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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191202449
Report Date: 07/08/2020
Date Signed: 07/08/2020 03:55:12 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:HASTINGS RANCH NURSERY SCHOOLFACILITY NUMBER:
191202449
ADMINISTRATOR:D.JOHNSON/A.RANGELFACILITY TYPE:
850
ADDRESS:3740 E SIERRA MADRE BLVDTELEPHONE:
(626) 351-9171
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY:65CENSUS: 0DATE:
07/08/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:28 PM
MET WITH:Jennifer NeumayerTIME COMPLETED:
03:55 PM
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This was a case management inspection conducted by Licensing Program Analyst (LPA) Ariel Cazares, due to COVID-19 and precautionary measures. This case management inspection was conducted with Director Jennifer Neumayer via a tele-inspection by use of Zoom for the purpose of inspecting a room to be proposed as use for a classroom for daycare children.

At 03:3 pm LPA was guided through a tour of the facility. The facility is currently closed and there are no children in care at this time, therefore LPA did not observe any children. LPA observed the office space that is being considered to be set up as an additional classroom for children. Due to social distancing guidelines, additional space is needed to accommodate the facility's capacity. LPA reviewed with Director what would be needed to process the request. The facility is not requesting to increase their capacity at this time. LPA informed director that a fire clearance will be needed if adding the space permanently to the license as a classroom. Once the request is received by LPA, it will be processed.

Exit interview was conducted with Director Jennifer Neumayer via tele-inspection. This report along with a copy of the appeal rights will be sent to the director via email with a read receipt or confirmation of receipt of email, which will act as the Applicants/Licensee’s signature. A copy of the signed report will also be sent to the Department.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel CazaresTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2020
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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