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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191203783
Report Date: 07/03/2024
Date Signed: 07/03/2024 11:46:58 AM

Document Has Been Signed on 07/03/2024 11:46 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:CHILD EDUCATIONAL CENTER, CALTECH/JPL COMMUNITYFACILITY NUMBER:
191203783
ADMINISTRATOR/
DIRECTOR:
ELLEN VESELACKFACILITY TYPE:
850
ADDRESS:140 FOOTHILL BOULEVARDTELEPHONE:
(818) 354-3418
CITY:LA CANADASTATE: CAZIP CODE:
91011
CAPACITY: 139TOTAL ENROLLED CHILDREN: 139CENSUS: 28DATE:
07/03/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:00 AM
MET WITH:Ellen Veselack TIME VISIT/
INSPECTION COMPLETED:
09:30 AM
NARRATIVE
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Licensing Program Analysts (LPA) Shushanik Safaryan conducted an unannounced Case Management inspection for the purpose for the following up on an unusual incident report. Upon arrival at 08:00 am, LPA met with Facility Representative, Ellen Veselack ,to whom the purpose of the inspection was explained. Tour of the facility was provided. There were 28 children, and 6 staff members present during the inspection.

On 05/30/24 an unusual incident report was submitted to the Department regarding a child sustaining an injury on the facility grounds. Child was playing in the Preschool Yard ; she climbed on the stuck of tires and fell landing on her right arm .Doctors exam showed child had a fracture in her wrist .

During the visit , LPA conducted review of the Preschool play yard and obtained pictures of where the injury took place. LPA conduct interview with the child and staff present .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 and Copy of Report provided.

End of the Report

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/03/2024
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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