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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870884
Report Date: 12/18/2023
Date Signed: 01/12/2024 01:34:32 PM

Document Has Been Signed on 01/12/2024 01:34 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:COLLINS, CAROLFACILITY TYPE:
850
ADDRESS:8861 BEVERLYWOOD ST.TELEPHONE:
(310) 838-7328
CITY:LOS ANGELESSTATE: CAZIP CODE:
90034
CAPACITY: 115TOTAL ENROLLED CHILDREN: 115CENSUS: 0DATE:
12/18/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Marcello Lopez, PrincipalTIME COMPLETED:
03:00 PM
NARRATIVE
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This informal meeting was conducted via Microsoft Teams due to COVID -19 an precautionary measurement in place.

An informal meeting was held on 12/18/2023 at 02:35 PM to discuss an incident that occurred on 07/20/2023 at the facility. Present during this informal meeting was, Rita Ramos Licensing Program Manager (LPM), Lilia Hernandez Licensing Program Analyst (LPA), and facility representative Principal, Marcello Lopez.

During this meeting the following was discussed:
The incident that occurred on 07/20/2023 pertained to a child that eloped from the facility. This incident was also reported to the Department via a complaint on 08/04/2023. A complaint inspection occurred on 08/04/2023 in which the facility was cited a Type A deficiency for Title 22 CCR Division 12 101229 (a)(1). Responsibility for Providing Care and Supervision. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

Per Principal Lopez, as a plan of corrections an all-staff meeting was held on 08/16/2023 and 08/17/2023 in which topics related to methods of staff accountability, supervision, and ongoing professional development on responding to challenging behaviors for the staff were addressed.

Principal Lopez agreed to be referred to the Technical Support Program (TSP) to be accorded the access to resources and guidance in effort to ensure the health, safety, and personal rights of children in care.

An exit interview was conducted with Principal Lopez in which it has been explained that this report shall be furnished via email for review and signature. Also requesting that the signed report shall be returned to the CCLD office.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2023
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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