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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600529
Report Date: 03/02/2021
Date Signed: 03/04/2021 02:54:01 PM

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:PAGE SCHOOL OF BEVERLY HILLSFACILITY NUMBER:
191600529
ADMINISTRATOR:KANISHIA LONGFACILITY TYPE:
850
ADDRESS:419 S ROBERTSON BLVDTELEPHONE:
(323) 272-3429
CITY:BEVERLY HILLSSTATE: CAZIP CODE:
90211
CAPACITY:49CENSUS: 17DATE:
03/02/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:22 AM
MET WITH:Patricia Klindworth, Senior DirectorTIME COMPLETED:
11:06 AM
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Due to COVID-19 and precautionary measures this report will be delivered by email and read receipt.

On March 2, 2021 at 10:02 AM, Licensing Program Analyst (LPA) Shandra Powell conducted an announced pre-licensing follow-up inspection and met with Senior Director, Patricia Klindworth. LPA toured the inside and outside of the facility accompanied by the Senior Director and Lead Maintenance Person. Facility has a current capacity of 49 and is requesting an increase of capacity of 85. There is a pool with a 5 ft rod iron fence with self latching gate.

The Program consists of 5 rooms. The Preschool serves children 2 years to 5 years. The program will operate Monday through Friday from 6:30 AM to 6:30 PM.

The purpose of the follow-up inspection was to inspect the 5 preschool rooms, preschool outdoor play ground and the rest rooms.

During today's inspection, LPA observed the required corrections made as noted on the initial Pre licensing Facility Evaluation Report (LIC 809), dated 07/21/2019. However the fire clearance has not been granted as of today 03/02/2021. A final review will be conducted by the Department after Fire Department Inspection. Once licensed, the Licensee is required to adhere to the terms and limitations stated on the license.

An exit interview was conducted by LPA Shandra Powell and Lead Director. This report was sent via email to Director and an electronic read receipt confirms receiving the report and appeal rights. The Licensee was provided with the El Segundo Regional office address and agrees to send the report signed with original signature by mail.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2021
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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