<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414037
Report Date: 02/07/2025
Date Signed: 02/07/2025 06:18:03 PM

Document Has Been Signed on 02/07/2025 06:18 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:CCRC HEAD START - RESEDAFACILITY NUMBER:
197414037
ADMINISTRATOR/
DIRECTOR:		ARACELI GROSSMANFACILITY TYPE:
850
ADDRESS:18120 SATICOY STREETTELEPHONE:
(818) 705-0113
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY: 58TOTAL ENROLLED CHILDREN: 46CENSUS: 28DATE:
02/07/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:03 AM
MET WITH:Director Elizabeth FloresTIME VISIT/
INSPECTION COMPLETED:
06:20 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analysts (LPAs) Jeanine Lipsey & Elicia Calvillo and Licensing Program Manager (LPM) Rita Ramos conducted an unannounced, case management incident inspection on 02/07/25. Upon arrival, LPAs & LPM met with and were guided on a tour of the facility by Director Elizabeth Flores to whom the purpose of the inspection was announced. LPAs and LPM also met with Assistant Director Early Education Center (EESD) Tameka Brown upon arrival. LPAs and LPM were later met by Early Learning Supervisor (ELS) Noemi Tovar.

The purpose of the visit was to follow up on an incident reported to the Department that occurred on 02/05/25 via telephone. The facility reported the Unusual Incident to the Department on 02/06/25 within the required 24 hours of occurrence. Information provided to the Department indicates that due to the rain part of the ceiling fell in one of the classrooms when children were present. No children were injured. However, the damage to the ceiling exposed potential asbestos at the facility. The damage to the ceiling occurred in Room #1, children in Room # 1 were placed in the Friendship Hall on 02/05/2025.

Per Assistant Director Early Education Center, Tameka Brown, the facility was aware in March 2024 that if the ceiling were not be intact there would be exposure to potential asbestos. By their own admission, the facility had water leaks in the ceiling in February 2024 which prompted an inspection by an Environmental Specialist, who informed licensee that the exposure to potential asbestos would not be a concern if the ceiling was not disturbed and remained intact. LPAs and LPM did not find a record of reporting their awareness of potential asbestos present in the facility.

PAGE 1 OF 2
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CCRC HEAD START - RESEDA
FACILITY NUMBER: 197414037
VISIT DATE: 02/07/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
When touring the Friendship Hall, Director Alejandra informed LPAs & LPM that the Friendship Hall was not noted in the facility sketch because it is an unlicensed part of the building. LPAs and LPM observed open double doors that lead directly to a chapel, which also has an open door, where the pastor and parishioners have access to the facility. Although facility representatives stated that children could not open the door to the kitchen, LPAs / LPM informed facility representative that the pastor and parishioners have direct access to the child care center. Per Facility Representatives, the pastor of the church who has direct access to all areas within the facility does not have a Criminal Record Clearance or Association to the child care center. When requesting a copy of the lease (control of property) LPAs and LPM discovered that the lease is dated for the year of 2023, and the pastor's name does not reflect the name of the current pastor. Neither the current pastor or the previous pastor have a criminal record clearance.

During the visit, LPAs and LPM requested an updated facility sketch, copy of parent handbook, copy admission policy and procedures along with any copies or documentation regarding the classroom ceiling repairs and information for the potential asbestos.

LPAs and LPM observed room #1 is closed with a sign that indicates to not open unless necessary per Tameka Brown, their facility plant supervisor had plans for abatement to occur at the facility during spring break from April 14-18, 2025. When LPAs and LPM asked Tameka Brown if other agencies have been contacted besides their facility staff and facility plant supervisor Tameka Brown asked if other agencies need to be contacted. LPAs and LPM asked if agencies such as the Health Department was contacted. Per, Director Tameka Brown, they were in the process of contacting the health department when LPAs and LPM arrived. During the visit, Tameka Brown provided contact information from Health Department.

