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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890931
Report Date: 10/09/2024
Date Signed: 10/09/2024 03:12:38 PM

Document Has Been Signed on 10/09/2024 03:12 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ANNA BING ARNOLD CHILD CARE CENTERFACILITY NUMBER:
191890931
ADMINISTRATOR/
DIRECTOR:
JAMES GOODRICHFACILITY TYPE:
850
ADDRESS:2301 NO. LEVANDA AVENUETELEPHONE:
(323) 343-2470
CITY:LOS ANGELESSTATE: CAZIP CODE:
90032
CAPACITY: 102TOTAL ENROLLED CHILDREN: 102CENSUS: 52DATE:
10/09/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:50 AM
MET WITH:James Goodrich, DirectorTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
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On October 9, 2024, Licensing Program Analyst (LPA) Staicy Perry conducted an unannounced case management inspection to follow up with an incident that was reported to the department. LPA met with James Goodrich, Director, who guided LPA on a tour of the facility.

On 10/1/2024, it was reported to the department that on 9/27/2024 C#1 was sliding down the slide with their hands under their bottom. C#1 pinky finger got caught between C#1's bottom and the slide. Child sustained an injury on the pinky finger. Staff present observed incident. However, C#1 was taken to seek medical attention and returned to facility with restrictions the following business day due to the injury causing a mild fracture to the pinky. The incident happened so fast it was unable to be prevented. The incident was not reported to the Department within the 24-hour period. The written report was received via email on 10/1/2024. Technical assistance provided and given.

During today’s inspection, interviews were conducted, and documentation was reviewed and obtained. C#1 incident on 9/27/24 was observed and first aid was provided. Although C#1 did obtain a mild fracture to the pinky, the incident was determined to be an accident. Based on information obtained from interviews, there were no corroborating information to determine that there was a lack of supervision during the incident nor a violation of a child’s personal rights. LPA did advise, James Goodrich, best practice would be to review playground safety daily during outside time with all children.

At this time, the facility is in compliance with California Code of Regulations Title 22. No deficiencies cited.

A notice of site visit was given and must remain posted for 30 days. Appeal right discussed and provided.

Exit interview conducted and report was reviewed with the facility representatives James Goodrich, Director.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE: DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2024
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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