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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191805057
Report Date: 03/03/2021
Date Signed: 03/04/2021 10:25:28 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:BLIND CHILDREN'S CENTERFACILITY NUMBER:
191805057
ADMINISTRATOR:SARAH ORTHFACILITY TYPE:
850
ADDRESS:4120 MARATHON ST.TELEPHONE:
(323) 664-2153
CITY:LOS ANGELESSTATE: CAZIP CODE:
90029
CAPACITY:70CENSUS: 0DATE:
03/03/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Rich Killbury TIME COMPLETED:
10:50 AM
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A Case Management site visit was conducted by Licensing Program Analyst's (LPA's) Judy Mora and Michelle Sanchez. The purpose of this inspection was to inspect and measure 2 additional classrooms that the Licensee wishes to add to the preschool license. There will not be an increase of capacity. A Fire clearance was granted and received by the Department on 03/02/21. Total maximum capacity is 70 children.

The following measurements were taken and totaled:
-Indoor Space:
Preschool classrooms - (New Space room 8 & 9) allowing for 18 children in Room 8 and 16 children in Room 9. There are 3 additional toilets and 3 additional sinks in these classrooms.

The Licensee will place covers on all outlets, place latches on all lower cabinets in the kitchenette area. All unused items will be removed. LPA will be send photos of installed carbon monoxide detector. LPA will be sent photos of all the above corrections no later than 03/14/21.

An exit interview was conducted with Rich Killbury. Appeal Rights were verbally explained to the Licensee as well. A copy of this report has been signed by LPA Mora. This report along with the Appeal Rights will be scanned via e-mail to the Licensee, who understands that an electronic “Read Receipt” and/or confirmation of receipt of the e-mail confirms receipt of the report and constitutes an electronic signature. A hard copy of this report and the Appeal Rights will be placed in the mail upon return to the Monterey Park Regional Office. The Licensee agrees to sign the bottom of each page of the 9099 and return the originals to LPA Mora in-person or via U.S. Mail.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 896-6847
LICENSING EVALUATOR SIGNATURE:

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

DATE: 03/03/2021
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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