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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416779
Report Date: 11/04/2021
Date Signed: 11/04/2021 09:41:55 AM

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:CASTLE IN THE CLOUDSFACILITY NUMBER:
197416779
ADMINISTRATOR:LEE, KYE J.FACILITY TYPE:
850
ADDRESS:1435 W. 120TH STREETTELEPHONE:
(323) 756-9191
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:50CENSUS: 5DATE:
11/04/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:E.K. Lee AdministratorTIME COMPLETED:
10:00 AM
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On 11/04/2021 at 9:00am, Licensing Program Analyst Adrian Risher conducted a case management for increased monitoring based on a compliance plan. LPA met with E.K. Lee, Administrator and explained the purpose of the visit. LPA observed 5 children with 2 staff.

During the visit, LPA inspected the classrooms, bathrooms, and kitchen. LPA observed the toilets and sinks running properly. LPA observed cots being used for napping and blankets stored separately for each child in care. LPA observed snacks and food for the children in care stored in the kitchen. LPA inspected the outside play area. LPA observed several play apparatuses in the yard. There are several picnic style tables in a shaded area in the outside play area. Administrator stated that the children can eat outside if the weather permits. Facility is operating within proper ratios.

Based on observations made by the LPA, no deficiencies will be cited today. LPA did not observe any violations during today's visit. Facility will continue to be under increased monitoring on a quarterly basis.

Exit interview was completed. Appeal Rights will be provided.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021
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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