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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495126
Report Date: 06/04/2024
Date Signed: 06/07/2024 07:23:29 PM

Document Has Been Signed on 06/07/2024 07:23 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:FIRST FLIGHT BY LA PETITEFACILITY NUMBER:
197495126
ADMINISTRATOR/
DIRECTOR:		RENU VAN BATTUMFACILITY TYPE:
850
ADDRESS:9320 LINCOLN BLVDTELEPHONE:
(310) 568-2743
CITY:LOS ANGELESSTATE: CAZIP CODE:
90045
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: 28DATE:
06/04/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:31 PM
MET WITH:Gabby Romero - DirectorTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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On 06/04/2024 Licensing Program Analyst (LPA) Judy Laureano and 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.

LPAs met with Assistant Director Nancy Medina and toured the facility both indoors and outdoors. During today’s inspection there were 28 children, 3 staff, Assistant Director Medina and Director Gabby Romero providing care and supervision.

Based on observations, the Early Preschool Classrooms 1 and 2 did not comply with the Indoor Activity Space section 101238.3(b) The floors of all rooms shall have a surface that is safe and clean. From approximately 09:27am to 11:55am LPAs observed the eating area to have cereal crumbs all over the classroom floor. During today’s visit the facility is being cited a Type B, please see LIC 9099D.

An exit interview was conducted with Director Gabby Romero. A copy of this report and appeal rights were discussed and left with Director Romero. Appeal rights were explained and given to the Director. A copy of this report was provided to the Director along with the Notice of Site Visit.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE: DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/04/2024
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 06/07/2024 07:23 PM - It Cannot Be Edited


Created By: Cristina Castellanos On 06/04/2024 at 01:10 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: FIRST FLIGHT BY LA PETITE
FACILITY NUMBER: 197495126

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/11/2024
Section Cited
CCR
101238.3

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101238.3 Indoor Activity Space(b) The floors of all rooms shall have a surface that is safe and clean.

This requirement is not met as evidenced by:
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The director will revisit the facility’s cleaning procedures after each meal and ensure cleaning procedures are being followed at all times. Additionally, the director will forward a signed cleaning procedure of understanding by POC due date.




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Based on observation, the facility did not comply with the section cited above LPAs observed the Early Preschool Classrooms 1 & 2 eating area to have cereal crumbs all over the classroom floor from approximatetly 9:27am to 11:55am, which posed a potential health,and safety 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: 06/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/04/2024


LIC809 (FAS) - (06/04)
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