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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493172
Report Date: 10/25/2024
Date Signed: 10/25/2024 04:14:14 PM

Document Has Been Signed on 10/25/2024 04:14 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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:NI HAO PRESCHOOL - REDONDO BEACHFACILITY NUMBER:
197493172
ADMINISTRATOR/
DIRECTOR:		JODI CALDWELLFACILITY TYPE:
850
ADDRESS:2602 NELSON AVENUETELEPHONE:
(855) 644-2688
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90278
CAPACITY: 29TOTAL ENROLLED CHILDREN: 24CENSUS: 20DATE:
10/25/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Sherynn Hsu (Staff Coordinator/ director) TIME VISIT/
INSPECTION COMPLETED:
04:13 PM
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On 10/25/2024 at 12:45p.m. Licensing Program Analyst (LPA) Devon Carus conducted an unannounced visit for conducting a Case Management Inspection due to an incident that occurred on 09/11/2024. LPA met with Sherynn Hsu, Staff Coordinator and informed the nature of the visit. At the time of the visit there was 20 children and 4 teachers.

An unusual incident report (UIR) received by the department stating child #1 was playing/ running on the turf grass outside and slipped and injured left arm. Staff applied ice, and notified parents to pick up the child.



LPA Carus interviewed Staff #1, Staff #2, Child #1, and Child #2.

Based on information disclosed, no information indicated the facility was in violation of visual care and supervision requirements.

No deficiencies were issued today.

Exit interview conducted and report was discussed with Sherynn Hsu.
A notice of site visit was given and must remain posted for 30 days
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Devon Carus
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2024
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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