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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493709
Report Date: 08/01/2023
Date Signed: 08/01/2023 01:47:38 PM

Document Has Been Signed on 08/01/2023 01:47 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:LAUNCH PAD LEARNINGFACILITY NUMBER:
197493709
ADMINISTRATOR:EMILY WALTONFACILITY TYPE:
850
ADDRESS:4141 EL SEGUNDO BLVD.TELEPHONE:
(310) 644-2176
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY: 113TOTAL ENROLLED CHILDREN: 113CENSUS: 81DATE:
08/01/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:EMILY WALTON, DIRECTORTIME COMPLETED:
02:00 PM
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On 8/1/2023, 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 7/13/2023. LPA was greeted by Director and toured the facility and took a census of the children. Upon arrival, there were 81 children and 15 staff present today at the facility.

Description of the incident: On 7/12/2023 at approximately 3:45pm, during indoor play time C1 was reaching for a toy off the shelf and fell. C1 hit his right eye lid on the bottom of the shelf, causing a gash above the eyelid. Staff washed the eye area, applied ice and pressure to the eyelid. Parent was notified and C1 was picked up right away. Parent took child to medical provider and C1 received stiches. C1 return back to the facility with doctors note on 7/14/2023.

During this inspection, LPA toured the facility, interviewed staff, obtained pertinent documents, observed child and inspected the classroom area.

Based on the information provided and interviews conducted further investigation is required.

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

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/01/2023
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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