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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008722
Report Date: 05/03/2023
Date Signed: 05/03/2023 03:41:58 PM

Document Has Been Signed on 05/03/2023 03:41 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:HARRY PREGERSON CHILD CARE CENTER, THEFACILITY NUMBER:
198008722
ADMINISTRATOR:MIRANDA VALDESCONAFACILITY TYPE:
850
ADDRESS:255 E. TEMPLE ST.TELEPHONE:
(213) 894-1556
CITY:LOS ANGELESSTATE: CAZIP CODE:
90012
CAPACITY: 31TOTAL ENROLLED CHILDREN: 31CENSUS: 29DATE:
05/03/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Veronica Rafael TIME COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Judy Mora conducted a case management inspection due to an incident that occurred on or around 04/03/2023. LPA met with Assistant Site Supervisor, Veronica Rafael, who guided LPA on a tour of the facility. At the time of inspection, LPA observed 17 children with 02 staff in the preschool room and 12 children with 01 staff in the Toddler 2 Room. Staff to children ratios were observed to be in accordance with Title 22 Regulations. LPA conducted interviews and obtained documentation during this visit.

The incident that was reported to the Department on Monday, April 3, 2023 was not reported to the Department until 04/24/23 via email. Due to mis-communication the incident was not reported within the required 24hrs. The facility is being cited for failure to report this incident to the Department within the required 24 hours. The facility was cited for Reporting Requirements in August 2022. This was a repeat violation within 12 months; due to the repeat violation the facility will be assessed civil penalties.

Based on all information obtained on this date, and interviews conducted with teachers and a child, no follow-up is necessary regarding the incident. The incident appears to be an unusual incident. There were no disclosures made about the incident to corroborate with the allegation of personal rights.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

The deficiency listed on the following page was observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809d.

Deficiency that is being cited needs to be cleared to protect the children’s health & safety. Exit interview was conducted with Director, America Torres. Appeal rights explained & provided.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2023
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 05/03/2023 03:41 PM - It Cannot Be Edited


Created By: Judy Mora On 05/03/2023 at 02:36 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: HARRY PREGERSON CHILD CARE CENTER, THE
FACILITY NUMBER: 198008722

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/08/2023
Section Cited
CCR
101212(d)

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Reporting Requirements
Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified
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Site supervisor will take training on Reporting Requirements usign the CCL videos. LPA will be sent a written statement on what was learned frmo the video.
POC due date 05/08/23.
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in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
This requirement was not met as evidenced by Unusual incident report that was submitted to the Department on 04/24/23. An unusual incident occurred on 04/03/23 and was not reported to the department within the required 24 hours. This is a potential risk to the health and safety of children in care. This is a repeat violation within 12 months. Civil penalties are being assessed.
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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 Guangorena
LICENSING EVALUATOR NAME:Judy Mora
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2023


LIC809 (FAS) - (06/04)
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