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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191597494
Report Date: 02/17/2022
Date Signed: 02/17/2022 02:34:01 PM


Document Has Been Signed on 02/17/2022 02:34 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:ARROYO/CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191597494
ADMINISTRATOR:KYM ALLENFACILITY TYPE:
850
ADDRESS:1605 W. ARROYO AVE.TELEPHONE:
(909) 620-8250
CITY:POMONASTATE: CAZIP CODE:
91768
CAPACITY:101CENSUS: 2DATE:
02/17/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:16 PM
MET WITH:Kym Allen,TIME COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Cynthia Reyes, conducted an unannounced site follow up Inspection to reinspect and remeasure the requested Toddler Option and preschool class rooms indoors and outdoors for capacity determination. LPA met with Kym Allen, Facilities and Licensing Planner. Due to COVID- 19 precautionary measures were taken during the entire inspection and all individuals present during this inspection wore appropriate personal protective equipment.

The licensee is requesting to now change their request and have 2 rooms (K1 & K3) for the Toddler Option (18 to 36 months) and decrease the Preschool (2-5 year olds) and only use 2 rooms (H3 and H4). The facility is already licensed for 101 preschool children and now will decrease to 53 preschool children and have 48 Toddlers (24 in each room K1 & K3). Days & Hours for the preschool and proposed toddler option will be Monday- Friday 7:30 AM-3:30 PM.

Measurements were taken of both the Preschool and Toddler Option on 01/13/2022. Measurements were determined to have outdoor capacity of 124 for the preschool yard and 56 for the toddler yard.

Application will be approved and licensed for the capacity requested above for both the preschool and toddlers. Fire clearance is on file and approved for the requested capacity above.


Exit interview conducted with Mr. Kym Allen and a signed copy of this report and the notice of site visit was provided on this date. .
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:
DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/17/2022
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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