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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890457
Report Date: 11/01/2024
Date Signed: 11/01/2024 04:08:56 PM

Document Has Been Signed on 11/01/2024 04:08 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:TOLUCA LAKE EARLY EDUCATION CENTERFACILITY NUMBER:
191890457
ADMINISTRATOR/
DIRECTOR:
ERIKA MANCIAFACILITY TYPE:
850
ADDRESS:4915 STROHM AVETELEPHONE:
(818) 980-0925
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91601
CAPACITY: 119TOTAL ENROLLED CHILDREN: 119CENSUS: 51DATE:
11/01/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Erika Mancia, Principal TIME VISIT/
INSPECTION COMPLETED:
04:20 PM
NARRATIVE
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Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced case management inspection due to a self reported incident that occurred at the facility on 05/06/2024. LPA arrived at the facility at 1:20PM and met with Nina Jones, Designee, who guided LPA on a tour of the facility. There were 51 children and 13 staff present upon arrival. LPA was later met by Erika Mancia, Principal.

The incident that occurred on 05/06/2024, was reported to the Department on 05/07/2024 via telephone. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that Staff #1 may or may not have violated the personal rights of Child #1 while in care.

LPA previously conducted an interview with Principal, and obtained written statements from staff. LPA attempted to reach parent of Child #1 for clarification on what Child #1 had reported to the parent. LPA was unable to obtain information to determine if Child #1's personal rights were violated.

During todays visit, Principal disclosed that the Parent of Child #1 did not report any further information regarding the incident and Child #1 remained in care until 08/24/2024.

Based upon information received from the interviews and written statements, 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 Erika Mancia, Principal.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2024
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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