195700241-10-8-2024-58-CC-JLIY-D9US43-20241008133204

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 195700241
Report Date: 10/08/2024
Date Signed: 10/08/2024 01:32:44 PM

Document Has Been Signed on 10/08/2024 01:32 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:	LITTLE ACORNS GROW		FACILITY NUMBER:	195700241
ADMINISTRATOR/ DIRECTOR:	MELANIE MARTIN		FACILITY TYPE:	860
ADDRESS:	19000 SATICOY ST		TELEPHONE:	(818) 779-1099
CITY:	RESEDA	STATE: CA	ZIP CODE:	91335
CAPACITY: 59	TOTAL ENROLLED CHILDREN: 38	CENSUS: 29	DATE:	10/08/2024
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:15 AM
MET WITH:	Director Melanie Martin		TIME VISIT/ INSPECTION COMPLETED:	01:40 PM

NARRATIVE

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On 10/8/24, at 9:15am Licensing Program Analyst (LPA) Jeanine Lipsey conducted an unannounced Case Management incident Visit to this facility. Upon arrival, LPA met with Director Melanie Martin, who guided LPA on a tour of the facility. There were twenty nine children being supervised by seven staff. LPA explained the purpose of today's visit is to follow-up on an incident that was reported to Community Care Licensing (CCL) on 9/27/24.

The incident that occurred on 9/25/24, was reported to the Department on 9/27/24, 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 Child #1's personal rights may or may not have been violated.
During today's visit, LPA conducted interviews, took photos of the area in question, and also obtained the parents information. LPA observed the slide in the play area. The slide was age appropriate and deemed safe for the children to play on.

The following steps will be in place to ensure the safety of the children:

1. Staff will make sure toys will not be at the bottom of the slide.

2. Staff will stand by the slide and remove the toys, if the kids put them there.

3. Staff will talk to the children to remind them about not putting the toys near the slide.

4. Director will schedule a safety seminar with all the staff. The agenda will include taking the staff around the grounds and show them pointers of potential hazards to stop a problem before it starts.

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: LITTLE ACORNS GROW	FACILITY NUMBER: 195700241
	VISIT DATE: 10/08/2024

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Based upon information received and the interviews conducted, it was determined that the personal rights of Child #1 were not violated. No additional follow up is necessary regarding the incident reported.
There were no deficiencies cited during today’s inspection.

Director Melanie Martin was provided with The Notice of Site Visit (LIC 9213) – which must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

An exit interview was conducted with Director Melanie Martin and Appeals Rights provided.

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024

LIC809 (FAS) - (06/04)

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