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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408510
Report Date: 04/02/2024
Date Signed: 04/05/2024 10:22:28 AM

Document Has Been Signed on 04/05/2024 10:22 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:ALLIES FOR EVERY CHILD, INCFACILITY NUMBER:
197408510
ADMINISTRATOR:STEPHANIE GIBBONS-THIBODEAFACILITY TYPE:
850
ADDRESS:12120 WAGNER STREETTELEPHONE:
(310) 397-4200
CITY:CULVER CITYSTATE: CAZIP CODE:
90230
CAPACITY: 99TOTAL ENROLLED CHILDREN: 99CENSUS: 9DATE:
04/02/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:29 PM
MET WITH:Stephanie ThibodeauxTIME COMPLETED:
01:30 PM
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On 4/02/24, Licensing Program Analyst (LPA), Ranita Richmond conducted a case management inspection and met with site supervisor Stephanie Thibodeaux. LPA observed classroom 7 with 9 preschool children and 2 staff appropriately caring for and supervising the children in care. The staff were supervising within proper ratios.

The purpose of the inspection is regarding a child (Child #1) that was injured on the premises on 02/29/24. The child fell on the playground and sustained injury to the right elbow.

LPA interviewed Staff #1, child #1, #2, and #3.

Based on information obtained and interviews conducted, further investigation is necessary. LPA inspected the playground and did not observe any hazards. The staff administered first aid and called the parents. The child returned to school four weeks later. There are no violations according to Title 22 Regulations.

Exit interview and copy of report provided.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE: DATE: 04/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/02/2024
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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