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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411203
Report Date: 02/03/2025
Date Signed: 02/03/2025 04:26:49 PM

Document Has Been Signed on 02/03/2025 04:26 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:PACE - ANDERSON HEAD STARTFACILITY NUMBER:
197411203
ADMINISTRATOR/
DIRECTOR:		NICOLE JOHNSONFACILITY TYPE:
850
ADDRESS:4130 W. 154TH STREET, RM. 6TELEPHONE:
(310) 219-1173
CITY:LAWNDALESTATE: CAZIP CODE:
90260
CAPACITY: 18TOTAL ENROLLED CHILDREN: 115CENSUS: 9DATE:
02/03/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:04 PM
MET WITH:Sanji Peires- Site Lead TeacherTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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On 02/-03/2025 at 3:04 p.m.Licensing Program Analyst (LPA)Doris Whitmore conducted an unannounced visit for conducting a Case Management Inspection. LPA Whitmore met with Sanji Peires, Site Lead Teacher and informed the purpose of the visit. LPA Whitmore observed nine children and two teachers. On 01/15/2025 LPA Whitmore conducted a 3 Year Inspection Visit. At the time of the 3 year visit LPA Whitmore was unable to review the children's files. For today's Case Management, LPA Whitmore used LIC 857 Children's Record Review Wizard. There was a a total of 10 children files reviewed. All of the files had the required documents. LPA Whitmore did not see the Physicians Report in the children's files. Per Sanji Peires, Site Lead Teacher the Physicians Reports are kept at the main office.Based on the information obtained there were no violations of Title 22 Regulations.
No deficiencies cited.
Copy of report and Notice of Site Visit issued. The Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE: DATE: 02/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/03/2025
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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