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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495012
Report Date: 08/22/2024
Date Signed: 08/22/2024 11:06:55 PM

Document Has Been Signed on 08/22/2024 11:06 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:
08/22/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:31 PM
MET WITH:Dana Davis - DirectorTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
NARRATIVE
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On 08/22/2024 Licensing Program Analyst (LPA) Cristina Castellanos conducted an unannounced case management inspection for the purpose of ensuring the standards are being met in accordance with California Tittle 22 Regulations and California Health and Safety Codes.

During today’s inspection there were nine (9) children and one (1) adult staff and Director Dana Davis providing care and supervision.

Based on observation and record review, the facility did not comply with Sign In and Sign Out section 101229.1(a)(1) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain, and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

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), as well as a Civil Penalty Assessment for Failure to Correct and Repeat Violation was given.

An exit interview was conducted and Plans of Correction were reviewed and developed with Director Davis. A copy of this report and appeal rights were discussed and left with the Director. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2024
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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Document Has Been Signed on 08/22/2024 11:06 PM - It Cannot Be Edited


Created By: Cristina Castellanos On 08/22/2024 at 01:11 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: 08/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2024
Section Cited

101229.1(a)(1)

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Sign In and Sign Out 101229.1 (a)...the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center... (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

This requirement is not met as evidenced by:
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Director agrees to ensure that all parents sign in and and out at all times. Director will submit a written statement of understanding signed by all staff and parents to LPA via email by POC due date.
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Based on record review, the facility did not comply with the section cited above in 5 out of 9 chidlren were not signed in, which poses/posed a potential health, safety or personal rights risk to persons 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:Claudia Escobedo
LICENSING EVALUATOR NAME:Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:
DATE: 08/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2024


LIC809 (FAS) - (06/04)
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