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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197409702
Report Date: 06/29/2023
Date Signed: 06/29/2023 11:31:24 AM

Document Has Been Signed on 06/29/2023 11:31 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 NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CHILD'S WORLD SCHOOLFACILITY NUMBER:
197409702
ADMINISTRATOR:DEBBIE HEIMFACILITY TYPE:
830
ADDRESS:6100 LINDLEY AVENUETELEPHONE:
(818) 343-8122
CITY:ENCINOSTATE: CAZIP CODE:
91316
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 14DATE:
06/29/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:16 AM
MET WITH:Debrah Heim, DirectorTIME COMPLETED:
11:50 AM
NARRATIVE
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Licensing Program Manager (LPM) Rita Ramos and Licensing Program Analyst (LPA) Lilia Hernandez conducted and unannounced complaint inspection to the above facility on 06/27/23. LPM and LPA arrived to the facility at 9:16AM and initially met with Vino Veerasingam, Administrator Assistant, who guided LPA on a tour of the facility. There were 14 children with 9 staff upon arrival. LPM and LPA were later met by Evan Levi, Licensee, Mia Levi, Licensee, and Debrah Heim, Director.

The purpose of the visit is to address deficiencies that were discovered during the course of an investigation conducted by the Department.

Based on interviews conducted, declarations obtained, records reviewed, pictures taken, and other pertinent information and documentation obtained, it was determined that Staff #1 swaddled Child #1 in an attempt to console Child #1’s “screaming” (crying), then Staff #1 placed Child #1 on a swing, Staff #1 then placed a second blanket over the swing, and Child #1 was left on the swing to sleep for an hour. When Child #1 woke up, Staff #1 changed Child #1's diaper and returned Child #1 to the swing. Per Staff #1, when Child #1 continued to cry, Child #1 was placed in their crib to “cry it out” for 5 to 7 minutes. This poses an immediate health, safety and personal rights risk to children in care.

During the course of the investigation, it was also discovered that the facility staff disclosed both verbally and in writing that they were aware that Child #1 showed signs of illness for days. The facility staff continued to accept Child #1 for care at the facility even though they also have an illness policy that indicates that a child will be sent home if they show signs of illness which includes the symptoms that staff observed Child #1 to have.
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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/29/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CHILD'S WORLD SCHOOL
FACILITY NUMBER: 197409702
VISIT DATE: 06/29/2023
NARRATIVE
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When interviewing staff, disclosures were made that Staff #1 and Staff #2 were only provided with resources via email regarding infant safe sleep practices. No information or documentation was provided confirming that staff was provided with on-the-job training on infant safe sleep practices or that the Director and Licensee ensured that staff were following and practicing infant safe sleep.

The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22.
A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee/Director was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the licensee/Director.
The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Debrah Heim, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role. ---Page 2 of 2
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
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Page: 2 of 5
Document Has Been Signed on 06/29/2023 11:31 AM - It Cannot Be Edited


Created By: Lilia Hernandez On 06/29/2023 at 09:23 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CHILD'S WORLD SCHOOL
FACILITY NUMBER: 197409702

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/29/2023
Section Cited
CCR
101223(a)(2)

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101223(a)(2) Personal Rights To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement was not met as evidenced by
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A meeting was already conducted and director provided LPA an agenda with a copy of staff in attendance.
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by interviews conducted and disclosures made indicating that Child #1 was crying, swaddled, placed in a swing, and a blanket was placed over the swing prior to Child #1 falling asleep. When Child #1 woke up crying, Child #1 was placed in the crib to “cry it out” which poses an immediate health, safety, and personal rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023


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Document Has Been Signed on 06/29/2023 11:31 AM - It Cannot Be Edited


Created By: Lilia Hernandez On 06/29/2023 at 09:27 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CHILD'S WORLD SCHOOL
FACILITY NUMBER: 197409702

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/13/2023
Section Cited
CCR
101430(a)(3)(E)

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101430(a)(3)(E) Infant Care Activities - If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible.
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Per Director, meeting will be conducted with staff and agenda with staff signature will be submitted to LPA by POC date.
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This requirement was not met as evidenced by interviews conducted and disclosures made that Child #1 was left on a swing to sleep for an hour which poses a potential health and safety risk to children in care.
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Type B
07/13/2023
Section Cited
CCR101226.1(a)

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101226.1(a) Daily Inspection for Illness
The licensee shall be responsible for ensuring that children with obvious symptoms of illness
including, but not limited to, fever or vomiting, are not accepted.
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Per Director, meeting will be conducted with staff and agenda with staff signature will be submitted to LPA by POC date.
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This requirement was not met as evidenced by interviews conducted, disclosures made,
and documentation obtained indicating that staff were aware that Child #1 had symptoms of
illness for days and the facility continued to accept Child #1 for care which poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023


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Document Has Been Signed on 06/29/2023 11:31 AM - It Cannot Be Edited


Created By: Lilia Hernandez On 06/29/2023 at 09:30 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CHILD'S WORLD SCHOOL
FACILITY NUMBER: 197409702

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/13/2023
Section Cited
CCR
101216(e)

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101216(e) Personnel Requirements - All personnel shall be given on-the-job training ...and shall be evidenced by safe and effective job performance. This requirement was not met as evidenced by interviews
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Per Director, meeting will be conducted with staff and agenda with staff signature will be submitted to LPA by POC date.
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conducted and disclosures made indicating that Staff were provided with only emails regarding infant safe sleep practices which poses a potential health, safety, and personal rights to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023


LIC809 (FAS) - (06/04)
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