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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017157
Report Date: 04/10/2025
Date Signed: 04/10/2025 03:19:23 PM

Document Has Been Signed on 04/10/2025 03:19 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:HARRIETTE EVANS SHIELDS CDC/DREW CHILD DEVELOPMENTFACILITY NUMBER:
198017157
ADMINISTRATOR/
DIRECTOR:		LAUNYE OWENSFACILITY TYPE:
850
ADDRESS:224 E. 126TH STREETTELEPHONE:
(323) 779-6196
CITY:LOS ANGELESSTATE: CAZIP CODE:
90061
CAPACITY: 49TOTAL ENROLLED CHILDREN: 37CENSUS: 23DATE:
04/10/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:56 PM
MET WITH:Administrator- Launye OwensTIME VISIT/
INSPECTION COMPLETED:
03:35 PM
NARRATIVE
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On 4/10/25 at 1:00pm Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced case management incident visit. LPA Calderon met with Teacher Naima Zeroauali Khider who granted LPA entry into the facility. LPA met with Administrator Launye Owens and disclosed the purpose of today's visit.

LPA alongside with L.Owens conducted a tour of the facility. LPA observed 3 classrooms, total of 3 teachers and 23 children were observed during nap time.

LPA followed up in (3) Unusual Incident Reports reported to Licensing on the following dates :
  • 3/17/25 -Child #1 that was injured by another child with a broom on 3/17/25, Per Owens Child #1 carried on with their day and no unusual behavior displayed. L.Owens stated mother did not mention child seeking medical attention and mother picked up child early but not due to injury. Facility reported timely. During today's visit LPA received copy of Ouch report provided to parent. LPA observed broom (play house items), LPA reviewed specification for age requirement which states 3 years & up, meeting the requirement of age appropriateness for children to play with.
  • 3/24/25- regarding painting of interior of the facility estimated to take place between 3/25/25 - 4/11/25. On today's visit date L.Owens informed LPA all indoor spaces were painted and painting was completed Thursday 4/3/25 and painting occurred after school hours. L.Owens stated verbally notified parents of paint job and by written letter. Letter was provided to LPA Calderon. Facility reported timely.

(Page 1 /Cont...)
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/10/2025
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)
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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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: HARRIETTE EVANS SHIELDS CDC/DREW CHILD DEVELOPMENT
FACILITY NUMBER: 198017157
VISIT DATE: 04/10/2025
NARRATIVE
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  • 3/05/25- facility reported an injury that occurred on 2/26/25, during visit facility provided Ouch report for Child #2 . Per Ownes, child returned to school 3/3/25 at that time did not know child saw medical attention until approximately a week late approx. on 3/10/25 when Owens saw Doctors notice pertaining to Child #2 on their desk. Teacher that observed fall Staff #1 showed LPA Calderon Toddler Play area were Child #2 used a push toy, stated child was going down the hill in the concrete area when leaned towards toy and fell. LPA observed play space (pictures taken), concrete area by Toddler 1 Door was observed unlevel measurement taken and concrete raising up on two sides at 5/8 inches, due to fall of Child #2 and safety concerns citation was cited.
  • During today 4/10/25 at 12:58pm LPA Calderon observed in the exterior of the school, at the schools parking lot (3) workers replacing/ fixing the gate. Per Owens, stated if reported would of been by the Corporation, Owens stated observing workers working on gate upon arriving to the school on 4/7/25 and estimate to get done by 4/11/25. As of today's date, no reporting of gate was conducted based on file review for the above facility, deficiency cited.


Based on record review, interviews and observation per California Code of Regulation Title 22 (2) deficiencies were cited on today's visit. A Notice of Site visit was provided and must be posted for 30 days. An exit interview was conducted with Administrator Launye Owens, copy of reports were provided and appeal rights.

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NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/10/2025 03:19 PM - It Cannot Be Edited


Created By: Ashley Calderon On 04/10/2025 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HARRIETTE EVANS SHIELDS CDC/DREW CHILD DEVELOPMENT
FACILITY NUMBER: 198017157

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/09/2025
Section Cited
CCR
101238(a)

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Building & Grounds: (a)The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
This requirement is not met as evidence by:
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Licensee will submit a ticket form to Drew Corporation to fix unlevel concrete area in outdoor toddler play space and receipts and pictures of concrete fixed and leveled will be sent to LPA Calderon via email by poc due date.
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Outside Play area was observed and concrete area by Toddler 1 Door was observed unlevel measurement taken and concrete raising up on two sides at 5/8 inches, pictures taken.
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Type B
04/16/2025
Section Cited
CCR101237(a)

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101237 Alterations to Existing Buildings or New Facilities
(a) Prior to construction or alterations, the licensee shall notify the Department of the proposed change(s).

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Licensee / Facility Representative from Corporate office will sent a written incident report by 7 days of construction start date to Licensing UIR email and CC LPA Calderon by poc due date.
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LPA Calderon at 12:58pm observed 3 construction workers working on replacing and fixing the parking lot gate. Per Admin. L.Owens stated came to work on 4/7/25 and noticed construction being done to the parking lot gate and did not report and unaware if corporate did.
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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.
Denise Gibbs
NAME OF LICENSING PROGRAM MANAGER:
Ashley Calderon
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/10/2025


LIC809 (FAS) - (06/04)
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