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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191609742
Report Date: 02/11/2025
Date Signed: 03/14/2025 10:47:36 AM

Document Has Been Signed on 03/14/2025 10:47 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:STAR - OVERLANDFACILITY NUMBER:
191609742
ADMINISTRATOR/
DIRECTOR:
DA SILVA, DENISEFACILITY TYPE:
840
ADDRESS:10650 ASHBY AVENUETELEPHONE:
(310) 202-7980
CITY:LOS ANGELESSTATE: CAZIP CODE:
90064
CAPACITY: 210TOTAL ENROLLED CHILDREN: 210CENSUS: 99DATE:
02/11/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:17 PM
MET WITH:Hailey Cullen- Assistant Director TIME VISIT/
INSPECTION COMPLETED:
02:50 PM
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On 02/11/2025, Licensing Program Analyst (LPAs) Brittany Lovest and Judy Laureano conducted an unannounced Case Management – Incident inspection related to a self-reported Unusual Incident Report (UIR) submitted on 01/21/2025. Upon arrival, LPAs met Assistant Director Hailey Cullen, and explained the purpose of the visit. LPA observed 99 children in care, being supervised and care for by 10 staff members and Assistant Director.

During today’s inspection, LPA's toured the facility both indoors and outdoors.

Based on Unusual Incident report received on 01/21/25 report reflects that staff 1 spoke used to inappropriate language with child. During today’s visit LPA’s conducted interviews with staff and children. Incident repots and Children's roster was received and reviewed. Based on the information gathered further investigation is needed.

An exit interview was conducted. A copy of this report and Notice of Site Visit were provided to Assistant Director Hailey Cullen and must remain posted for 30 days.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Brittany Lovest
LICENSING EVALUATOR SIGNATURE: DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/11/2025
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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