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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493691
Report Date: 08/15/2023
Date Signed: 08/16/2023 10:52:13 AM

Document Has Been Signed on 08/16/2023 10:52 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:LITTLE SCHOLARS ACADEMYFACILITY NUMBER:
197493691
ADMINISTRATOR:CRYSTAL THOMPSONFACILITY TYPE:
850
ADDRESS:4168 WEST SLAUSON AVENUETELEPHONE:
(323) 401-7101
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 10DATE:
08/15/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:17 PM
MET WITH:Cyrstal Thompson, LicenseeTIME COMPLETED:
04:26 PM
NARRATIVE
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On 08/15/2023 Licensing Program Analyst (LPA) Laticia Thompson conducted a Case Management to address deficiencies observed during todays visit. LPA observed the following.

LPA walked to the front entry door of the facility to speak with director and observed child#1 in the front yard area alone and unsupervised. Child#1 walked toward the front door of the facility and attempted to turn the locked handled (pictures were taken). LPA opened the front door to the facility and guided child into the facility where Staff members were preparing lunch. LPA conducted a surveillance of the front play yard area and did not observe any staff nor children in the play yard area (pictures were taken). Staff and Director was unaware that child was outside of the facility. LPA informed Director, Staff#1 and Staff#2 of what LPA observed. LPA explained the importance of children must be supervised at all times. The following deficiency listed on the attached deficiency page is being cited in accordance with California Code of Regulations Title 22.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2023
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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Document Has Been Signed on 08/16/2023 10:52 AM - It Cannot Be Edited


Created By: Laticia S Thompson On 08/15/2023 at 03:37 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: LITTLE SCHOLARS ACADEMY

FACILITY NUMBER: 197493691

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 08/15/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/15/2023
Section Cited
CCR
101229(a)(c)

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Responsibility for Providing Care and Supervision licensee shall provide care and supervision...No child.. shall be left without the supervision of a teacher...This requirement is not met as evidenced by:
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LPA observed C#1 in the front play yard of the facility alone, unsupervised and unable to enter into the facility.
This poses an immediate risk to the health and safety of children in care
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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: 08/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/15/2023


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: LITTLE SCHOLARS ACADEMY
FACILITY NUMBER: 197493691
VISIT DATE: 08/15/2023
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A copy of this facility evaluation report (LIC 809 & LIC 809D), Appeal Rights (LIC9058) and Notice of Site Visit (LIC9213) were reviewed and provided to Licensee, Crystal Thompson.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023
LIC809 (FAS) - (06/04)
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