197408763-3-21-2022-30-CC-DMIA-CCQQSC-20220321122518

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197408763
Report Date: 03/21/2022
Date Signed: 03/21/2022 12:25:44 PM

Document Has Been Signed on 03/21/2022 12:25 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	WEST HOLLYWOOD CHILDREN'S ACADEMY		FACILITY NUMBER:	197408763
ADMINISTRATOR:	JOULIANA BARANOVA		FACILITY TYPE:	850
ADDRESS:	1030 N. VISTA STREET		TELEPHONE:	(310) 748-1656
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90046
CAPACITY:	35	CENSUS: 24	DATE:	03/21/2022
TYPE OF VISIT:	Case Management - Legal/Non-compliance	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Jouliana Baranova, Director		TIME COMPLETED:	12:40 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	On 3/21/2022 9:30AM Licensing Program Analyst (LPAs) Denise Miranda and Deborah Lowe conducted a Case Management inspection to the facility to ensure the facility is in substantial compliance as required by regulations, statues, and requirements governing California child care center. Upon arrival, LPAs met with the Director, Ms. Baranova, whom guided LPAs Miranda and Lowe on a tour of the indoor and outdoor areas of the facility. Days and hours of operation are Monday through Friday at 8:00am to 6:00pm. The LPAs Miranda and Deborah observed 24 children being supervised by 3 Teachers and 3 Teachers Assistants. Staff and Children files were reviews and found to be in compliance. Furniture and equipment are free of sharp, loose or pointed parts. All toilets and handwashing facilities are in safe and sanitary operating condition. During this inspection, Director provided a copy of the updated LIC9040 Children’s Roster, print copy of electronic sign in and out, LIC500 Personnel Record, and LIC308 Designation of Facility Responsiblity to LPAs. All food is protected against contamination. Contaminated food is discarded immediately. Per Director, food is prepared at the facility. Menus were posted. Allergies and food preferential were identified in kitchens.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WEST HOLLYWOOD CHILDREN'S ACADEMY	FACILITY NUMBER: 197408763
	VISIT DATE: 03/21/2022

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
26
27
28
29
30
31
32

Cleaning supplies stored in this area were made inaccessible to children Solid waste storage containers (trash bins) have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors. Playground equipment is in safe condition, free of sharp, loose or pointed parts.

The surface of the outdoor activity space is maintained in a safe condition and is free of hazardous. Facility has at least one functioning carbon monoxide detectors that meet statutory requirements.

Required postings were observed in a prominent area for parents and other authorized individual review.

This facility has a plan to provide Incidental Medical Services – IMS. currently there are one child required these services, LPAs observed the medicatication for child#1, medical record indicating a child's need for these services.

The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. The Department has inspection authority as specified in Health & Safety Code.

The facility appears to be operating within substantial compliance. A copy of this report and a Notice of Site Visit was provided to the Director Jouliana Baranova and an exit interview conducted.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022

LIC809 (FAS) - (06/04)

Page: 2 of 2