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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495590
Report Date: 03/04/2026
Date Signed: 03/04/2026 04:07:25 PM

Document Has Been Signed on 03/04/2026 04:07 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:JEFFREY FOUNDATION, THEFACILITY NUMBER:
197495590
ADMINISTRATOR/
DIRECTOR:		ALYCE MORRISFACILITY TYPE:
860
ADDRESS:5443 W WASHINGTON BLVDTELEPHONE:
(323) 965-7536
CITY:LOS ANGELESSTATE: CAZIP CODE:
90016
CAPACITY: 12TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
03/04/2026
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Alma Saldivar ( Site Supervisor) / Veronica Solano (Family Resource Director)TIME VISIT/
INSPECTION COMPLETED:
02:31 PM
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On 3/4/2026, Licensing Program Analyst (LPA) Jillinda Chandler made an announced visit to The Jeffrey Foundation, located at 5443 W. Washington Blvd. Los Angeles, CA 90016. The purpose of todays visit was to conduct a pre-licensing inspection. LPA met with Alma Saldivar ( Site Supervisor) / Veronica Solano (Family Resource Director)who provided a tour of the facility. The location is a single story building, with one classroom that will be dedicated to day care activities and 2 off limit office spaces.. The applicant is requesting a school age license with a capacity of 12 children/adults, ages 14-22 years. Day care operations are conducted: Monday – Friday/ 1:00 P.M. – 5:30 P.M. during school days, and 7:30 A.M. - 5:30 P.M. when schools are not in session. There is an approved fire clearance on file conducted on 9/22/2025 by Lawrence Kim of the L.A. City Fire Department.

Applicant was advised that the centers facility number- 197495590 must be posted on all advertisements.

NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Jillinda Chandler
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2026
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.

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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: JEFFREY FOUNDATION, THE
FACILITY NUMBER: 197495590
VISIT DATE: 03/04/2026
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The following was observed of the:

INDOOR ACTIVITY SPACE

Fire extinguishers were 2AB10C last inspected 1/22/2026

Operable carbon monoxide and fire detectors were observed. during today's inspection. LPA observed smoke detectors were expired. Applicant must replace the smoke detectors.

First aid kits were available with the required essentials: scissors, bandages, tweezers, ointments, a manual and thermometer.

Age-appropriate furniture and equipment was observed in good repair.

School age children are not required to nap, no cots or mats were observed. Children needing to rest may be allowed to use couch in the office.

Lockers were observed for children’s belongings.

Drinking water will be provided through provided bottle water or personal water containers.

The facility has central heating and cooling. No Fireplaces or open face heaters were observed.

Windows were in good repair free of chipping paint, dirt, insects, or debris and adequate lighting was observed.

NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Jillinda Chandler
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
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: JEFFREY FOUNDATION, THE
FACILITY NUMBER: 197495590
VISIT DATE: 03/04/2026
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Cameras were observed in the classroom and outdoors area. Applicant was informed that footage should made readily available upon request by department representatives. Per director the footage is retained for two weeks.

Trash cans used for solid waste were observed with tight fitting lids.

The classrooms were clean in good repair.

Disinfectants, cleaning solutions and other toxins or poisons were made inaccessible to children.

The office shall be designated for isolation of ill children, children will use the student's restroom with disinfection and sanitizing after each use. The child(ren) shall be monitored and supervised at all times.

The facility was equipped with a working telephone in the classroom and facility offices.

Parents and authorized adults will sign children in and out, using their original signatures. Transportation monitors/ or staff sign children in when dropped off at the center. Applicant was informed the sign in sheets shall be readily available upon the request of the departments representative. Sign in sheets must be maintained for a minimum of 30 days or more.

NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Jillinda Chandler
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
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: JEFFREY FOUNDATION, THE
FACILITY NUMBER: 197495590
VISIT DATE: 03/04/2026
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Transportation to the center is provided by the participating schools, Regional Centers, or private transportation.

LPA recommends that a alerting devise be added to the entry doors located on Washington Blvd. and on Carmona St.

The required postings and menus were not posted. Applicant must post required postings in a prominent area for viewing, applicant was provided form LIC. 311A - Records To Be Maintained At The Facility, for referencing.

