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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870884
Report Date: 07/19/2024
Date Signed: 07/19/2024 10:04:03 AM


Document Has Been Signed on 07/19/2024 10:04 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: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:115CENSUS: DATE:
07/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:11 AM
MET WITH:Ericka Griffen-Champ, Principal/Facility RepresentativeTIME COMPLETED:
10:15 AM
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Licensing Program Analysts (LPAs) Lilia Hernandez and Roberto Luque Avila conducted an unannounced case management inspection due to an incident that occurred at the facility. LPAs arrived at the facility at 8:11AM and met with Ericka Griffen-Champ, Principal/Facility Representative. LPAs singularly conducted a tour of the facility. There were 38 children and 11 staff present upon arrival.

The incident that occurred on 06/07/2024, was reported to the Department on 06/10/2024, via email. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence.
Information reported to the Department indicated that Staff #4 may or may not have violated the personal rights of Child #4.

LPA Hernandez conducted interviews regarding this incident with Principal, Staff #4, and Staff #8. LPA Hernandez made attempts to interview Child #4. Child #4 is still enrolled at the facility but has not been present during the inspections.

LPA Hernandez obtained rosters and other pertinent information. Based on the information received during the interviews, it was determined that Child #4 personal rights were not violated.

There were no deficiencies cited during today’s inspection.

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 Ericka Griffen-Champ, Principal/Facility Representative.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:
DATE: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/19/2024
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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