There were 16 children enrolled in room #1. On the day of the incident, seven children were moved to room 2 and nine children were moved to unlicensed fellowship hall located on the property.
page 2 of 4

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2025
LIC809 (FAS) - (06/04)
Page: 2 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CCRC HEAD START - RESEDA
FACILITY NUMBER: 197414037
VISIT DATE: 02/07/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2025
LIC809 (FAS) - (06/04)
Page: 3 of 7
Document Has Been Signed on 02/07/2025 06:18 PM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Jeanine Lipsey On 02/07/2025 at 03:28 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: CCRC HEAD START - RESEDA
FACILITY NUMBER: 197414037

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
02/10/2025
Section Cited
CCR
101170(e)(1)

1
2
3
4
5
6
7
101170 Criminal Record Clearance
(e) All individuals subject to a criminal record review ...(1) Obtain a California clearance or a criminal record exemption as required by the Department ...
This requirement has not been met as evidenced by.
1
2
3
4
5
6
7
Per Director, a request for the pastor to be associated or obtain a criminal record clearance by POC due date.
8
9
10
11
12
13
14
Based on observations, interviews, and record reviews licensee did not comply with the above regulation in that the Pastor does not have Criminal Record Clearance or exemption associated to the facility.
8
9
10
11
12
13
14
Type A
02/10/2025
Section Cited
CCR101161(a)

1
2
3
4
5
6
7
101161 Limitations on Capacity (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
This requirement has not been met as evidenced by.
1
2
3
4
5
6
7
Per Director, the children were no longer be placed in the Friendship Hall. A written plan will be provided by the POC due date.
8
9
10
11
12
13
14
Based on observations, interviews, and record reviews licensee did not comply with the above regulation in that nine children were moved to the unlicensed fellowship hall located on the property.
8
9
10
11
12
13
14
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:Betty Bell
LICENSING EVALUATOR NAME:Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2025


LIC809 (FAS) - (06/04)
Page: 4 of 7
Document Has Been Signed on 02/07/2025 06:18 PM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Jeanine Lipsey On 02/07/2025 at 03:49 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: CCRC HEAD START - RESEDA
FACILITY NUMBER: 197414037

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
02/10/2025
Section Cited
CCR
101238(a)

1
2
3
4
5
6
7
 101238 Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
This requirement is not met by evidence by:
1
2
3
4
5
6
7
Per Director, a written declaration will be submitted to include a plan as to how reports will be submitted timely in the future by POC due date of
8
9
10
11
12
13
14
Information provided by the facility represenatives and their own admission of having information regarding that the facility has potential exposure to asbestos since March of 2024 which poses a potential health, safetry, and personal rights risk of children in care.
8
9
10
11
12
13
14
.
Type B
02/07/2025
Section Cited
CCR1

1
2
3
4
5
6
7
.
1
2
3
4
5
6
7
.
8
9
10
11
12
13
14
8
9
10
11
12
13
14
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:Betty Bell
LICENSING EVALUATOR NAME:Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2025


LIC809 (FAS) - (06/04)
Page: 5 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CCRC HEAD START - RESEDA
FACILITY NUMBER: 197414037
VISIT DATE: 02/07/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
At approximately 03:30PM, LPAs and LPM were greeted by South Coast Air Quality Department Supervising Air Quality Management District (AQMD) due to AQMD receiving information regarding potential asbestos exposure at the facility. Per AQMD, the facility was given a Notice to Comply, Asbestos with correction compliance dates of 02/10/2025, 02/12/2025, and 02/14/2025. Facility is required to maintain Room #1, Room #2 and Custodial room closed off until further notice. Based on LPA's and LPMs observations, the following deficiencies listed on the attached deficiency page are being cited in accordance with Title 22, Division 12, Chapter 3, of the California Code of Regulations. Deficiencies that are being cited need to be cleared to protect the children's health & safety.

Also, LPAs and LPM informed the licensee to provide a copy of this licensing report dated 2/7/25 that documents any Type A citation to parents/guardian of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report.  A signed Acknowledgement of Receipt of Licensing Report (LIC9924), or written statement, must be placed in the child's file for verification.


Exit interview was conducted with Director Elizabeth Flores, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

Page 4 of 4
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2025
LIC809 (FAS) - (06/04)
Page: 6 of 7
Document Has Been Signed on 02/07/2025 06:18 PM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Jeanine Lipsey On 02/07/2025 at 04:41 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: CCRC HEAD START - RESEDA
FACILITY NUMBER: 197414037

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type B
02/07/2025
Section Cited
CCR
101212(1)(c)

1
2
3
4
5
6
7
Reporting Requirements
Upon the occurrence, during the operation of the child care…(1) Events reported shall include the following:
(C) Any unusual incident or child absence
1
2
3
4
5
6
7
Per Director, an incident report will be provided by the POC due date.
8
9
10
11
12
13
14
that threatens the physical or emotional health or safety of any child.
This requirement is not met by evidence by: statements and documentation obtained indicating that the facilty was aware of the ceiling and potential exposure of asbestos which poses a potential health, safety, and personal rights risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Betty Bell
LICENSING EVALUATOR NAME:Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2025


LIC809 (FAS) - (06/04)
Page: 7 of 7