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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191801271
Report Date: 05/13/2021
Date Signed: 05/13/2021 05:08:59 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:ECHO PARK SILVERLAKE PEOPLES CHILD CARE CENTERFACILITY NUMBER:
191801271
ADMINISTRATOR:ADRIANA DURANFACILITY TYPE:
850
ADDRESS:1953 LAKESHORETELEPHONE:
(323) 660-9665
CITY:LOS ANGELESSTATE: CAZIP CODE:
90039
CAPACITY:37CENSUS: DATE:
05/13/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Adriana Duran, DirectorTIME COMPLETED:
05:10 PM
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Licensing Program Analyst (LPA) Thelma Razo conducted a Case Management - Incident tele-inspection and met with Director Adriana Duran. Due to COVID-19 and as precautionary measure, this inspection was conducted virtually via FaceTime. LPA stated the reason of the tele-inspection is due to Unusual Incident which occurred on 5/5/2021 and was self reported via phone by Director Duran to Community Care Licensing on the following day, 5/6/2021. The Unusual Incident was reported within the required time frame. Per report, Parent #1 (P1) informed Director via email on 5/5/2021 at 9:13PM that Child #1 (C1) did an inappropriate act to Child #2 (C2).

During today's tele-inspection, LPA interviewed Director Duran. Ms. Duran guided LPA with the tour of the facility to include the playground and 3 classrooms. LPA observed 30 children and 6 staff in the facility. Staff-child ratio was met at the time of the inspection.

At this time, no deficiencies are being cited.

Exit interview was conducted with Director Duran. 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 Director’s signature. Director agrees to sign, date and mail the report to Licensing. A Notice of Site Visit was not provided since a physical inspection was not conducted.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Thelma RazoTELEPHONE: (323) 981-3387
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2021
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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