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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403009
Report Date: 06/10/2022
Date Signed: 06/10/2022 01:05:46 PM


Document Has Been Signed on 06/10/2022 01:05 PM - 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 CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:LOS ANGELES FIRST PRESCHOOL EDUCATION CENTERFACILITY NUMBER:
197403009
ADMINISTRATOR:AHN, SU K.FACILITY TYPE:
850
ADDRESS:2029 WEST WASHINGTON BOULEVARDTELEPHONE:
(213) 733-8827
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY:175CENSUS: 49DATE:
06/10/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Chong Ahn, Executive DirectorTIME COMPLETED:
01:10 PM
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Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced case management inspection on 6/10/22 at 10:30AM. Upon arrival, LPA met with Chong Ahn, Executive Director. There were 49 children present during inspection.

On 6/2/22, Director submitted an unusual incident report to the Department regarding a statement child one (C1) made to parent. On 6/9/22, Director submitted an unusual incident regarding threats made by parent of C1. LPA interviewed staff regarding alleged incidents. LPA requested sign in/out sheets for the day of the incident, Children's Roster and other pertinent documentation related to both incidents. LPA did advise Director to reach out to local authorities regarding the threats made to staff members at the facility. Per Director, he has contacted Los Angeles Police Department and is waiting for a response.

Due to insufficient information available at this time, LPA will return for subsequent visit.

No deficiencies were cited today 6/10/22. Facility Representative met reporting requirements for these incidents.

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

Exit interview was conducted with Facility Representative, Chong Ahn.

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 06/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2022
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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