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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419837
Report Date: 12/03/2021
Date Signed: 12/03/2021 02:28:31 PM

Document Has Been Signed on 12/03/2021 02:28 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:LAUNCHING PAD, THEFACILITY NUMBER:
197419837
ADMINISTRATOR:THORSTENSON-ROOT, RFACILITY TYPE:
850
ADDRESS:3707 DOOLITTLE DRIVETELEPHONE:
(310) 536-0243
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90278
CAPACITY: 141TOTAL ENROLLED CHILDREN: 141CENSUS: 88DATE:
12/03/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Mary Hettrick-Field DirectorTIME COMPLETED:
02:30 PM
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On December 3, 2021 at 1:45PM, Licensing Program Analyst (LPA) Meghan McGee conducted an unannounced visit to the facility to conduct a Case Management on a self reported incident that occurred on 11/10/2021. Upon arrival, LPA met with Mary Hettrick, Field Director and informed the nature of the visit. There was a total of 88 children being supervised by 17 staff and the Field Director.

The El Segundo Child Care Regional Office received an Unusual Incident/Injury report on 11/10/2021. The report stated that Child 1 (C1) was inside the classroom walking around another child who was sitting on a chair. C1 tripped on the chair and fell forward causing C1 to hit their mouth on the table. C1 chipped their front top left tooth. C1’s parent was notified and picked up C1 from the facility that day.

No other children were injured or at risk at the time of incident. Staff was present and observed the incident.

LPA inspected the area where the injury occurred and did not observe any malformations or items protruding from the furniture that would be a risk to children in care. LPA conducted staff interviews.

Based on this information there was no violation of Title 22 Regulations.

No deficiency cited.

Copy of report and Notice of Site visit issued.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Meghan McGee
LICENSING EVALUATOR SIGNATURE: DATE: 12/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2021
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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