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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492893
Report Date: 07/07/2023
Date Signed: 07/07/2023 03:21:57 PM

Document Has Been Signed on 07/07/2023 03:21 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:ROSA & BRIDGES FAMILY CHILD CAREFACILITY NUMBER:
197492893
ADMINISTRATOR:ROSA & BRIDGESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 350-0018
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
07/07/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:36 AM
MET WITH:Tara MooreTIME COMPLETED:
03:36 PM
NARRATIVE
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Licensing Program Analysts (LPA) Laticia Thompson conducted an unannounced case management inspection on 07/07/2023 due to incident that were reported to the department on 06/06/2023. LPA met Tara Moore, Licensee who guided LPA on a tour of the facility. There were 5 children with 3 staff present upon arrival.

The incident that occurred on 06/05/2023 and was reported to the Department on 06/06/23, via telephone. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence

Information reported to the Department indicated that Child #1 bit C#2 multiple times in the face and on the hand.

Licensee disclosed that, licensee and Staff#1 were in a separate room together when the incident occurred. They were changing 2 children’s diapers across from the room where the incident occurred. Licensee stated she was listening and thought Child#1 and Child#2 were playing, when Child#2 lunged forward at Child#1. Licensee stated she did not witness Child#1 bite Child#2. Licensee stated the incident occurred before Staff#1 entered the room.

Staff#1 disclosed she was not in the room where the incident occurred, they were in a room across from where the incident happened. Staff#1 stated they was supervising the room but their back was turned from the door and did not witness the incident. Staff#1 was informed of the incident by Child#2 when they went into the room upon hearing a toy drop. Staff#1 stated Licensee was unable to see in the room due to where she was sitting in a chair. Licensee was not sitting in the same angel as Staff#1.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/07/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ROSA & BRIDGES FAMILY CHILD CARE
FACILITY NUMBER: 197492893
VISIT DATE: 07/07/2023
NARRATIVE
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Co-Licensee stated she did not witness the incident.

C#3 disclosed that C#3 and C#4 are allowed to play alone in the room where the incident occurred.

Based upon information received from the interviews conducted and documentation obtained it was determined that Child #1 and Child#2 were not supervised when Child#1 bit Child#2 multiple times. The incident poses a potential health and safety risk to children in care.

The following deficiency listed on the attached deficiency page is being cited in accordance with California Code of Regulations Title 22. 102423(a)(4)

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Exit interview was conducted with Tara Moore, Licensee, including, but not limited to Provider Rights, Appeal Procedures
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/07/2023 03:21 PM - It Cannot Be Edited


Created By: Laticia S Thompson On 07/07/2023 at 02:37 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: ROSA & BRIDGES FAMILY CHILD CARE
FACILITY NUMBER: 197492893

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/07/2023
Section Cited
CCR
102423(a)(4)

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102423 Personal Rights (a) Each child receiving services from a family child care home shall have certain rights...(4)To be free from corporal or unusual punishment, infliction of pain. This requirment was not met as evidenced by
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The children will no longer be allowed to use the room to play in. The children will use the area to access the bathroom. Care will manily be in the activity learning play area. Staff will alternate duties, to ensure children are supervised at all times.
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Licensee and Staff#1 were preoccupied in a separete room when C#1 bit C#2 multiple times. This poses a potential health and safety, and personal rights risk to children in care.
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ex. if 1 staff will be assigned to diaper changing other staff will supervise the children.

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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:Rita Ramos
LICENSING EVALUATOR NAME:Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:
DATE: 07/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/07/2023


LIC809 (FAS) - (06/04)
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