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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495286
Report Date: 04/30/2025
Date Signed: 05/15/2025 09:35:21 AM

Document Has Been Signed on 05/15/2025 09:35 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:LEAP AND BOUND ACADEMYFACILITY NUMBER:
197495286
ADMINISTRATOR/
DIRECTOR:		ERIN TAMASHIROFACILITY TYPE:
830
ADDRESS:601 S PACIFIC COAST HWYTELEPHONE:
(310) 543-7650
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90277
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: 14DATE:
04/30/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:01 PM
MET WITH:Licensee- Charlie TIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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On 04/30/2025 Licensing Program Analyst (LPA) Brittany Lovest and 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.

LPAs met with Director E. Tamashiro and toured the facility both indoors and outdoors. During today’s inspection there were 14 children, 4 adult staff members and Director E. Tamashiro providing care and supervision. Shortly after at approximately 09:30am Licensee Charles Thacker arrived at the facility.


Based on observation, the facility did not comply with the following regulations:

Criminal Record Clearance 101170(e)(2) LPA Lovest and LPA Castellanos toured the facility and observed staff members (S1 and S4) providing care and supervision in the infant classroom. LPAs reviewed staff files and the Guardian website and confirmed that staff members, S1 & S4 do not have a current criminal clearance associated to the facility named above.

Infant Care Activities 101430(a)(3)(C) Around 09:12 a.m. in the napping area LPA Castellanos and LPA Lovest observed two infants (C1 & C2) out of 3 sleeping infants with oversized sleeping sacks.

There were two (2) deficiencies cited during today’s visit in accordance with the California Code of Regulations, Title 22, Division 12, and Chapter 1. See LIC 9099-D for additional information.

A civil penalty of $100 per day is hereby assessed for maximum 5 days for S1 and S4 the amount totaling $1,000. See LIC 421FC.

NAME OF LICENSING PROGRAM MANAGER: Claudia Escobedo
NAME OF LICENSING PROGRAM ANALYST: Brittany Lovest
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/30/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 05/15/2025 09:35 AM - It Cannot Be Edited


Created By: Brittany Lovest On 04/30/2025 at 10:04 AM
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: LEAP AND BOUND ACADEMY
FACILITY NUMBER: 197495286

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
04/30/2025
Section Cited
CCR
101170(e)(2)

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101170(e)(2)Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working... in a licensed facility: (2) Request a transfer of a criminal record clearance...
This requirement is not met as evidenced by:
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Licencess agrees to have Staff 1 and Staff 4 cleared and associated to facility before Staff is allowed back in the facility. The Licensee will notify LPA via email when it has been completed.
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Based on observation, record review and information obtained the facility did not comply with the section cited above,14 children were left under the supervision of two staff (S1 and S4 ) who did not have a criminal record clearance, during today’s visit from which poses/posed an immediate health, safety or personal rights risk to persons in care
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Deficiency Dismissed
Type A
05/14/2025
Section Cited
CCR101430(a)(3)(C)

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Infant Care Activities 101430(a) Notwithstanding Section 101230, the following shall apply:(3) All infants shall be given the opportunity to sleep without...(C) An infant shall not be swaddled while in care.

This requirement is not met as evidenced by:
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Director agrees to no longer swaddled infants in care. Additionally will speak to parents to provide fitting and comforting clothing for infant in care. Additionally agrees to have all staff watch the following webinar:
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Based on observation, the facility did not comply with the section cited above, at 9:12 a.m. in the napping area LPA observed two infants (C1 & C2) out of 3 nfants sleeping with oversized sleeping sacks, which poses/posed a potential health, safety or personal rights risk to persons in care.
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https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep will submit a written summary of what was covered to LPA via email by POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Claudia Escobedo
NAME OF LICENSING PROGRAM MANAGER:
Brittany Lovest
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/30/2025


LIC809 (FAS) - (06/04)
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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: LEAP AND BOUND ACADEMY
FACILITY NUMBER: 197495286
VISIT DATE: 04/30/2025
NARRATIVE
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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 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. The Director 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 Tamashiro. 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.

NAME OF LICENSING PROGRAM MANAGER: Claudia Escobedo
NAME OF LICENSING PROGRAM ANALYST: Brittany Lovest
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
LIC809 (FAS) - (06/04)
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