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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400550
Report Date: 07/26/2024
Date Signed: 07/26/2024 01:42:55 PM

Document Has Been Signed on 07/26/2024 01:42 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:LAUNCH PAD LEARNING NLBFACILITY NUMBER:
198400550
ADMINISTRATOR/
DIRECTOR:
CLAUDIA CEBALLOSFACILITY TYPE:
850
ADDRESS:6951 OBISPO AVETELEPHONE:
(562) 633-5700
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 81TOTAL ENROLLED CHILDREN: 81CENSUS: 77DATE:
07/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Claudia CeballosTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Licensing Program Analysts (LPAs) K. Dunlap and F. White arrived at the above facility for the purpose of an unannounced Case Management - Incident inspection. LPA White announced the purpose of the visit and was granted entry into the facility by Administrator Claudia Ceballos. There are 90 day care children enrolled, and 77 present at the time of inspection. All staff were discussed and have current background clearance. Facility Roster was current and available at the time of inspection.

Today's inspection is a follow up to an Unusual Incident Report (UIR) received to the department on 7/18/2024. The summary of report states a child was injured while playing with another day care child. Child fell back landing on his head. Child had a seizure resulting in the paramedics being called and the child was taken to a hospital for observations. According to a follow up conversation between the director and mother of child, the fall caused child to have a concussion. Child was released from the hospital the same day.

On July 24, 2024, LPA spoke with Administrator Claudia who said parent stated that she was told to keep him home for 24 hours for observations.

At 10:10 a.m., LPAs observed children playing on the yard with several staff members providing 100% supervision to the children throughout the large play areas separated by gates (pictures taken).

At 10:35 a.m., LPA Dunlap conducted interviews with Staff #1- Staff #3. During the course of the interviews staff corroborated that child one and child two were playing and tugging back and forth. Staff #2 requested for them to stop, but they continued to play.
................................................Report Continues 1 of 2 Pages...............................................................
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2024
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LAUNCH PAD LEARNING NLB
FACILITY NUMBER: 198400550
VISIT DATE: 07/26/2024
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Child #2 let go of Child #1 and that is when Child #1 hit his head on the concrete which is behind the grass area (picture taken of area where child fell) Once child #1 fell, Staff #2 ran over to him, because he was screaming and holding his head. Once child #1 tried to stand up, his legs became weak. Before he could fall back, Staff #2 was able to catch him. Staff #1 ran out as she saw what happened through the office window. Staff #1 immediately called 911. While she was on hold with 911, she called the parent to inform her of the incident. Staff #3 was coming back from break and walked out to assist Staff #2. Staff #2 went in an got an ice pack while Staff #3 waited with the child. Staff #3 took child into the office while Staff #2 was getting the ice pack. While Staff #1 was still on the phone with 911, they told them not to move child. So they placed child on the floor in the office until the paramedics arrived. Parent #2 heard the commotion from the classroom next to the office, and came in to see what happened and started comforting the child. Parent #2 called Parent #1 and informed her of what was happening with child #1. Per Administrator Claudia, she has asked for the doctor's note, and the mom still hasn't given it to them.

At 11:10 a.m., LPA Dunlap conducted phone interview with Parent #1. LPA White documented interview.

At 11:15 a.m., LPAs reviewed the incident report and notice that it does not have a parent signature. During a phone interview with Parent 1, Parent did not have access to her Procare account due to internet capabilities. LPA Dunlap reminded Administrator Claudia that it is always the best practice to have written signatures of receipt of documentation between facility and parent. Administrator states that she will add it to her agenda on next Friday to make sure the entire staff knows what to do going forward. At 12:12 p.m., Parent #1 confirmed that she had the report in her Procare account.

At 12:31 p.m., LPA Dunlap conducted phone interview with Parent #2. LPA White documented interview.
Parent #1 and #2 interviews corroborated staff interviews.

Based on observations, record review, and interviews there are no deficiencies being cited today in accordance with California Title 22.
A notice of site visit will be given and must be posted for 30 days. Failure to post can result in a civil penalty of $100 a day.
Report was reviewed with Lilly Yera, Assistant Director . A copy of the report and appeal rights was given to facility representative, Lily Yera. ...........................Report Ends 2 of 2 Pages................................................
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2024
LIC809 (FAS) - (06/04)
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