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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019906
Report Date: 08/24/2023
Date Signed: 08/24/2023 02:35:59 PM

Document Has Been Signed on 08/24/2023 02:35 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:EDUCARE LOS ANGELES AT LONG BEACHFACILITY NUMBER:
198019906
ADMINISTRATOR:MARIA HARRISFACILITY TYPE:
830
ADDRESS:4840 LEMON AVETELEPHONE:
(562) 422-6618
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY: 60TOTAL ENROLLED CHILDREN: 47CENSUS: 37DATE:
08/24/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Facility RepresentativesTIME COMPLETED:
03:30 PM
NARRATIVE
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On 08/24/2023 at 2:30 PM Licensing Program Analysts (LPAs) Katrina Chicote and Raul Navarro conducted an unannounced case management inspection to follow up on an incident that was reported to the Department on 08/23/2023. Upon arrival, LPAs met with Facility Representatives, who provided LPAs a tour of the facility inside and outside. Census was taken.

On 08/22/2023, an incident was reported to The Department where a teacher (S1) observed marks on an infant's (C1) buttox during a diaper change that resembled bite mark. The facility reported this incident to the Department within the required 24 hours and was emailed to MPSW Incident Reports email inbox.

During this inspection, LPAs interviewed staff who observed marks on infant. Per FR, they reported the incident to DCFS (#0559165433723045775) and they conducted follow up with Authorized Representative. Per FR, infant was pulled out of program as of 08/23/2023 by Authorized Representative. FR states that infant was already going to be pulled out by the end of the week. LPAs obtained and reviewed documentation during visit.

Based on the information obtained, no deficiency cited during today's visit in regards to incident and no other follow up required at this time.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with the Facility Representatives.

Report Ends - Page 1 of 1
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2023
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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