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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495423
Report Date: 12/04/2025
Date Signed: 12/04/2025 12:48:19 PM

Document Has Been Signed on 12/04/2025 12:48 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:LIGHT OF KNOWLEDGE CHILD CARE CENTERFACILITY NUMBER:
197495423
ADMINISTRATOR/
DIRECTOR:		SHAUNEE BREAUXFACILITY TYPE:
860
ADDRESS:13801 INGLEWOOD AVETELEPHONE:
(818) 921-3732
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 12DATE:
12/04/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:RAFEDA SHAMSA, DIRECTORTIME VISIT/
INSPECTION COMPLETED:
01:00 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 12/04/2025, Licensing Program Analyst (LPA) Lisa Clayton conducted an unannounced visit to the Light of Knowledge Child Care Center, to follow up on the Unusual Incident reported to the Department on 10/10/2025. LPA Clayton inspected the CCC inside and outside for Health and Safety and observed 8 children being supervised and cared for appropriately by 2 fingerprint cleared staff.

DETAILS: On 10/3/2025, director Rafeda Shamsa was told by teacher Salwa Awad that child Willow Lopez bit her. Teacher visited doctor and received antibiotics for the bite wound. Director contacted the parents regarding the incident. Center director was instructed by a CDSS Licensing program analyst to report this incident after the department’s visit regarding a complain visit conducted on 10/8/2025. Parents have not responded to the director’s follow up calls regarding the incident at this point.



On 10/09/2025, LPA Clayton interviewed the child’s parent and staff, and it was reported and confirmed that teacher S1 received a bite to her left forearm from C1, which required medical attention and medication. The incident was not reported to the parent or the department by the next working day as specified in the regulation and indicated on the Unusual Incident form LIC 624. On 10/09/2025, LPA Clayton reviewed the child’s file and the employees file, and there were no injury reports regarding a student to teacher bite which required medical attention in the employees file, and there is no report indicating that the student bit the teacher requiring medical attention for the staff in the student file.
NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2025
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 4
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)
Page: 2 of 4
Document Has Been Signed on 12/04/2025 12:48 PM - It Cannot Be Edited


Created By: Lisa Clayton On 12/04/2025 at 11:46 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: LIGHT OF KNOWLEDGE CHILD CARE CENTER
FACILITY NUMBER: 197495423

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/04/2025
Section Cited
CCR
101212(d)(1)(C)

1
2
3
4
5
6
7
(d) Upon the occurrence, during the operation...... (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day...... In addition, a written report...... submitted to the Department within seven days....(1) Events reported shall include the following:(C)Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
1
2
3
4
5
6
7
Director and all staff will ensure that all Unusual Incidents are reported to the child's authorized representative and the Department as indicated in the Title 22 Regulation.
8
9
10
11
12
13
14
This requirement was not met as evidenced by: LPA Clayton interviews revealed that the student bit a teacher, which required medical attention and the incident was not reported to the parent or the department in the time frame outlined in the above mentioned regulation, which posed an immediate Health and Safety risk to the child in care.
8
9
10
11
12
13
14
Director and staff are to watch the Child Care Reporting Requirements video on the Licensing Website and to provide a written Declaration of Understanding of the requirements on the provided Declaration form (LIC 855) to the Department via USPS no later than December 14, 2025.

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.
Karren Starks
NAME OF LICENSING PROGRAM MANAGER:
Lisa Clayton
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 12/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/04/2025


LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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: LIGHT OF KNOWLEDGE CHILD CARE CENTER
FACILITY NUMBER: 197495423
VISIT DATE: 12/04/2025
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
Based on LPA Clayton's record review and interviews with parent and staff, a Type B Deficiency is cited in accordance with Title 22 California Code of Regulations (see LIC 9099D).

An exit interview was conducted, the report and Appeal Rights were reviewed and provided to Director Rafeda Shamsa.
NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2025
LIC809 (FAS) - (06/04)
Page: 4 of 4