the area has not been in use since school reopened after Thanksgiving Holiday (the first week of December 2024). Principal Lopez stated that he has requested that the mat be replaced on at least 2 occasions and provided documentation going back as far as May 2022.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2025
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: SHENANDOAH EARLY EDUCATION CENTER
FACILITY NUMBER: 191870884
VISIT DATE: 01/15/2025
NARRATIVE
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Based on the information obtained, interviews conducted and LPA Clayton's observation of the surface of the outdoor play structure, a Type B Violation on the Physical Environment/Outdoor Activity Space is being cited (see LIC 809D).

Exit interview conducted and report was reviewed with Principal Lopez.

LPA Clayton posted Notice of Site visit which to the remain posted for 30 days.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
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Document Has Been Signed on 01/15/2025 03:49 PM - It Cannot Be Edited


Created By: Lisa Clayton On 01/15/2025 at 01:13 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: SHENANDOAH EARLY EDUCATION CENTER
FACILITY NUMBER: 191870884

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/15/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/14/2025
Section Cited
CCR
101238.2(d)(1)(2)

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101238.2 (d)(1)(2) Outdoor Activity Space (d)The surface of the outdoor activity space shall be maintained: (1)In a safe condition for the activities planned. (2) Free of hazards including, but not limited to, holes,........
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The surface is to be replaced within 30 days from today. Principal Lopez and staff will ensure that the area remains off limits to children in care until the surface is replaced. Principal Lopez is to submit all plans and updates regarding the surface replacement to the department immediately upon receipt.
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This requirement has not been met as evidenced by: LPA Claytons observation of the surface of the outdoor activity space with a gaping hole where C1 fell, and the surface to be warped and bubbled in several places and pulling away or shrinking from the edge causing a trip hazard which poses and immediate Health and Safety risk to children in care.
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If the 30 POC date of February 14, 2025 cannot be met, please notity the department as soon as possible.

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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:Karren Starks
LICENSING EVALUATOR NAME:Lisa Clayton
LICENSING EVALUATOR SIGNATURE:
DATE: 01/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/15/2025


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