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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494365
Report Date: 07/30/2025
Date Signed: 07/30/2025 10:51:39 AM

Document Has Been Signed on 07/30/2025 10:51 AM - 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:PACE - OCEANSIDE LEARNING ACADEMYFACILITY NUMBER:
197494365
ADMINISTRATOR/
DIRECTOR:
VARGA, JOHNFACILITY TYPE:
850
ADDRESS:682 BROADWAY STREETTELEPHONE:
(424) 280-4090
CITY:VENICESTATE: CAZIP CODE:
90291
CAPACITY: 35TOTAL ENROLLED CHILDREN: 33CENSUS: 12DATE:
07/30/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Sandra Amaral- Regional Site DirectorTIME VISIT/
INSPECTION COMPLETED:
10:51 AM
NARRATIVE
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On 07/29/2025 at 9:00a.m. Licensing Program Analyst (LPA)Doris Whitmore conducted an unannounced visit for following up on a Case Management Inspection due to an incident that occurred on 05/12/2025. On 05/12/2025 LPA Whitmore interviewed (S1) (S2) & ( C1) and conducted a file review of ( C1) In interviewing ( S1) stated that She was lining up the children to wash her hands, and ( C1) disclosed that her dad put her pants down. I asked her how that made you feel, and she said sad. I told my co-teacher this is what she shared, to see if she was going to retell the same story. My co-teacher was talking about the restroom. I don’t remember word for word. She disclosed again that her dad pulled her pants down. She got more detail and shared that her dad poked her behind. (S2) asked her where is your behind. After that she pointed out to her rear and her front. The story did not change. Towards the end we got together and (C1) and we asked her did she have something else she wanted to share. (C1) restated what she told me and what she told (S2).(C1) stated that dad was heavy.

We asked her how and (C1) responded and said he got on top of me. My co- teacher (S2) got a baby doll and that’s when she pointed out her rear and her private area. First conversation in the classroom. The second conversation with both of us was in the office. The Assistant Director Amanda Velasquez was notified. (S1) stated they did not notify the parent. A couple days after the incident. We met with mom to do a home visit. She said Thank You for making the call and making sure she is ok. She is fine. A police officer went to her house. Child Protective Services were notified. S2) stated Early in the morning at arrival time. My co-teacher had taken a group of children to the restroom. When she came back, she said can you please talk to (C1). She told me that her dad pulled her pants down. I wanted to see if she would share something with me further. During choice time I approached the child who

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Doris Whitmore
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/30/2025
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: PACE - OCEANSIDE LEARNING ACADEMY
FACILITY NUMBER: 197494365
VISIT DATE: 07/30/2025
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was drawing. We were talking about going to the restroom and who cleans you. I asked her oh (S1) shared with me that something happened with your dad. (C1) smiled. (C1) said that dad had pulled her pants down. I asked her where were you? )(C1) responded and said in the bed. (C1) sated that her dad had put her finger in her behind. I said where is your behind. Can you show me where your behind is. With her hand she pointed to the front and the back. I asked her where her mom and she was said she was in the bed next to her. Currently ( C1) is not enrolled in the program because she aged out of the program. LPA Whitmore obtained a copy of the report from Department of Children and Family Services. Report stated Allegations cannot be substantiated case closed. Based on the information obtained there were no violations of Title 22 Regulations.

No deficiencies cited copy of this report and notice of Site Visit was issued.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Doris Whitmore
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025
LIC809 (FAS) - (06/04)
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