197494325-6-3-2025-30-CC-DWHE-DHAW2X-20250603165503

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494325
Report Date: 06/03/2025
Date Signed: 06/03/2025 04:55:16 PM

Document Has Been Signed on 06/03/2025 04:55 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 - CHAPEL OF PEACE		FACILITY NUMBER:	197494325
ADMINISTRATOR/ DIRECTOR:	CARDENAS, LAURA		FACILITY TYPE:	850
ADDRESS:	1009 NORTH MARKET STREET		TELEPHONE:	(323) 421-1100
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90302
CAPACITY: 55	TOTAL ENROLLED CHILDREN: 55	CENSUS:	DATE:	06/03/2025
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:39 AM
MET WITH:	Norma Izucar- Site Supervisor		TIME VISIT/ INSPECTION COMPLETED:	05:00 PM

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On 06/03/2025 Licensing Program Analyst( LPA) Doris Whitmore conducted a follow up unannounced visit for conducting a Case Management Inspection due to an incident that occurred on 02/20/2025 and was reported to the Regional Office. LPA met with Norma Izucar, Site Supervisor and informed the nature of the visit. LPA Whitmore observed 40 children in care with proper teacher child ratios observed. There were a total of 11 staff. LPA Whitmore conducted interviews on 04/21/2025 with ( S1) ( S2) ( S3) and ( C1). On 05/30/2025 Phone interviews were conducted with the the Parent( witness) and (S4). During the interviews ( S1) stated that she was on break and it did not seem any thing out of the ordinary when she returned from her break.. ( S2) informed ( S1) that ( C1) got yanked by ( S4) At the time ( S2) did not inform ( S1) of the child.( S1) shared that right off the back ( S4) was aggressive with the children.( S1) stated she did not see ( S4) have any physical interactions with the kids just verbal.

( S2) stated that she saw( S4) grabbing( C1) by the arm very strong.( S2) was on the other side of the classroom and that's when she was able to see what was happening with the arm.( S2) informed the supervisor what was going on. ( S2) Stated that ( S4) had a rough tone and ( S4) was being rough on the children.(S3) was not present at the facility and was notified by the FSA( Family Service Advocate) Family Advocate shared that two children were fighting over a toy on the carpet and ( S4) went to grab ( C1) arm.( S3) went to the facility to investigate and talk to the teachers. (S3) talked to her Coordinator what the Child Care Career person did to the (C1). The coordinator called the Child Care Careers and canceled the teacher. It was another witness the parent who saw everything that happened. ( S3) went to investigate with the parent and the teacher. Both confirmed the same information that was provided.. We checked the child we did different activities to see if the child was hurt. Child did not complain for anything. The child did the activities normally. I asked the child if he was ok. I asked the child if something hurt. Child just moved his head and his shoulders like No. ( S3) informed the parent what happened. verbally.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Doris Whitmore
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/03/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025

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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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)

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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 - CHAPEL OF PEACE	FACILITY NUMBER: 197494325
	VISIT DATE: 06/03/2025

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In interviewing ( S4) on the phone( S4) stated Arrived on assignment went to the office to let them know to check me in. Once I was there the supervisor was not there at all on site. I can't remember the the classroom. I think it was classroom B., I went to the classroom kids playing around in the different centers. The teacher was like they have ten minutes until lunch time. She let the kids know that I am a teacher. The teacher told me to help them to wash their hands for lunch. We took the food off the tray to put on the table. The lunch was family style. After they ate lunch, they cleaned up and went to the bathroom, so they could take their nap. I am in the classroom the other teacher was going to lunch. I was in the classroom by myself. with the kids for napping. After they got up from nap, they washed their hands for snack We served them the snack. I went to lunch when the other teacher came back. I don't recall yelling at no children. or putting my hands on them. I did not touch nobody. I am a Christian Woman. I am over this the supervisor was not on site, was there any witness No I did not touch the child. I told the teacher I am a loud person.
Lastly, in interviewing the witness. the parent( witness) stated I was at the door to pick up my son and I witnessed ( S4) yelling at the kids, She was telling the kids to sit down. The baby was not listening so she snatched her up by her arm and said this anit that. I walked up and she looked up. I went to report it to Silvia. Silvia is the resource lady at Chapel of Peace.
In interviewing ( C1) there was no response from child. After conducting interviews ( S2) and ( S3) did not observe any bruises on the child. (C1) was interviewed and no responses. ( S2) stated that she saw ( S4) grabbing ( C1) by the arm very strong. The parent witnessed ( S4) snatch ( C1) by the arm this is a violation of personal rights.
LPA Doris Whitmore informed that this report dated 06/03/2025 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA (Doris Whitmore) informed the site Supervisor Norma Izcuar to provide a copy of this licensing report dated 06/03/2025 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report(LIC9224), or other written statement, must be placed in the child’s file for verification.

An exit interview was conducted and a copy of his report, appeal right, D- Page, was given to Site Supervisor Norma Izucar.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Doris Whitmore
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/03/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/03/2025 04:55 PM - It Cannot Be Edited

Created By: Doris Whitmore On 06/03/2025 at 03:47 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CRYSTAL STAIRS HEAD START - CHAPEL OF PEACE	FACILITY NUMBER: 197494325
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/03/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 06/10/2025 Section Cited CCR 101223(a)(1(3)	1 2 3 4 5 6 7	a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons.3) To be free from corporal or unusual punishment, infliction of pain... humiliation, intimidation,	1 2 3 4 5 6 7	Facility will not call teacher back to be assigned. and have canceled teacher for all Crystal Stairs Sits. Outside agency teachers will continue to be provide with Substitute teacher Orientation Checklist and training. Staff will have a training on Personal Rights and what they learned and
	8 9 10 11 12 13 14	, humiliation, intimidation, ridicule.... This requirement is not met as evidence by: (S2) stated she saw( S4) grabbing ( C1) by the arm very strong. Parent witnessed ( S4) snatch (C1) by the arm.	8 9 10 11 12 13 14	provide a sign in sheet.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Karren Starks
NAME OF LICENSING PROGRAM MANAGER:

	Doris Whitmore
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/03/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025

LIC809 (FAS) - (06/04)

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