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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494301
Report Date: 05/15/2024
Date Signed: 05/15/2024 03:25:19 PM

Document Has Been Signed on 05/15/2024 03:25 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:CRYSTAL STAIRS HEAD START - CRUSADERFACILITY NUMBER:
197494301
ADMINISTRATOR/
DIRECTOR:
LAURA CARDENASFACILITY TYPE:
850
ADDRESS:601 CENTINELA AVETELEPHONE:
(323) 421-2662
CITY:INGLEWOODSTATE: CAZIP CODE:
90302
CAPACITY: 40TOTAL ENROLLED CHILDREN: 35CENSUS: 35DATE:
05/15/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:26 PM
MET WITH:Norma Izcuar- Site SupervisorTIME VISIT/
INSPECTION COMPLETED:
03:40 PM
NARRATIVE
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On 05/15/2024 Licensing Program Anayst ( LPA's) Doris Whitmore and Tyra Chavies conducted a Case Management- Incident inspection for the purpose of following up on the Unusual Incident Report (UIR). LPA Whitmore met with the Site Supervisor Norma Izcuar, and discussed the purpose of the visit. LPA Observed 35 children with 8 staff.
According to the UIR, On 02/14/2024 The children were in the classroom during choice time and (C1) cut C2 finger while ( S1) was attending to another child. (S1) looked over and saw that ( C2) was bleeding from his hand.(S1) immediately applied pressure , ( S1) cleaned the hand and saw that ( C2) right ring finger was cut( (C2) told the teacher his classmate cut him with the scissors

During the investigation, LPA conducted interviews with ( S1), ( S2), and ( C1). LPA toured the inside of the classroom and spoke with( S1) to demonstrate where ( C2) was sitting and where she was sitting at. During the interview (C1) demonstrated How she used the scissors. LPA was unable to view the file at the facility(C2) has transferred to another location. On 05/15/2024 LPA Whitmore interviewed C2 and reviewed the file. LPA's Whitmore and Tyra Chavies was able to obtain a copy of Accident Incident Report and Doctor's Note.

Based on the information obtained and interviews conducted there were no violations of Title 22 regulations.The was no lapse of Care and Supervision.
No deficiencies cited
Copy of report and Notice of Site Visit was issued to Site Supervisor Norma Izcuar
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE: DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/15/2024
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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