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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197405592
Report Date: 09/03/2026
Date Signed: 09/03/2026 03:29:01 PM

Document Has Been Signed on 09/03/2026 03:29 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:HARBOR-UCLA CHILDREN'S DEVELOPMENT CENTERFACILITY NUMBER:
197405592
ADMINISTRATOR/
DIRECTOR:		AMBER BRAVOFACILITY TYPE:
830
ADDRESS:975 W. CARSON ST.TELEPHONE:
(310) 222-4274
CITY:TORRANCESTATE: CAZIP CODE:
90503
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 6DATE:
09/03/2026
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:31 PM
MET WITH:Director, Amber BravoTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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On 09/03/2026 Licensing Program Analyst (LPA) Tyra Chavies, conducted an unannounced 3 year Annual/ Required visit at Harbor-UCLA Children's development center (Infants). LPA met with Director ,Amber Bravo, Assistant Director, Brenda Yepez and Program Specialist, Jasmine Briones and toured the facility indoors and outdoors. Days and hours of operation are Monday through Friday 6:30 AM to 6:00 PM. LPA Chavies confirmed the phone number is: (310) 222-4274. LPA confirmed the email address is [email protected]. This the infant license only. There were 8 infants in care being supervised by 3 staff members.

This facility has 1 classroom. Indoor furniture and equipment are in good condition, free of sharp, loose and/or pointed parts. LPA observed cribs66 for sleeping. The cribs do meet Title 22 Health and Safety regulations. Fitted Sheets will be washed at the facility daily.  LPA observed 7 infants and reviewed Sleeping logs for infants. The 15 minutes checks are being conducted and sections C/D is filled out on the safe infant sleeping plan. The facility floors and classrooms meet Title 22 Health and Safety regulations. If a infants is not feeling well, the infants will be seated in the front office with a staff member until a parent arrives. LPA reviewed sign in/out log and all infants were singed in.

LPA toured outdoor activity space. The surface of the outdoor activity space is maintained in a safe condition. The deck area will only be for infants. Staff will ensure deck has paddling for outdoor play once infants are outside. Areas around climbing equipment have cushioning material to absorb falls. All materials and surfaces accessible to children are toxic free. The facility is free of flies and insects. Facility has one or more functioning
Karren Starks
Tyra Chavies
DATE: 09/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2026
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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HARBOR-UCLA CHILDREN'S DEVELOPMENT CENTER
FACILITY NUMBER: 197405592
VISIT DATE: 09/03/2026
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carbon monoxide detectors/ smoke alarms. The facility does have one or more fire extinguishers which has an inspection date of July 2027 on the premises. There are no bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. All poisons are kept in a locked storage area.

Per Title 22, A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. LPA Chavies received the following documents from facility: lead test results from December 2022 (which verifies sample testing under 5.5 ppb/ug L), This facility is currently in compliance.

Parents provide all meals including AM/PM snacks. The refrigerator was inspected and is in good condition. All infants have names and separate space for their meals. The facility does provided a visual feeding chart and informs the parent on the app. Drinking water is available both indoors, outdoors and upon request.
 
POSTING REQUIREMENTS: License and other relevant notices are visible for public view and correctly posted on the wall (Facility Sketch, PUB 394, LIC 9148, LIC 610A). Fire and disaster drills are being conducted as scheduled every month.

CHILDREN'S RECORDS: LPA Chavies reviewed 7 infant files. All files currently have all required Forms (LIC 700, 701, 995E, 627, LIC 9227) and immunization records.  Sleeping Plan and 15 minute checks were available for review and were completed as directed. 

STAFF'S RECORDS: LPA Chavies reviewed 3 staff files. All files currently have all required forms LIC 503, 508, Education, Finger print clearance and TB test results. All employees listed in LIC 859 have a valid Mandated Reporter Certificate. At least one or more person have a valid CPR and First Aid certificate.
NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Tyra Chavies
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2026
LIC809 (FAS) - (06/04)
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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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HARBOR-UCLA CHILDREN'S DEVELOPMENT CENTER
FACILITY NUMBER: 197405592
VISIT DATE: 09/03/2026
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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to [email protected]. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

The facility was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Commencing September 1st, 2016, prohibits a person from being employed or volunteering at a childcare facility or family day care if he or she has not been immunized against influenza, pertussis and measles.

Law enacted by SB 277, beginning January 1st, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into childcare or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, there are no deficiencies being cited. An technical volition was given. Please see LIC 9102.
 
An exit interview was conducted with Director, Amber Bravo.

A copy of this report was read as well as LIC 9213 was given (Notice of Site Visit form.)

LIC 9213 is required to be posted for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Tyra Chavies
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2026
LIC809 (FAS) - (06/04)
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