<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416279
Report Date: 02/04/2020
Date Signed: 02/04/2020 03:21:32 PM

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:NU BUILDING BLOCKS DAY CARE CENTERFACILITY NUMBER:
197416279
ADMINISTRATOR:SOLOMON, CHERYLFACILITY TYPE:
850
ADDRESS:2313 WEST JEFFERSON BOULEVARDTELEPHONE:
(323) 732-5439
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY:58CENSUS: 31DATE:
02/04/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Larry Solomon, DirectorTIME COMPLETED:
01:30 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
Licensing Program Analysts (LPA's) Denise Gibbs and Katrina Chicote conducted an unannounced case management inspection on this date. Upon arrival, LPA's met with Director Larry Solomon. There were 31 napping children and 3 teachers present during inspection.

On 9/6/19, Director submitted an unusual incident/injury report to the Department stating that S1 was putting a toy away in the loft in the classroom, as she stepped down from the loft stairs, she claimed to sprain her ankle. LPA's interviewed Director who stated that S1 was present in the classroom during the incident. S1 is no longer working for the facility and was not available for interview. S1's last day was August 28, 2019

Based on information obtained, LPA's determined there were no violations that resulted from the incident. No deficiencies were cited on this date. Licensee met reporting requirements for this incident.

Exit interview was conducted with Director Larry Solomon. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2020
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 1