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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700057
Report Date: 03/22/2024
Date Signed: 03/22/2024 01:47:43 PM

Document Has Been Signed on 03/22/2024 01:47 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:NAMAYIGA FAMILY CHILD CAREFACILITY NUMBER:
195700057
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
03/22/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Licensee / Winnie NamayigaTIME COMPLETED:
11:45 AM
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On 3/22/24, at 8:10AM, Licensing Program Analysts (LPAs) Joe Katrdzhyan and Tatiana Bickham conducted an unannounced Case Management Visit to this facility. Upon arrival, LPAs met with Licensee / Winnie Namayiga, who guided LPAs on a tour of the facility. There were 5 day care children present during today’s inspection, of which 4 are infants. LPAs disclosed the purpose of this visit was to follow up on the alleged incident reported to Community Care Licensing (CCL) on 3/8/24.

On 3/11/24, the El Segundo North Child Care Regional Office received a phone call from the Licensee stating that Child 1 (C1) was injured in the private area by Child 2 (C2). On 3/8/23, the parents of C1 disclosed to the Licensee that during dinner time, C1 stated that while C1 and C2 were playing in the play room, C2 picked up a toy doll and hit C1 in the private area. C1 stated that C2 took off the pants of C1 during the alleged incident. The date of the alleged incident was on 3/8/24, exact time unknown.

During today's visit, LPAs interviewed the Licensee and obtained copies of documentation from the file of C1. LPAs obtained a copy of the Children’s Roster. Licensee will submit a copy of the Personnel Report / LIC 500 by Monday (3/25/24).

At this time, further investigation is needed.

The notice of site visit must be posted for 30 days.
An exit interview was conducted and a copy of this report was provided to Winnie Namayiga.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE: DATE: 03/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2024
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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