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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021352
Report Date: 01/22/2025
Date Signed: 01/22/2025 02:17:14 PM

Document Has Been Signed on 01/22/2025 02:17 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:PC FIRST STEPS EARLY HEAD START CENTERFACILITY NUMBER:
198021352
ADMINISTRATOR/
DIRECTOR:		JUDY FAY CASHELLFACILITY TYPE:
860
ADDRESS:1500 N. VERDUGO RD.TELEPHONE:
(818) 949-0019
CITY:GLENDALESTATE: CAZIP CODE:
91208
CAPACITY: 25TOTAL ENROLLED CHILDREN: 23CENSUS: 17DATE:
01/22/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Francis Hogan, Service Area SupervisorTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced case management- incident inspection on 01/22/25 at 11:30 AM, due to an incidents that occurred on Monday 10/21/24 and Monday 11/04/24. LPA met with Francis Hogan, Service Area Supervisor who guided analyst on a tour of the facility.

Alleged Incident took place on 10/21/24. Incident was reported via telephone on 11/07/24 same day that facility first learned about the incident from parent#1. The written incident report was received by email on 11/11/24. The facility reported the incident within the required 24 hour time frame.

LPA conducted interviews with four staff. LPA obtained children sign in/out sheet for 10/21/24, daily record, and facility internal follow up notes. Incident was reported to DCFS on 11/07/24. There is no doctor or police report on file regarding the incident that occurred on 10/21/24.

Per staff#1, parent#1 disclosed to the facility on 11/07/24 that child#1 told parent#1 that on 10/21/24, child#1 was touched inappropriately during diapering.
Based on four staff interviews, they did not observe any staff to touch child#1 inappropriately during bathroom or changing diaper time.

On 10/21/24 at the time of incident there were 7 children with 3 staff in the classroom where incident occurred.

Alleged incident took place on 11/4/24. Incident was reported via telephone on 11/05/24. The written incident report was received by email on 11/06/24. The facility reported the incident within the required 24 hour time frame.
REPORT CONTINUES ON NEXT PAGE 1 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2025
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: PC FIRST STEPS EARLY HEAD START CENTER
FACILITY NUMBER: 198021352
VISIT DATE: 01/22/2025
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LPA observed the area where alleged incident took place. LPA conducted interviews with two staff. LPA obtained copy of children sign in/out sheet for 11/04/24.

Based on two staff interviews, child#2 tripped on teacher's foot as they were cleaning after lunch and hit her right eye lid on the table and sustained a cut. First aid was applied, child#2 was taken to the doctor and received stiches. Per staff#1, staff rearranged the classroom to have more open space and prevent future tripping incidents.

LPA accessed where alleged incident occurred and did not observe any hazards. Ratio and staffing were in accordance with Title 22 Code of Regulations at the time of the incident. On 11/04/24 at the time of incident there were 5 children with 2 staff in the classroom where incident occurred.

LPA issued the Confidential Names List (LIC 811) to the licensee during this inspection. The Confidential Names List documents the staff and children involved with the incidents documented in this report.

At this time, there is not a preponderance of evidence that shows that the facility was in violation with Title 22 Regulations when these incidents occurred. Therefore, there are no deficiencies being cited on this date.

The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Francis Hogan, Service Area Supervisor.


REPORT END 2 OF 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC809 (FAS) - (06/04)
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