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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016409
Report Date: 07/13/2023
Date Signed: 07/13/2023 04:41:13 PM


Document Has Been Signed on 07/13/2023 04:41 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 CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:WEE CARE MONTESSORI CENTERFACILITY NUMBER:
198016409
ADMINISTRATOR:NALI JAYASINGHEFACILITY TYPE:
830
ADDRESS:1901 PALO VERDE AVENUETELEPHONE:
(562) 594-6911
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:38CENSUS: 29DATE:
07/13/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Nali JayasingheTIME COMPLETED:
04:40 PM
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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced Case Management Incident inspection. This inspection is regarding an injury incident that took place on June 8, 2023. LPA met with Director Nali Jayasinghe who provided information and assistance during the inspection.

During the inspection LPA interviewed staff #2, staff #3 and Director Jayasinghe. Staff #1 was not available. Staff #2 and #3 guided LPA to the hallway restroom door area where child #1 was injured. LPA observed the area to be clean, free of abnormal hazards and appearing to be in a normal condition. LPA observed the door only closes fully when pressure or pulling is applied (does not close by itself). LPA received disclosure that staff #1 closed the door and child #1's fingers were caught in the door by accident. Staff #2 indicated staff #2 was approximately three to four ft away when the child was injured, Staff #2 indicated child #1's fingers was caught in the door when staff #1 closed it. Thus, child #1 sustained an injury to the fingers. LPA received disclosure that the staff #1 was with five toddlers at the time (which is within Title 22 ratio). LPA received disclosure that staff #1 was close to the child (within a couple of feet) and was under ratio.

Note: The child was taken to the doctor for medical treatment. The child's parents did not return the child to school. Staff conducted first aid immediately and and followed "reporting requirements" as the 6/08/2022 incident was reported to Child Care Licensing within the required 24 hours (6/09/2023). Information provided matches the incident report.

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. Exit interview was conducted with Director Nali Jayasinghe.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:
DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/22/2023
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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