<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191602122
Report Date: 03/28/2023
Date Signed: 03/28/2023 04:51:35 PM


Document Has Been Signed on 03/28/2023 04:51 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 CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:KIDZ FIRST ACADEMYFACILITY NUMBER:
191602122
ADMINISTRATOR:SUSAN PARADEEFACILITY TYPE:
850
ADDRESS:5253 LOS COYOTES DIAGONALTELEPHONE:
(562) 597-3900
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:85CENSUS: 37DATE:
03/28/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Katherine LozanoTIME COMPLETED:
05:00 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
Licensing Program Analyst Warren Birks conducted a Case Management inspection to provide technical assistance (measuring) and observing an empty preschool classroom. LPA met with Director Katherine Lozano who provided LPA with a tour of the facility.

LPA observed the space to clean safe, and accommodating for the age group it will serve. LPA measured the space to give the Director a sense of how many children the room can hold. Note: The room was part of the initial license so no application is needed.

Based on today's measurements the classroom can accommodate 12 preschool children. Please note that these assumptions can change if the facility incorporates more encumbered space (that is space not used by children such as closed storage or staff furniture).

Exit interview was conducted with Director Katherine Lozano. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as will result in a $100 civil penalty.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:
DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/28/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1