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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495373
Report Date: 12/19/2024
Date Signed: 12/19/2024 03:32:57 PM

Document Has Been Signed on 12/19/2024 03:32 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:LEARNING EXPERIENCE, THEFACILITY NUMBER:
197495373
ADMINISTRATOR/
DIRECTOR:
PARAG LADDHAFACILITY TYPE:
860
ADDRESS:21321 HAWTHORNE BLVDTELEPHONE:
(310) 540-1730
CITY:TORRANCESTATE: CAZIP CODE:
90503
CAPACITY: 164TOTAL ENROLLED CHILDREN: 164CENSUS: 133DATE:
12/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:11 PM
MET WITH:Aisha KingTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On 12/19/2024, Licensing Program Analyst (LPA) Tyra Chavies  conducted an unannounced case management- incident visit to follow-up on a self- reported unusual Incident (LIC 624) reported to Community Care Licensing on 12/10/2024. Upon arrival, LPA met with Assistant Director, Aisha King.  LPA informed assistant director about the purpose of the visit and toured the facility. LPA observed 133 children being supervised by 13 teacher.

Details:
At 10:25 a.m. Ms. Kelsi (Teacher) had a seizure in the Pre-school 3 Classroom. Ms. Chiemi called the front office and Ms. Demi immediately called 911. Paramedics arrived at 10:31 a.m.

On 12/19/2024 LPA Chavies observed children in care, conducted interviews with assistant director and staff members and received personnel documents. Based on interviews conducted and review of personnel documentation, the staff did ensure that the children's personal rights were not violated.

No deficiencies were cited.

Exit interview was conducted and a copy of the report was provided to assistant director, Aisha King.

Notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Tyra Chavies
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2024
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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