191890351-1-17-2024-33-CC-RLOZ-CZL22P-20240117160105

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191890351
Report Date: 01/17/2024
Date Signed: 01/17/2024 04:01:09 PM

Document Has Been Signed on 01/17/2024 04:01 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 CENTER		FACILITY NUMBER:	191890351
ADMINISTRATOR:	SCARLETT RAMIREZ-HOLGUIN		FACILITY TYPE:	850
ADDRESS:	2306 THOMAS STREET		TELEPHONE:	(323) 222-0277
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90031
CAPACITY: 114	TOTAL ENROLLED CHILDREN: 68	CENSUS: 54	DATE:	01/17/2024
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Scarlett Holguin, Principal		TIME COMPLETED:	04:30 PM

NARRATIVE

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Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced Case Management inspection due to 3 incidents that were reported to the Department on 11/30/2023, 12/21/2023 and 1/9/2024. A COVID 19 risk assessment was conducted. LPA met with Prinicipal Scarlett Holguin who guided LPA on a tour of the facility. Principal, Scarlett Ramirez-Holguin later Census was taken.

On November 11th, 2023, an incident was self reported to the Department via Email by the facility who reported a child had placed an item up their nostril.

On December 21st, 2023, one incident was self reported to the Department via Email by the facility who reported a parent alleges that a child's personal rights were violated while in care.

On January 1st, 2024, one incident was self reported to the Department via Email by the facility who reported a child sustained an injury 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 Principal, four (4) staff. First aid was administered, children did not required medical attention and were back the following day for injury and nose incident No disclosures were made on this date regarding personal rights violations.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024

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: 01/17/2024

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LPA did obtained copies of staff declarations and Unusual Incident Reports submitted on this date.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Scarlett Ramirez-Holguin.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024

LIC809 (FAS) - (06/04)

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