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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418475
Report Date: 06/27/2024
Date Signed: 06/27/2024 01:53:22 PM

Document Has Been Signed on 06/27/2024 01:53 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:CRYSTAL STAIRS INC.- SULLIVANFACILITY NUMBER:
197418475
ADMINISTRATOR/
DIRECTOR:		JONES-LOWE, CONNIEFACILITY TYPE:
850
ADDRESS:725 W. RAYMOND STREETTELEPHONE:
3109330760
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 120TOTAL ENROLLED CHILDREN: 112CENSUS: 51DATE:
06/27/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Wanda LewisTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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The Licensing Program Analysts (LPAs), T. Tran and A. Carter conduct an unannounced site visit at Crystal Stairs Inc- Sullivan to follow up on a Case Management Incident occurred on 05/31/24, LPAs met with site supervisor, Wanda Lewis and toured the inside and outside of the facility. LPAs observed proper care and supervision.

LPAs reviewed children and staff files and obtained LIC 500 personnel report and child's document. LPAs conducted interviews with staff, children, and others. Parent was notified of the incident. Based on the interview conducted, on the day of the incident, there were 5 children with two staff present. None of the interviewed parties shared any concerns regarding C1 personal rights was being violated while enrolled at this center. C1 and other children in class G observed to be comfortable with their teachers. Based on the available information it does not appear this incident was the result of a personal rights violation.
No deficiency was found during today's inspection. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Wanda Lewis.

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2024
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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