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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415689
Report Date: 10/23/2019
Date Signed: 10/23/2019 12:25:33 PM

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:PLAYHOUSE PRESCHOOLFACILITY NUMBER:
197415689
ADMINISTRATOR:PERERA, SHIRANIFACILITY TYPE:
830
ADDRESS:526 S. IRENA AVENUETELEPHONE:
(310) 316-8449
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90277
CAPACITY:12CENSUS: 11DATE:
10/23/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:47 AM
MET WITH:Shirani Pereira - LicenseeTIME COMPLETED:
12:40 PM
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On 10/23/19, Helen Estrella, Licensing Program Analyst (LPA) conducted a Plan of Correction (POC) visit. LPA met with the licensee Shirani Pereira. LPA informed the license the nature of the inspection. There was 8 infants and 3 toddlers present during the inspection with 3 teachers. LPA Estrella took a tour of the facility inside and outside.

LPA observed the following during the visit:

LPA observed all cribs and and play pens free of napping items, toys and infant equipment. (8) infants were observed to be playing in the infant play yard and (2) toddlers were playing inside the toddler room. LPA confirmed with the licensee that all adults working in the facility have a criminal record clearance and are associated to the facility. Staff were observe to comply with proper teacher to child ratios inside and outside. LPA conducted a subsequent review of staff records and it was determined Staff #2 obtained sufficient education credits and work experience to be a fully qualified teacher. Staff #3 has sufficient credits to conduct care and supervision as a teacher aide for preschool children only. LPA observe S3 being supervised by the licensee during the inspection. LPA did not observe Staff #4 present in the facility and the licensee states S4 was removed from the facility on 9/25/19. LPA reviewed children's records and forms appeared completed with required licensing forms.

The facility is operating within substantial compliance during today's inspection. A copy of this report, a notice of site visit and copy of letter of deficiencies cleared has been provided to the licensee. An exit interview was conducted.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen EstrellaTELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2019
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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