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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401090
Report Date: 02/02/2024
Date Signed: 02/02/2024 10:29:11 AM


Document Has Been Signed on 02/02/2024 10:29 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:SONY PICTURES ENTERTAINMENT CHILD DEV. CENTERFACILITY NUMBER:
197401090
ADMINISTRATOR:BUTTERWORTH. JENNYFACILITY TYPE:
830
ADDRESS:3845 CLARINGTON AVE.TELEPHONE:
(310) 244-8400
CITY:LOS ANGELESSTATE: CAZIP CODE:
90036
CAPACITY:32CENSUS: DATE:
02/02/2024
TYPE OF VISIT:Case Management - Infectious Disease OutbreakUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Jenny Butterworth TIME COMPLETED:
11:00 AM
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On 02/02/2024 , at 09:30 am an unannounced Case Management-Covid Outbreak follow up inspection was conducted by Licensing Program Analysts, (LPA`s) Shushanik Safaryan and Anomeh Eivazian .LPA`s were following-up on an Covid Outbreak reported on 01/10/2024. Covid risk assessment was conducted, and LPA`s wore appropriate gear. LPA met with Facility Representative ,Jenny Butterworth , who guided LPA `s on a tour of the infant program and took a census of 19 children with 9 staff.

There were 10 cases of Covid confirmed on 01/10/2024 and was reported to the Department on 01/11/2024 via telephone and email a written report to Community Care Licensing Department. The facility reported the incident in a timely manner. LPA interviewed Facility Representative who confirmed that staff and families were informed. Should anyone test positive then they need to quarantine for 5 days and provide negative test. The Department of Public Health was notified, and investigator assigned . The facility conducted deep cleaning and disinfecting of the facility, including toys and classrooms. Per Facility Representative cleaning crew comes every day , toys washed every day. Per Facility Representatives, children and staff will be sent home if they display any symptoms, fever .

During this inspection LPA`s obtained from the Facility Representative Covid -19 Outbreak Clearance Letter issued from County of Los Angeles Public Health dated on 01/23/02024. Per letter obtained from Facility Representative. Los Angeles County Department of Public Health has completed its investigation regarding the outbreak and determined as of 01/23/2024 outbreak ended in the facility.

No citations are being issued at this time.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Facility Representative Jenny Butterworth.

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SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Shushanik SafaryanTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2024
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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