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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890351
Report Date: 10/23/2024
Date Signed: 10/23/2024 03:26:03 PM

Document Has Been Signed on 10/23/2024 03:26 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:GATES STREET EARLY EDUCATION CENTERFACILITY NUMBER:
191890351
ADMINISTRATOR/
DIRECTOR:
SCARLETT RAMIREZ-HOLGUINFACILITY TYPE:
850
ADDRESS:2306 THOMAS STREETTELEPHONE:
(323) 222-0277
CITY:LOS ANGELESSTATE: CAZIP CODE:
90031
CAPACITY: 114TOTAL ENROLLED CHILDREN: 55CENSUS: 46DATE:
10/23/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Irene Santillan, Principal TIME VISIT/
INSPECTION COMPLETED:
03:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced Case Management inspection due to 4 incidents that were reported to the Department on 3/6/2024, 3/15/2024 and two on 10/14/2024. LPA met with Irene Santillan, Principal who guided LPA on a tour of the facility. Census was taken.

On March 6th, 2024, an incident was self reported to the Department via phone by the facility who reported a child's personal rights were violated while in care.



On March 15th, 2024, an incident was self reported to the Department via email by the facility who reported a parent alleges that their child's personal rights were violated while in care.

On October 14th, 2024 an incident was self reported to the Department via phone by the facility who reported that a child's personal rights were violated twice while in care.

On October 14th, 2024 an incident was self reported to the Department via phone by the facility who reported that a parent alleges that their child's personal rights were violated while in care.

All reports were reported within the required 24 hours. The purpose of the inspection was to obtain additional information regarding the incidents reported to the Department.
During the inspection, LPA Lopez conducted interviews with staff and children. No disclosures regarding personal rights violations were made regarding March 6th, March 15th and second incident of October 14th. LPA did obtained staff declarations on this date for those incidents- pg. 1 of 2 -
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: GATES STREET EARLY EDUCATION CENTER
FACILITY NUMBER: 191890351
VISIT DATE: 10/23/2024
NARRATIVE
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Regarding the first incident reported on October 14th, 2024- The department received two calls on this date stating that a staff # 1 was observed twice violating the same child's personal rights at different times. LPA interviewed staff and children. LPA did obtained copies of staff declarations and Unusual Incident Reports submitted on this date. Per Principal Staff # 1 has been removed from facility indefinitely.

Interviews and disclosures of two staff members disclosed that child was treated aggressively by staff # 1, First incident child was grasp aggressively and was maintained held while in line and second incident observed child was picked up aggressively from the floor and sat unto a chair aggressively by staff # 1. During interviews a staff members disclosed that staff # 1's tone of voice is too loud towards the children and is strict. This is an immediate risk for the health and safety of children.

Based on the LPA’s observations and records reviews, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

LPA Roxana Lopez informed facility representative Irene Santillan that this report dated 10/23/2024 document(s) 1 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Roxana Lopez informed the licensee facility representative to provide a copy of this licensing report dated 10/23/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Irene Santillan------------------ pg. 2 of 2 -----------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/23/2024 03:26 PM - It Cannot Be Edited


Created By: Roxana Lopez On 10/23/2024 at 02:46 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: GATES STREET EARLY EDUCATION CENTER

FACILITY NUMBER: 191890351

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/01/2024
Section Cited
CCR
101223(a)(3)

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101223-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 # 1 has been removed indifinately from the facility. Principal will condut a staff meeting reviewing personal rights video and findings of visit. Declarations from staff on what they learned will be submitted. Meeting minutes with signatures will be send to LPA by POC date.
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This requirement is not met as evidence by Based on records review and interviews it was disclosed that Staff # 1 violated a child's personal rights twice in one day. This is an immediate risk for 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:Brandi VanOosten
LICENSING EVALUATOR NAME:Roxana Lopez
LICENSING EVALUATOR SIGNATURE:
DATE: 10/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/23/2024


LIC809 (FAS) - (06/04)
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