191806026-8-21-2020-33-CC-CGRN-BSPSMQ-20200821140019

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191806026
Report Date: 08/21/2020
Date Signed: 08/21/2020 02:00:25 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:	GREGORY PARK HEAD START/STATE PRE SCHOOL		FACILITY NUMBER:	191806026
ADMINISTRATOR:	MARCIE HOUCHEN		FACILITY TYPE:	850
ADDRESS:	5807 GREGORY AVE.		TELEPHONE:	(323) 463-3061
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90038
CAPACITY:	68	CENSUS: 0	DATE:	08/21/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Jocelyn Tucker		TIME COMPLETED:	02:10 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	An announced Case Management site inspection was conducted today by Licensing Program Analyst (LPA) Crystal Green and LPA Lissette Gonzalez to inspect and measure facility for capacity determination. Licensee is seeking to add a toddler option to the preschool license and decrease preschool capacity. Licensing staff met with Program Manager, Joycelyn Tucker, who guided analysts on a tour of the facility. This proposed Toddler Option program will operate from Monday through Friday 8:00 AM – 4:30 PM. At 1:10 PM Licensing staff was guided through a tour of the preschool facility both indoors and outdoors and for the proposed toddler option areas. The facility is currently closed and there are no children in care at this time, therefore LPAs did not observe any children. LPAs were taken on tour of the proposed room for the Toddler Option and the designated outdoor area. LPAs observed the toddler classroom area to be physically separate from the Preschool classrooms. However, LPAs observed the proposed toddler restroom to be located in a common area that is also used by preschoolers without a physical barrier of separation in the preschool classroom leading to the restroom. LPAs observed a fire extinguisher and functioning carbon monoxide detector in the facility. LPAs observed portable drinking water with disposable cups available in the classroom. There are age appropriate toys available for children in care. There is a kitchen area located near the restroom that will be available for meal and snack preparation. The main office will be used as the designated ill isolation area for sick children. The staff restroom will be used for ill children. Licensee will provide food for the children via Chefables which delivery will be daily. There is adequate shade in outdoor play area. LPAs observed the shade tent to be missing four (4) pole cushion wrap/pads. Report Continues Page 1 of 2

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 854-5730
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2020

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: GREGORY PARK HEAD START/STATE PRE SCHOOL	FACILITY NUMBER: 191806026
	VISIT DATE: 08/21/2020

NARRATIVE

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Based on measurements taken today, capacity for the proposed Toddler Option will be twelve (12) toddlers and Preschool will be reduced to the capacity of forty-eight (48). Based on LPAs observation the following corrections need to be corrected prior to obtaining the final approval for preschool capacity decrease with toddler option addition licensure. Corrections are due by September 4, 2020:

• Licensee will need to install (4) cushion pole wraps in the toddler yard's shade canopy.
• Licensee will need to install a safety gate in the preschool classroom leading to the restroom.

Exit interview was conducted with Program Manager. Appeal Rights were issued and discussed. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Report Ends Page 2 of 2

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 854-5730
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2