<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494322
Report Date: 08/25/2025
Date Signed: 08/25/2025 04:22:15 PM

Document Has Been Signed on 08/25/2025 04:22 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/
DIRECTOR:		CARDENAS, LAURAFACILITY TYPE:
850
ADDRESS:10521 HAWTHORNE BLVDTELEPHONE:
(323) 421-2662
CITY:INGLEWOODSTATE: CAZIP CODE:
90304
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 54DATE:
08/25/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH: Aida Escobar- Site SupervisorTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 08/ 25/20025 Licensing Program Analyst (LPA) Doris Whitmore, conducted a case management inspection to follow up on and close out the unusual incident, reported to the department by telephone on 05/21/2025. LPA met with Site Supervisor and toured the facility. LPA Whitmore observed xx children with 22 teachers.

S1: stated I went to the playground to see how many children I had left. So, I was told that (C1) had fallen and hit her mouth on the rail while running up the steps and she slipped. When I examine her, I did not see blood in her mouth so an accident report was written out. There were three teachers on the playground. The sister that picked her up. The sister knew about the incident the same time I knew. The sister was told what happened and signed the accident part. Ice pack was given for first aid. S2: stated I did not witness her fall. Another child came to me and said she was crying. I asked her what happened, but she never told me what happened and the reason why she was crying (S2) stated I did not physically see her fall. I was cleaning her mouth and (S3) brought her to me with blood in her mouth. Took her to the classroom and cleaned her mouth with water. I told her to rinse. I ask her what happened? As I was cleaning, she said I was running up the stairs and hit myself the pole. (S3) was stationed on the right side of the yard.

(S4) found out from FSA (Family Service Advocate when she received the phone call she immediately notified me at 2:00p.m. when the parent called. The parent was requesting an extra copy of the incident report. Her daughter took the original copy. ( S4) stated at that the time she was at the office. Ms. Claudia notified her about the incident that happened. (S1) went to check the child. (S1) stated that she did not see the child bleeding or anything. After that, the sister of the child showed up and (S1) explained to the sister what happened. (C1) left. I went to interview (S2) (S3) and stated that the child missed the stair. The c

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Doris Whitmore
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 FELTON
FACILITY NUMBER: 197494322
VISIT DATE: 08/25/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
child hit her mouth.
On 06/06/2025 LPA Whitmore had ( S2) and ( S3) demonstrate on the playground where they were standing,
Child Demonstration
On 06/06/2025 Licensing Prgram Analyst( LPA) Doris Whitmore went outside to the playground with ( C1).( C1) was able to show LPA Whitmore where she fell at and hit her mouth. ( C1) pointed to the rail that you hold on to walk to the structure.
( S3) Demonstration
(S3) was able to show LPA Whitmore where she was standing. ( S3) was standing by a table inside the bike trail and that the kids were not showing and stated she was telling them to share.
( S2 Demonstration)
( S2) was able to show LPA Whitmore where she was standing at on the playground, ( S3) walked around the entire playground in a circle. ( S3) stated that she when she stopped at where she started one of the students brought( C1) that was crying and she asked her what happened and ( C1) never told ( S2) what happened.(S2) pointed to where C1 was running at.
LPA Whitmore concluded this case management incident visit. No Title 22 violations have occurred and no deficiencies cited. A notice of site visit was given and posted for 30 days. Exit interview conducted and report was reviewed with Site Supervisor. Aida Escobar
NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Doris Whitmore
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025
LIC809 (FAS) - (06/04)
Page: 3 of 3