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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400157
Report Date: 03/05/2025
Date Signed: 03/05/2025 11:07:36 PM

Document Has Been Signed on 03/05/2025 11:07 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:LEARNING BOX CHILDCARE AND ENRICHMENT CENTER, THEFACILITY NUMBER:
198400157
ADMINISTRATOR/
DIRECTOR:		TELISCIA MARTINFACILITY TYPE:
840
ADDRESS:4601 EAST COMPTON BLVDTELEPHONE:
(310) 627-9593
CITY:RANCHO DOMINGUEZSTATE: CAZIP CODE:
90221
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
03/05/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Telicia Martin, LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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Licensing program Analysts Alicia Mooberry and Andrea Carter conducted an unannounced inspection to the above facility.

Upon arrival at 3:00pm, LPAs met with facility representative Olivia Gibson, Teacher for Preschool license on site. LPAs observed 3 children without the dedicated supervision of staff. Licensee arrived at 3:25pm bringing the facility into compliance.


Olivia Gibson stated they were visually supervising from the room next door which is the pre-school license. There is a half door separating the school age license from the preschool.

Licensee was advised that the lack of supervision of children is an immediate risk to the health and safety of children in care.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee/Director was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the licensee/Director.

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

Exit interview conducted and report was reviewed with the licensee, Teliscia Martin. Appeal Right were discussed and provided

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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Document Has Been Signed on 03/05/2025 11:07 PM - It Cannot Be Edited


Created By: Alicia Mooberry On 03/05/2025 at 03:54 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: LEARNING BOX CHILDCARE AND ENRICHMENT CENTER, THE
FACILITY NUMBER: 198400157

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
03/05/2025
Section Cited
CCR
101515(B)

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The director of the child care center component within the combination program shall maintain administrative responsibility for the overall program and shall provide direct supervision and guidance to the school-age child care center component.
This requirement is not met as evidenced by:
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The licensee arrived to the faciltiy at 3:25pm bringing the facility into compliance. Per licensee, they will make sure to stay at the facility to provide supervision
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Based on LPA observations, there were 3 children in School-age classroom without a dedicated staff supervision posing an immediate health, safety and personal rights risk to children.
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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.
SUPERVISOR'S NAME:Denise Gibbs
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 03/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/05/2025


LIC809 (FAS) - (06/04)
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