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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416573
Report Date: 09/03/2024
Date Signed: 09/03/2024 04:08:47 PM

Document Has Been Signed on 09/03/2024 04:08 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:WILLIAM R. ANTON EARLY EDUCATION CENTERFACILITY NUMBER:
197416573
ADMINISTRATOR/
DIRECTOR:
CYNTHIA CORCOLESFACILITY TYPE:
850
ADDRESS:831 NORTH BONNIE BEACH PLACETELEPHONE:
(323) 981-3670
CITY:LOS ANGELESSTATE: CAZIP CODE:
90063
CAPACITY: 168TOTAL ENROLLED CHILDREN: 52CENSUS: 43DATE:
09/03/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Principal, Scarlett Ramirez- Holguin TIME VISIT/
INSPECTION COMPLETED:
04:20 PM
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Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced Case Management Incident inspection to follow up on 3 incidents that were reported to the Department on 4/25/2024, 5/23/2024 and 6/12//2024. LPA met with Principal Scarlett Ramirez- Holguin who guided LPA on a tour of the facility. Census was taken.

On April 25, 2024, an incident was self reported to the Department via Email by the facility who reported that child tripped hitting their lips.



On May 23, 2024, an incident was self reported to the Department vial email by the facility who reported that child bump their head on the apparatus.

On June 12, 2024 an incident was self reported to the Department via email by the facility who reported that a parent alleges their child's personal rights were violated by staff.

All reports were reported within the required 24 hours. The purpose of the inspection was to obtain additional information regarding the incident reported to the Department.

During the inspection, LPA Lopez conducted interviews with staff. Regarding incident #1 incident was observed and first aid was applied. Child was taken to the doctor- per doctors note it was recommended for child to stay at home for a few day for observation, no restrictions returning to school. Regarding incident # 2 incident was observed and first aid was provided. Child was not taken to the doctor. Regarding incident # 3 no disclosures were made- child is no longer attending facility.

For this inspection, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with facility representative, Scarlett Ramirez- Holguin ------------ pg. 1 of 1 ----------------------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2024
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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