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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416919
Report Date: 03/03/2020
Date Signed: 03/03/2020 01:13:06 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:SPIRIT CHILD DEVELOPMENT CENTERFACILITY NUMBER:
197416919
ADMINISTRATOR:DINWIDDIE, STEPHANIEFACILITY TYPE:
850
ADDRESS:4061 WEST WASHINGTON BOULEVARDTELEPHONE:
(323) 737-2467
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY:60CENSUS: 46DATE:
03/03/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Keena Taylor, Associate DirectorTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA), Denise Gibbs, conducted a Case Management Incident inspection to follow up on a self reported incident on 3/3/2020 at 12:15 PM.

The Monterey Park South West Child Care Office received the incident report on 1/29/2020 by Executive Director, Stephanie Dinwiddie. Report stated that on 1/28/2020 S1 was on a walking field trip with nine children when a woman in a car began recording and taking pictures and accusing S1 of being out of ratio. LPA toured the facility with Associate Director Keena Taylor. At the time of the inspection all ratios were compliant according to Title 22 Regulations.

Based on today’s inspection, and interviews conducted, the facility followed the appropriate Reporting Requirements. LPA obtained documents confirming teacher, S1 was in ratio at the time of the incident.

At this time based on the available information it does not appear this incident was the result of a Title 22 violation and the facility followed the appropriate regulations to care for the children.

Notice of Site Visit shall be posted for thirty (30) days. Failure to maintain posting as required will result in a $100 civil penalty.

Exit interview was conducted with Keena Taylor, Associate Director , including, but not limited to Appeal Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020
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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