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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015239
Report Date: 05/03/2023
Date Signed: 05/03/2023 12:27:32 PM

Document Has Been Signed on 05/03/2023 12:27 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:JOY PICUS CDC/MOUNT WASHINGTON PS & CCCFACILITY NUMBER:
198015239
ADMINISTRATOR:DIANE WALKERFACILITY TYPE:
850
ADDRESS:111 E. FIRST STREETTELEPHONE:
(213) 978-0026
CITY:LOS ANGELESSTATE: CAZIP CODE:
90012
CAPACITY: 60TOTAL ENROLLED CHILDREN: 35CENSUS: 26DATE:
05/03/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Felicia Sanchez TIME COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) conducted a case management inspection due to an incident that occurred on 12/28/22 . LPA met with Center Director, Felicia Sanchez, who guided LPA on a tour of the facility. At the time of inspection, LPA observed 15 children with 02 staff in the preschool room and 11 children with 03 staff from the Toddler 2 Room on the outdoor play yard.

LPA conducted interviews and obtained documentation during this visit.

The incident that occurred on Wednesday, 12/28/22 was reported to the Department on 01/04/23. On 12/28/22 C1 was taken to the doctor. however, the child's parents were notified that the child only had a chest contusion. The child was taken for further medical attention on 12/30/22 where the parents of C1 became aware that the child had a more serious injury. The facility was notified of this on 01/03/23 in the evening. The facility reported the incident the following day.

Based on all information obtained on this date, and interviews conducted with staff, no follow-up is necessary regarding the incident. The incident appears to be an unusual accident. It appears to be nothing the facility staff could have done to prevent the incident from occurring. LPA recommended that mats be placed over the metal plates that are located on the play yard to prevent any similar injury.

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.

There are no citations being issued today. Exit interview was conducted with Felicia Sanchez. Appeal rights were 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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