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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197409012
Report Date: 08/31/2023
Date Signed: 08/31/2023 03:44:29 PM

Document Has Been Signed on 08/31/2023 03:44 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:LOYOLA MARYMOUNT UNIVERSITY CHILDREN'S CTR.FACILITY NUMBER:
197409012
ADMINISTRATOR:ANI SHABAZIANFACILITY TYPE:
850
ADDRESS:1 LMU DRTELEPHONE:
(310) 258-8900
CITY:LOS ANGELESSTATE: CAZIP CODE:
90045
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 45DATE:
08/31/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Associate Director Grizel Lopez TIME COMPLETED:
01:00 PM
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On 8/31/2023 at Licensing Program Analysts (LPA) Dalicia Adkins conducted an un-announced case management visit to follow up on an Unusual Incident that occurred at the facility on 4/26/2023. LPA met with Associate Director Grizel Lopez and discussed the reason for the visit. Director guided LPA on a tour of the facility, LPA observed nine staff supervising forty-five children.

On 4/27/2023 Associate Director Grizel Lopez called licensing and self reported an unusual incident (LIC 624). Director took immediate action and completed all cross reporting. Director reported to LMU's higher administration and internal investigation conducted. During today's visit LPA conducted classroom observations, interviewed children and staff. LPA requested and collected a copy of the children's roster and teacher roster. It was determined that this incident requires further investigation. LPA will consult with Licensing Program Manager for next appropriate step.

LPA conducted exit interview with Associate Director Grizel Lopez. LPA reviewed this report with director and copy given. Notice of Site Visit given and must be posted for 30 days.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE: DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/31/2023
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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