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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415049
Report Date: 05/08/2024
Date Signed: 05/08/2024 04:40:23 PM

Document Has Been Signed on 05/08/2024 04:40 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:BUCKNER EDUCATIONAL CHRISTIAN ACADEMYFACILITY NUMBER:
197415049
ADMINISTRATOR/
DIRECTOR:		L. BUCKNERFACILITY TYPE:
850
ADDRESS:2330 W. FLORENCE AVENUETELEPHONE:
(323) 789-6154
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY: 34TOTAL ENROLLED CHILDREN: 34CENSUS: 18DATE:
05/08/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Leslie BucknerTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On 5/8/24 at 1 PM, LPA Jeanine Lipsey met with Director Leslie Buckner for the purpose of an unannounced Case Management - Deficiencies visit.

Upon entry, LPA Lipsey observed eighteen children, being supervised by 1 staff member and 1 female adult volunteer.

Upon reviewing the guardian rooster, Christina Gavan, did not have finger print clearance prior to presence in the center. The Director, disclosed that the volunteer had been volunteering, five days a week 2-3 hours a day and started on 3/6/24. Director states they thought that it was OK for volunteers to work 2-3 hours a day without background clearance. Director states that they would associate the staff member today to become into compliance.

Based on today's observation, today's violation will be assessed a civil penalty. See attached LIC 809D.

On 5/8/24, a Civil Penalty of $500 was assessed due this violation. See LIC 809D

Exit interview conducted and report was reviewed with Director, Leslie Buckner on 05/8/2024.  A copy of this report, along with Appeal Rights, were provided.  A Notice of Site Visit was given and must remain posted for 30 days.  LPA observed that the Notice of Site Visit was posted during the inspection.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE: DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2024
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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Document Has Been Signed on 05/08/2024 04:40 PM - It Cannot Be Edited


Created By: Jeanine Lipsey On 05/08/2024 at 02:04 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: BUCKNER EDUCATIONAL CHRISTIAN ACADEMY
FACILITY NUMBER: 197415049

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/08/2024
Section Cited
CCR
101216(i)(1)

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Personnel Requirements
Prior to employment or initial presence in the child care center, all employees and volunteers subject to a criminal record review shall:Obtain a California clearance or a criminal record exemption as required by law
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Director will have the volunteer get fingerprinted prior to returning to the center. Director will send proof when comlpeted.
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This requirement is not met by evidence by:
Christina Gavan was found to have been working, residing or volunteering at the facility without a criminal background clearance which poses an potential Health and Safety risk to persons in care. . Date of start was 3/6/24.
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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:Betty Bell
LICENSING EVALUATOR NAME:Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:
DATE: 05/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/08/2024


LIC809 (FAS) - (06/04)
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