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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495187
Report Date: 07/31/2024
Date Signed: 07/31/2024 03:50:57 PM

Document Has Been Signed on 07/31/2024 03:50 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CII/YMCA HEAD STARTFACILITY NUMBER:
197495187
ADMINISTRATOR/
DIRECTOR:		JUSTINE LAWRENCEFACILITY TYPE:
850
ADDRESS:9900 S VERMONT AVENUETELEPHONE:
(323) 905-1042
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY: 48TOTAL ENROLLED CHILDREN: 50CENSUS: 26DATE:
07/31/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Georgette BradleyTIME VISIT/
INSPECTION COMPLETED:
03:50 PM
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On 07/31/2024 Licensing Program Analyst (LPA) Doris Whitmore conducted an unannounced visit for the purpose of conducting a Case Management Inspection due to an incident that occurred and was reported to the Regional Office on 7/26/2024 by Georgette Bradley Site Supervisor. LPA Whitmore spoke to Georgette Bradley. LPA Whitmore informed about the purpose of the visit. There was a total of 26 children and 10 Staff. The UIR report stated that (C1) was playing in the dramatic play area. C2 walked over to C1 and try to take a toy out of child’s hand. C1 said “no” and C2 bit C1 on the left shoulder breaking skin. Staff applied first aid to the shoulder and provided comfort to the child. During pick up time. Parent of C1 was provided the ouch report and decided to take child to the doctor. C1 received a tetanus shot and antibiotics. Parent stated child will return on 7/30/2024. LPA Whitmore interviewed staff. C1 was absent today and when C1 returns back to school parent will provide doctors note. LPA was able to review C2 file. Doctor's note will be emailed to LPA Whitmore once C1 returns back to school. S1 was able to demonstrate How the incident occurred outside on the playground.
There are no violations of Title 22 Regulations.
no deficiencies cited
Exit interview was conducted with Site Supervisor Georgette Bradley

Copy of this report and Notice of Site Visit issued.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE: DATE: 07/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/31/2024
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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