No guns or other weapons were observed at the facility, per the applicant there are no weapons on the premises.

FOOD SERVICE:

The center only provides morning and evening snacks

LPA observed a prepping area, with a sink, storage for foods and a refrigerator (inside of classroom) with thermometer, and there was no stove. Foods and toxins or chemicals were stored separately, and LPA did not observe any expired or contaminated foods.

Center shall devise an Incidental Medical Service (IMS) plan to provide to parents of children with allergies (epi-pen), asthmatic (inhalers) glucose monitoring (diabetics), and children needing G-tube feeding. IMS was discussed with the director.

NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Jillinda Chandler
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
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: JEFFREY FOUNDATION, THE
FACILITY NUMBER: 197495590
VISIT DATE: 03/04/2026
NARRATIVE
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RESTROOMS

THERE WERE:

1 sink and 1 toilet available for children use, which will accommodate the requested capacity. The restrooms were clean and sanitized with the necessary toiletries, sinks and toilets were age appropriate, operable and in good repair. Faucets delivered cold and hot water. LPA observed water temperature to be 80 degrees (c) and advised the hot water temperature to be lowered or shut off. Temperatures shall be not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).


Toilets used by school-age children shall provide individual privacy,Toilet facilities shall not be used simultaneously by children of both sexes.

OUTDOOR ACTIVITY SPACE

Portable age-appropriate toys and equipment were observed in good condition.

The play yard was gated with a 4 foot or higher gate and enclosed within the building's structure. LPA strongly recommends applicant add alerting devise to the exit gate on Washington Blvd, and extra supervision at all times. All exposed poles shall be padded including the basketball court.

NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Jillinda Chandler
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
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: JEFFREY FOUNDATION, THE
FACILITY NUMBER: 197495590
VISIT DATE: 03/04/2026
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Resilient cushioning was observed in good condition. Toys and equipment were age appropriate.

Water will be readily available during outdoor activities, using children's personal water bottles or drinking fountain located outdoors.

LPA observed shading and benches for resting

There were no bodies of water observed during todays visit, applicant was advise that any standing bodies of water shall be immediately removed after each use.

Measurements for the indoor activity space were 1036.89 square feet, which will accommodate the applicant’s requested capacity.

Measurements for the outdoor activity area were 1305.85, which will accommodate the requested capacity.

Based on today’s inspection the facility shall be recommended for a capacity of 12 children determined by the sink and toilet ratios and requested capacity.

The following corrections or recommendations shall be made prior to licensing the facility:

smoke detectors were expired. Applicant must replace the fire alarms.

NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Jillinda Chandler
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
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: JEFFREY FOUNDATION, THE
FACILITY NUMBER: 197495590
VISIT DATE: 03/04/2026
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LPA recommends that a alerting devise be added to the entry doors located on Washington Blvd. and on Carmona St.

LPA observed water temperature to be 80 degrees (c) and advised the hot water temperature to be lowered or shut off. Temperatures shall be not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).

LPA strongly recommends applicant add alerting devise to the exit gate on Washington Blvd, and extra supervision at all times. All exposed poles shall be padded including the basketball court.

Center shall devise an Incidental Medical Service (IMS) plan to provide to parents of children with allergies (epi-pen), asthmatic (inhalers) glucose monitoring (diabetics), and children needing G-tube feeding. IMS was discussed with the director.

The following was also discussed during today visit:

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and


methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.
Applicant was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center.
NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Jillinda Chandler
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
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: JEFFREY FOUNDATION, THE
FACILITY NUMBER: 197495590
VISIT DATE: 03/04/2026
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A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). Lead Toxicity Prevention and Water Testing Information.
LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.
LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided:
NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Jillinda Chandler
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
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: JEFFREY FOUNDATION, THE
FACILITY NUMBER: 197495590
VISIT DATE: 03/04/2026
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US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
Applicant was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

An exit interview was conducted and report was reviewed with the Alma Saldivar- site director and Veronica Solano - Family Resource Director. LPA will email report to vsalano@thejeffreyfoundation.org.
NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Jillinda Chandler
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
LIC809 (FAS) - (06/04)
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