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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411657
Report Date: 01/04/2024
Date Signed: 01/05/2024 12:03:15 PM

Document Has Been Signed on 01/05/2024 12:03 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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CHILDREN'S COLLECTIVE - YOU CHILD DEVELOPMENTFACILITY NUMBER:
197411657
ADMINISTRATOR:JEANETTE BANUELOSFACILITY TYPE:
850
ADDRESS:932 W. 85TH STREETTELEPHONE:
(323) 789-1873
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY: 10TOTAL ENROLLED CHILDREN: 10CENSUS: 5DATE:
01/04/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:01 PM
MET WITH:Donna Belvin- DirectorTIME COMPLETED:
05:15 PM
NARRATIVE
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On 1/4/2024, Licensing Program Analysts (LPAs) Ranita Richmond and Judy Laureano conducted an unannounced Required Inspection for the Child Care Center. LPAs met with Director Donna Belvin. LPAs toured the facility indoors and outdoors.

During the inspection LPA Richmond observed 5 children and two staff members in the preschool classroom. LPA Richmond observed an additional staff member retrieving a cart from the classroom. LPA interviewed staff Jourden Charles. During interview staff confirmed that he is a temp and has been working at this site for the last two months or so. LPA checked for fingerprint clearance in guardian. No clearance or exemption was found for Jourden Charles in guardian. LPA Richmond requested staff file from director for file review. Per Health and Safety Code 1596.871(c)(1)(A) Jourden did not meet this requirement. Facility was sited a type A citation; (see LIC 809D).

An exit interview was completed with facility director Donna Belvin. A copy of report, appeal rights, and notice of site visit was reviewed and provided. Notice of site visit must remain posted for 30 days.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE: DATE: 01/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/04/2024
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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Document Has Been Signed on 01/05/2024 12:03 PM - It Cannot Be Edited


Created By: Ranita Richmond On 01/04/2024 at 03:56 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CHILDREN'S COLLECTIVE - YOU CHILD DEVELOPMENT
FACILITY NUMBER: 197411657

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/04/2024
Section Cited
HSC
1596.871(c)(1)(A)

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Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification… Services prior to employment, residence, or initial presence in the facility.
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Program Director agrees to have S1 complete the livescan process and submit receipt via email by 1/5/24.
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This requirement was not met by S1. Based on observation, record review, and interview, the licensee did not comply with the section sited above by not having S1 not complete the livescan and fingerprint process, which posses an immediate health, safety, personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Claudia Escobedo
LICENSING EVALUATOR NAME:Ranita Richmond
LICENSING EVALUATOR SIGNATURE:
DATE: 01/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/04/2024


LIC809 (FAS) - (06/04)
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