<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495012
Report Date: 05/20/2024
Date Signed: 05/20/2024 03:24:14 PM

Document Has Been Signed on 05/20/2024 03:24 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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:LITTLE ONES ACADEMYFACILITY NUMBER:
197495012
ADMINISTRATOR/
DIRECTOR:		SASHA SARGENTFACILITY TYPE:
850
ADDRESS:4415 165TH STREETTELEPHONE:
(310) 462-9073
CITY:LAWNDALESTATE: CAZIP CODE:
90260
CAPACITY: 38TOTAL ENROLLED CHILDREN: 38CENSUS: 9DATE:
05/20/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Dana Davis - DirectorTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 05/20/2024 Licensing Program Analyst (LPA) Cristina Castellanos arrived at the above-mentioned facility for the purpose of delivering complaint findings. Upon arrival, at approximately 11:43am LPA let herself into the facility and observed a staff laying on top of stacked cots in the corner facing her cell phone, which was facing the wall. While walking around the classroom the staff continued to lay down on the cot and on her phone without any visual observation of the children. At 11:49am LPA’s personal phone rang and the staff laying down did not hear or make any movements from her position. LPA continue to observe and walk around the classroom as the staff continued to be unaware of LPA’s presence. At approximately 11:54am staff raised her head from the cot an made eye contact with LPA, who was standing in the middle of the room. Staff continued to look at LPA and said “Yes.” LPA then introduced herself and explained the purpose of today’s visit. LPA asked staff her name and she replied, “M. Rich.”

During today’s inspection there were 8 children and 1 staff not providing care and supervision. Shortly after Director Dana Davis arrived at the facility at approximately 12:03pm. At approximately 12:05pm a child was dropped off at the facility.

Based on observation, the facility did not comply with Responsibility for Providing Care and Supervision section 101229(a)(1) The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, there is one (1) deficiency cited at this time for violation of Title 22 regulation; (see LIC809-D).

Upon receipt of this report, the Director shall post the Notice of Site Visit and any Licensing report documenting a Type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of

Continue
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE: DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/20/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 05/20/2024 03:24 PM - It Cannot Be Edited


Created By: Cristina Castellanos On 05/20/2024 at 01:16 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 ONES ACADEMY
FACILITY NUMBER: 197495012

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/31/2024
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
Responsibility for Providing Care and Supervision 101229(a)The licensee shall provide care...(1)No children shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.
This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Director will provide a written declaration on how staff will ensure children are not left without supervision of a techer at any time, which shall include visual observation as well. The written declaration will be provided via email to LPA by POC due date.
8
9
10
11
12
13
14
Based on observation, the facility did not comply with the section cited above in 1 staff not providing Care and Supervison to 8 children during nap time, which poses/posed a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Claudia Escobedo
LICENSING EVALUATOR NAME:Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:
DATE: 05/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/20/2024


LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LITTLE ONES ACADEMY
FACILITY NUMBER: 197495012
VISIT DATE: 05/20/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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 Acknowledgment of Receipt (LIC9224) form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.

An exit interview was conducted and Plan of Correction was reviewed and developed with the Director. A copy of this report and appeal rights were discussed and left with the Director, whose signature on this form confirm receipt of these documents.





















Page 2
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3