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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411387
Report Date: 01/07/2025
Date Signed: 01/07/2025 02:26:17 PM

Document Has Been Signed on 01/07/2025 02:26 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CLEVELAND EARLY EDUCATION CENTERFACILITY NUMBER:
197411387
ADMINISTRATOR/
DIRECTOR:		VASQUEZ, SARAFACILITY TYPE:
850
ADDRESS:19031 W. STRATHERN STREETTELEPHONE:
(818) 718-9420
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 73DATE:
01/07/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:55 AM
MET WITH:Carmen Vasquez, PrincipalTIME VISIT/
INSPECTION COMPLETED:
02:40 PM
NARRATIVE
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Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced case management inspection due to a self-reported incident that occurred at the facility. LPA arrived at the facility at 10:55AM and met with Carmen Vasquez, Principal, who guided LPA on a tour of the facility. There were 73 children in care and 19 staff present upon arrival.

The incident that occurred on 12/11/2024, was reported to the Department on 12/11/2024, via email. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that Staff #1 may or may not have violated the personal rights of Child#1 and Child #2.

LPA conducted interviews with Principal, Witness #1 and Staff #1. LPA obtained a copy of the facility roster, and written statements from Staff#1. Principal provided a copy of a written statement from Witness #1 who observed the incident.

Staff #1 disclosed that they observed Child#1 and Child #2 not sitting in their assigned space during an indoor activity. Staff #1 stated that they indeed returned Child #1 and Child #2 to their assigned space and did not get consent from Child #1 or Child #2 prior to physically moving both Child #1 and Child #2 by the arm back to their assigned seating space.

The following deficiency listed on the attached LIC809D are being cited in accordance with California Code of Regulations Title 22.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2025
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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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: CLEVELAND EARLY EDUCATION CENTER
FACILITY NUMBER: 197411387
VISIT DATE: 01/07/2025
NARRATIVE
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The Notice of Site Visit was given and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

Exit interview was conducted and report was reviewed with Carmen Vasquez, Principal.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 01/07/2025 02:26 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 01/07/2025 at 01:51 PM
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: CLEVELAND EARLY EDUCATION CENTER
FACILITY NUMBER: 197411387

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/24/2025
Section Cited
CCR
101223(a)(3)

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(a) The licensee shall ensure that each child is accorded the following personal rights: (3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...
This requirement was not met as evidence by:
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Per Principal, a meeting will be held with staff to ensure that all personnel comply with regulation requirements on personal rights for children. Principal will submit an agenda and signed acknowledgement from all personnel in attendance to LPA via email by the POC due date.
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Interviews conducted and disclosures made indicating that Staff # 1 stated that they indeed returned Child #1 and Child #2 to their assigned space and did not get consent from Child #1 or Child #2 prior to physically moving both Child #1 and Child #2 by the arm back to their assigned seating space which poses a potential Health, Safety or Personal Rights risk to persons 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: 01/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/07/2025


LIC809 (FAS) - (06/04)
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