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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197402054
Report Date: 03/11/2025
Date Signed: 03/11/2025 10:13:10 AM

Document Has Been Signed on 03/11/2025 10:13 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:LASSEN ELEMENTARY SCHOOL PRESCHOOLFACILITY NUMBER:
197402054
ADMINISTRATOR/
DIRECTOR:		MOORE, LANCEFACILITY TYPE:
850
ADDRESS:15017 SUPERIOR STREET K-3,K-4TELEPHONE:
(818) 892-8618
CITY:SUPELVEDASTATE: CAZIP CODE:
91343
CAPACITY: 46TOTAL ENROLLED CHILDREN: 46CENSUS: 36DATE:
03/11/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Uchenna Okereke, Principal TIME VISIT/
INSPECTION COMPLETED:
10:20 AM
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Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced case management inspection on 03/11/2025 due to self reported incident that occurred at the facility. LPA arrived at the facility at 9:00AM and met with Uchenna Okereke, Principal. There were 36 children and 7 staff present upon arrival.

The incident that occurred on 03/11/2025 was reported to the Department on 03/13/2025, 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 have used practices that could have been a risk to the health and safety to children in care.

LPA conducted interviews with Principal and obtained a facility roster. Per Principal, no children were injured during the incident.

Based upon information LPA received from the interview conducted today, there were no deficiencies cited for incident reported to the Department. LPA advised Principal to review care and supervision regulations with staff.

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 Uchenna Okereke, Principal.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025
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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