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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419837
Report Date: 08/30/2022
Date Signed: 08/30/2022 12:24:38 PM

Document Has Been Signed on 08/30/2022 12:24 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:LAUNCHING PAD, THEFACILITY NUMBER:
197419837
ADMINISTRATOR:THORSTENSON-ROOT, RFACILITY TYPE:
850
ADDRESS:3707 DOOLITTLE DRIVETELEPHONE:
(310) 536-0243
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90278
CAPACITY: 141TOTAL ENROLLED CHILDREN: 141CENSUS: 73DATE:
08/30/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Tiara Stevens, Business ManagerTIME COMPLETED:
12:30 PM
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On 8/30/2021, Licensing Program Analyst (LPA) Loyce Phillips, conducted a case management inspection to follow up on an Unusual Incident reported to the department by telephone on 8/12/2022. LPA met with Business Manager, Tiara Stevens and toured the facility and took a census of the children. Upon arrival, there were 73 children and 15 staff present today at the facility for the Preschool.

Description of the incident: On 8/11/2022 at 5:50pm classroom 2 were on the playground. C1 was running and turned around to see if her friends were with her, when she fell in a twisted position. C1 fell on the grass area with the concrete square tiles. Staff assisted C1 and applied ice. The parents were contacted right away regarding the incident. Parent arrived within 10 minutes of staff calling. Parents took C1 to urgent care, x-rays were taken and doctor confirmed C1 had a spiral break on her left tibia. C1 received a cast on 8/12/2022.

During this inspection, LPA interviewed staff, observed children indoors/outdoors, obtained a copy of the facility roster, inspected the outdoor play area and took photos.

Based on the information provided and interviews conducted the incident will require further investigation.

An exit interview was conducted, a copy of this report and notice of site visit was provided to Tiara Stevens.

SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2022
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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