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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020337
Report Date: 03/11/2025
Date Signed: 03/11/2025 09:53:35 AM

Document Has Been Signed on 03/11/2025 09:53 AM - 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:SEGRAY EAGLE ROCKFACILITY NUMBER:
198020337
ADMINISTRATOR/
DIRECTOR:		JENNIFER LEMAY LANDAFACILITY TYPE:
850
ADDRESS:4475 EAGLE ROCK BLVD.TELEPHONE:
(323) 507-2640
CITY:LOS ANGELESSTATE: CAZIP CODE:
90041
CAPACITY: 155TOTAL ENROLLED CHILDREN: 155CENSUS: 95DATE:
03/11/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:10 AM
MET WITH:Abigael Pelaez, DirectorTIME VISIT/
INSPECTION COMPLETED:
10:05 AM
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On March 11, 2025, Licensing Program Analysts (LPAs) Monique Ayala and Monica Ruiz conducted an unannounced Case Management Inspection for an incident report that occurred on 03/04/2025 and was reported to the department on 03/05/2025; the report was reported timely to the department. LPAs met with director Abigael Palaez who guided LPAs on a tour of the facility. LPAs observed 95 children in care with 28 staff.

During the inspection LPAs interviewed Staff #1 (S1) to Staff #3 (S3), reviewed Child #1 (C1) file and obtained a current copy of the facility's child roster. LPAs attempted to interview C1, C1 did not want to speak to LPAs.

Per S1, C1 was drying her hands at the sink. S1 called C1 to come and help put the chair away, C1 ran toward the S1, C1 tripped and fell, hitting her head on the edge of the table. C1 sustained a cut on left eyebrow that required stitches. S1 applied pressure and ice pack to area. Per S1, director called C1 parents to inform them of the incident immediately. Per S2, she was helping friends line up to clean up after snack time. During transition, S2 heard C1 start to cry and saw S1 walking C1 to the sink. S2 told children to give S1 and C1 some space. Per S3, class was in the process of cleaning up after snack. Per S3, all staff help children put plates away, wipe tables and stack chairs. Per S3, C1 was running from the sink, tripped and hit their head on the table. Per S1-S3 there was nothing on the floor that may have caused C1 to trip/slip. Per S1-S3, children do not lift chairs to stack or place on top of the tables. However, per S1-S3 children do slightly carry the chairs while staff assist the children in stacking the chairs. LPAs observed the tables in the classroom to be child sized with rounded corners and observed the chairs to be child size (LPAs took pictures of furniture).

There are no deficiencies being cited at this time.

An exit interview was conducted and a copy of this report was provided to the director, along with Appeal Rights. A Notice of Site Visit was provided and must be posted for 30 days.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025
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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