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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494322
Report Date: 04/17/2023
Date Signed: 04/17/2023 03:56:10 PM

Document Has Been Signed on 04/17/2023 03:56 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 - JEFFERSON FELTONFACILITY NUMBER:
197494322
ADMINISTRATOR:CARDENAS, LAURAFACILITY TYPE:
850
ADDRESS:10521 HAWTHORNE BLVDTELEPHONE:
(323) 421-2662
CITY:INGLEWOODSTATE: CAZIP CODE:
90304
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 54DATE:
04/17/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:02 PM
MET WITH:MichelleRegaldo ECE Headstart Coord.TIME COMPLETED:
03:53 PM
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 On 04/17/2023 Licensing Program Analyst( LPA) Doris Whitmore conducted an unannounced Case Management for the purpose of following up an Unusual Incident Report( UIR) that occurred on 01/24/2023. Upon arrival LPA met with Michelle Regalado and informed the nature of the visit. There was a total of 54 children and 12 teachers. LPA Whitmore called the Therapist Supervisor to Child#1. LPA was unable leave a message the mailbox was full. Michelle Regalado ECE Coordinator emailed Jesus's Supervisor to have permission to interview him. At the time of the unannounced visit Michelle Regalado ECE Headstart Coordinator stated that Jesus was present at the facility and left for the day. Also that Jesus ( Therapist) hours are 9:00a.m. to 1:00p.m. At 3:40 p.m LPA spoke to the Supervisor and Ivan stated over the phone to interview him. At the Present time the UIR will need further investigation.
Exit interview conducted Notice of Site Visit along with the Appeal Rights were given.



SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE: DATE: 04/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2023
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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