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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191803046
Report Date: 11/20/2019
Date Signed: 11/20/2019 10:49:17 AM

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:LOS ANGELES FAMILY SCHOOLFACILITY NUMBER:
191803046
ADMINISTRATOR:LISSETT AVILAFACILITY TYPE:
850
ADDRESS:2646 GRIFFITH PARK BOULEVARDTELEPHONE:
(323) 663-8049
CITY:LOS ANGELESSTATE: CAZIP CODE:
90039
CAPACITY:92CENSUS: 0DATE:
11/20/2019
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Lissett Avila TIME COMPLETED:
11:00 AM
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An Informal Office meeting was conducted today to discuss concerns the Department has regarding the above facility. Present at this meeting were Director, Lissett Avila, Arpi Idolor, Board Trustee, Claudia Guangorena, Licensing Program Manager, and Judy Mora, Licensing Program Analyst.

The Following was discussed:

· Personal Rights. On 01/30/19, a Complaint Investigation was Substantiated when staff indicated that they did not notify the Director of biting incident until after more than 20 biting incidents from one child.
· Observation of a Child. On 01/30/19, during the same Complaint Investigation it was found that based on the number of biting incidents which occurred, it was determined that staff was not properly observing the child which led to an inappropriate number of biting interactions between the child and other children.

The Director will be required to view the following videos on the Department website at https://ccld.childcarevideos.org/
  • Children’s Personal Rights in a Child Care Center
  • Supervising Children in Child Care Centers
  • Reporting Requirements

The Director will also be required to provide an In Service training to all staff in regards to the topics above. The Director will be required to submit copies of an agenda, materials used for the training and a staff sign in sheet by 12/03/19.


*REPORT CONTINUES ON NEXT PAGE
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LOS ANGELES FAMILY SCHOOL
FACILITY NUMBER: 191803046
VISIT DATE: 11/20/2019
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The Director was advised that copies of this report should be given to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months. The Director will obtain signature and date from the child’s parent/guardian on the Acknowledgement of Receipt of Licensing Reports, LIC 9224 (form provided).

The licensee has been advised that the Department will continue to conduct more frequent visits to the facility in the next two years to ensure compliance.

Director was advised that a copy of this report will be forwarded to the local Resource & Referral Agency.

Exit interview was conducted. There were no deficiencies issued during this meeting.





*END OF REPORT
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2