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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418640
Report Date: 07/11/2022
Date Signed: 07/11/2022 02:46:15 PM

Document Has Been Signed on 07/11/2022 02:46 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:VALOR CHRISTIAN ACADEMY - PRESCHOOLFACILITY NUMBER:
197418640
ADMINISTRATOR:CAMPBELL, VALERIEFACILITY TYPE:
850
ADDRESS:525 EARLE LANETELEPHONE:
(310) 798-5181
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90278
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 29DATE:
07/11/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:48 AM
MET WITH:Michette Sutherland, Asst. DirectorTIME COMPLETED:
03:05 PM
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On 07/11/2022 @ 11:48 AM, Licensing Program Analyst (LPA) Miriam Cohen conducted a Case Management Unusual Incident inspection to follow up on the self-reported incident that occurred on 07/06/2022 at Valor Christian Academy – Preschool located at 525 Earle Lane, Redondo Beach, CA 90278. The El Segundo Regional Office received the incident report on 04/08/2022. Upon arrival, LPA observed proper care and supervision. All center staff that was present during today’s inspection had fingerprint cleared and associated to the designated license number.
LPA interviewed the following: Witnessed teacher, Staff #1 (S1), assistant preschool director, and parent of child (Child #1 or C1) involved in the incident. Based on the information that were gathered through record reviews, video footage, and interviews, it revealed that there were five adults supervising 33 children in the preschool program on the day of the incident. Per assistant director, as documented in the UIR form LIC 624, S1 witnessed the incident and cared for C1. Three other staff members were also present but did not witness the incident.
Based on the narrative, C1 was holding a water can, watering plants, swirling around in a circle, fell back, and hit the bike that was behind her. C1 hit the back of her head on the black top. Staff #1 rushed over, picked up and comforted C1. Ice packed was applied on head bump. The parent was notified immediately and gave consent for Staff #2 (S2) to ride with C1 in the ambulance on the way to the hospital. Parent met S2 and C1 in the hospital. C1 received an emergency care by medical provider. C1 was released and returned back to preschool on 07/08/2022 with a physician’s note. At this time, based on the available information, it does not appear that this incident was the result of a Title 22 violation for lack of care and supervision.
The content of this report was read and discussed in detail with Michette Sutherland, assistant preschool director.
An exit interview was conducted; the notice of site visit must be posted for 30 days upon receipt.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2022
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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