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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416529
Report Date: 06/20/2024
Date Signed: 07/01/2024 10:50:43 AM

Document Has Been Signed on 07/01/2024 10:50 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:KINDER KIDS CHRISTIAN PRESCHOOLFACILITY NUMBER:
197416529
ADMINISTRATOR/
DIRECTOR:		SMITH, BRENDAFACILITY TYPE:
850
ADDRESS:5353 W. PICO BOULEVARDTELEPHONE:
(323) 933-5437
CITY:LOS ANGELESSTATE: CAZIP CODE:
90019
CAPACITY: 67TOTAL ENROLLED CHILDREN: 67CENSUS: 20DATE:
06/20/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:10 AM
MET WITH:Michelle Moore-DirectorTIME VISIT/
INSPECTION COMPLETED:
03:50 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
This is an amendment of an original report created on 06/20/24. The report has been amended to remove confidential and identifying information.

An unannounced, in-person Case management incident inspection was conducted on this date by Licensing Program Analyst (LPA) Jeanine Lipsey. The incident was reported to Community Care Licensing on 06/17/24 via phone. The incident which occurred on 06/12/24 was that a staff member (Staff 1) was allegedly seen on video pulling the hair of a child (Child 1).

Upon arrival, LPA was guided on a tour of the facility by Staff Mariela Cortez, to whom the purpose of the inspection was announced.

Census: There were twenty children being supervised by 3 staff.

During the inspection, LPA obtained a copy of the facility roster, Employee roster, Termination report, recorded video on LPA's phone, and conducted interviews with 2 staff and 1 child, and made observations of care and supervision of children.

Two of the staff interviewed described what they saw on the video: C1 was by a table, facing the table, playing with a tablet; then S1 walks up from behind and pulls C1’s hair and walks off; C1 then fans with their arm toward S1. When interviewed, S1 stated that the hair pulling was done playfully. No disclosures were made by any of the children interviewed. LPA Lipsey was unable to view the video of S1 allegedly pulling C1's hair because per S2, the video is unable to be retrieved due to the system being old and it erases after 3 days.

The termination report stated S1 was told not to return to Kinder Kid School as of June 13, 2024.

Exit interview conducted and report was reviewed with Director Michelle Moore. A Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE: DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2024
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 2
Document Has Been Signed on 06/20/2024 03:39 PM - It Cannot Be Edited


Created By: Jeanine Lipsey On 06/20/2024 at 03:05 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: KINDER KIDS CHRISTIAN PRESCHOOL
FACILITY NUMBER: 197416529

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/20/2024
Section Cited
CCR
101223(a)(3)

1
2
3
4
5
6
7
Personal Rights
a) The licensee shall ensure that each child is accorded the following personal rights:To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse .....
This requirement is not met by evidence by
1
2
3
4
5
6
7
Teachers Aide was terminated on June 14, 2024 by Director.
8
9
10
11
12
13
14
Based on interview, the licensee did not ensure C3 did not get his hair pilled by a teaches aide, which poses a potenial health, safety, or personal rights risk to persons 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: 06/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2