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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494241
Report Date: 05/21/2024
Date Signed: 05/21/2024 11:15:36 AM


Document Has Been Signed on 05/21/2024 11:15 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:PACE - ALOHA LEARNING CENTERFACILITY NUMBER:
197494241
ADMINISTRATOR:NUBIA JUAREZFACILITY TYPE:
850
ADDRESS:13000 VAN NESS AVENUETELEPHONE:
(424) 340-2640
CITY:GARDENASTATE: CAZIP CODE:
90249
CAPACITY:92CENSUS: 76DATE:
05/21/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Nubia Juarez- Regional Site DirectorTIME COMPLETED:
11:14 AM
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 On 05/21/2024 at 8:00 a.m.Licensing Program Analyst (LPA)Doris Whitmore conducted an unannounced visit for conducting a Case Management Inspection due to an incident that occurred on 03/18/2024 and was reported to the Regional Office. LPA met with Nubia Juarez, Regional Site Director and informed the nature of the visit to follow up from the last visit on 04/11/2024. On 04/11/2024 child was absent during the visit.LPA observed 76 Children in care with proper teacher/child ratios observed. There was a total of 17 staff. LPA Whitmore interviewed the Regional Site Director. LPA was unable to interview the child. The child's last day of attendance at the facility was 03/18/2024. Child did not return back to the facility after the incident that occurred on 03/18/2024. Child is currently not enrolled any more. Child was dropped on 04/20/2024.
Based on information that was obtained throughout the course of the investigation. S1 was able to describe in details How the child's diaper was changed. The diaper changing log was reviewed and documented from the teacher on 03/18/204/ The diaper log did not specify any thing out of thre ordinary. On the Doctors note that was turned in there were no instructions,diagnosis from the doctor, or restrictions. LPA Whitmore contacted the mother and there was no answer. LPA Whitmore left a message with contact information. There are no violations of Title 22 Regulations.
no deficiencies cited
Copy of this report and Notice of Site Visit issued.

SUPERVISOR'S NAME: Karren StarksTELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:
DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/21/2024
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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