191600232-4-26-2023-30-CC-JCHR-CR9VR9-20230426163934

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191600232
Report Date: 04/26/2023
Date Signed: 04/26/2023 04:40:19 PM

Document Has Been Signed on 04/26/2023 04:40 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	FIRST UNITED METHODIST CHURCH PRESCHOOL		FACILITY NUMBER:	191600232
ADMINISTRATOR:	BATSHEVA SPECTOR		FACILITY TYPE:	850
ADDRESS:	1008 11TH STREET		TELEPHONE:	(310) 395-7292
CITY:	SANTA MONICA	STATE: CA	ZIP CODE:	90403
CAPACITY:	128	CENSUS: 72	DATE:	04/26/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	01:38 PM
MET WITH:	Dane Rold - Assistant Director		TIME COMPLETED:	04:54 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 4/26/2023 at 1:38 p.m. Licensing Program Analyst (LPA) Jillinda Chandler made an announced visit to the First United Methodist Church of Santa Monica for the purpose of inspecting classroom #108 for use as a toddler option. LPA met with Dane Rold ( Assistant Director), Dee Menzies (director) and Johanna Holman (site Supervisor). LPA was granted a tour of the facility indoors and outdoors, measurements were taken of all area to ensure maximum capacity. The facility is requesting a capacity of 12 toddlers and 116 preschoolers. for a total capacity of 128, licensee is not requesting an increase in capacity. There is an approved fire clearance on file conducted by Inspector Chris Davis of the Santa Monica Fire Department. LPA observed the following: Age appropriate furniture, toys and equipment were observed in door and outdoors. Measurements for the toddler indoor activity space - 668.90 divided by 35 square feet = 19 toddlers Outdoor activity space was 510.04 divided by 75 square feet = 6 toddlers There was 1 sink and 1 toilet;1 per every 15 children = 15 toddlers, there was a changing table with in arms reach of an sink.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: FIRST UNITED METHODIST CHURCH PRESCHOOL	FACILITY NUMBER: 191600232
	VISIT DATE: 04/26/2023

NARRATIVE

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The following corrections and requirements shall be made prior to licensure:

The licensee shall request an outdoor activity square footage waiver; Title 22, Sec. 101238.2(a).
Shading and benches for resting
Water piping shall be made inaccessible to children in care
Resilient cushioning shall be place under climbing apparatus
Alerting mechanism on rear emergency exit door.

Based on todays inspection the licensee shall be granted a license with a capacity of:
12 toddlers and 116 preschooler determined by the licensees request and pending corrections and waiver approval. Photos of corrections shall be provided via email, regular mail or personal delivery.

An exit interview was conducted, the report was discussed and provided to Dane Rold - assistant director.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

LIC809 (FAS) - (06/04)

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