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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890931
Report Date: 06/16/2022
Date Signed: 06/16/2022 11:04:38 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/16/2022 11:04 AM - 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:ANNA BING ARNOLD CHILD CARE CENTERFACILITY NUMBER:
191890931
ADMINISTRATOR:CARA DALLAMORAFACILITY TYPE:
850
ADDRESS:2301 NO. LEVANDA AVENUETELEPHONE:
(323) 343-2470
CITY:LOS ANGELESSTATE: CAZIP CODE:
90032
CAPACITY:102CENSUS: 35DATE:
06/16/2022
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Cara DallamoraTIME COMPLETED:
11:20 AM
NARRATIVE
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Licensing Program Analyst (LPA) Judy Mora conducted an unannounced Case Management Annual Continuation inspection on this day. LPA met with Director, Cara Dallamora, who guided LPA on a tour of the facility at approximately 9:20 AM.

The purpose of this visit was to review staff files that were not reviewed on the day of the Required 1 year inspection dated, 05/25/22.

Staff Records were reviewed to ensure the following are present: Staff qualifications, proof of immunization’s, current Pediatric First Aid & CPR certification, TB Clearance or Risk Assessment, LIC 503 Health Screening Report, LIC 508 Criminal Record Statement, LIC 9108 Statement Acknowledging Requirement to Report Child Abuse, Mandated Reporter Certificate and the LIC 9052 Notice of Employee’s Rights.

Staff files were observed to be complete.

At this time, the licensee is in compliance with California Title 22 Regulations. There are no citations being issued today.

Exit interview was conducted with Cara Dallamora, Director. Appeal rights explained & provided.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 896-6847
LICENSING EVALUATOR SIGNATURE:
DATE: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/16/2022
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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