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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191203783
Report Date: 10/03/2023
Date Signed: 10/03/2023 12:01:49 PM

Document Has Been Signed on 10/03/2023 12:01 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:CHILD EDUCATIONAL CENTER, CALTECH/JPL COMMUNITYFACILITY NUMBER:
191203783
ADMINISTRATOR:ELLEN VESELACKFACILITY TYPE:
850
ADDRESS:140 FOOTHILL BOULEVARDTELEPHONE:
(818) 354-3418
CITY:LA CANADASTATE: CAZIP CODE:
91011
CAPACITY: 139TOTAL ENROLLED CHILDREN: 139CENSUS: 102DATE:
10/03/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Ellen Veselack - Director TIME COMPLETED:
12:15 PM
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Licensing Program Analysts (LPAs) Nolan Tcheng and Suzana Safaryan conducted an unannounced Case Management inspection for the purpose for the following up on an unusual incident report. Upon arrival at 10am, LPAs met with Director Ellen Veselack, to whom the purpose of the inspection was explained. Tour of the facility was provided. There were children present during the inspection.

Census was taken. There were 102 children and 20 staff members.

On 09/28/2023, an unusual incident report was submitted to the Department regarding a child sustaining an injury on the facility grounds. Child was riding on the bike path and fell over, hurting their arm. Child sought medical evaluation and was found to have fractured right arm, LPAs conducted review of the play yard and obtained pictures of where the injury took place. Interviews were conducted with two staff members and one child. A staff member observed the incident occur and called for Staff #2 (Child's lead teacher) for assistance in attending to child. After review of information, there were no obstructions on the path or defects on the tricycles that could have caused the child to fall off the tricycle. Child was attended to immediately by staff, first aid was provided to the child, and an ouch report was created for the child on the day of the injury (obtained during today's inspection).

Based on the information obtained and observation of yard area, LPA determined that there was adequate supervision on the day of injury and it was not possible to prevent the injury from happening. Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

Exit interview conducted with the Director Ellen Veselack, 11:55am. Copy of Report provided.

END OF REPORT

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2023
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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