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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417542
Report Date: 05/03/2012
Date Signed: 01/10/2023 10:42:57 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 01/10/2023 10:42 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230



FACILITY NAME:A PLACE TWO GROW, INC.FACILITY NUMBER:
197417542
ADMINISTRATOR:CARSON, RACHELLEFACILITY TYPE:
850
ADDRESS:3770 SANTA ROSALIA DRIVETELEPHONE:
(323) 270-8902
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY:30CENSUS: 28DATE:
05/03/2012
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Rachelle Carson, Licensee/DirectorTIME COMPLETED:
06:10 PM
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LPA Haney conducted a site visit for the purpose of an Annual Random Visit for the Preschool. LPA met with Ms. Carson, Licensee/Director and toured the facility inside and outside. The facility operates on the grounds of Mount Calvary Church to the north of the church sanctuary in a separate building with a separate entrance. The facility operates three components a Preschool (Classroom 1, 2, and 3 first floor) , Infant (Classroom number 4 located in the southwest corner of the building on the first floor) and School Age (second floor) program from this building. Children in care have access to the bathrooms located near the Infant room on the first floor in the hallway. LPA observed available drinking water inside the children's classrooms and outdoor play areas.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Storage for children's belongings, bathrooms facilities, and isolation area was inspected. First Aid supplies were inventoried. A review of medication policy, including administering, labeling, storage, and records was made. Documentation of current Fire/Earthquake drills was observed by LPA.

LPA reviewed licensing boards to ensure that all required postings were displayed. Snack/lunch menus were posted. Food, snacks and lunches are prepared in the kitchen and brought to the children's classrooms by staff. Food preparation area was inspected for safety, cleanliness, proper equipment, protection against contamination and storage. Food and snacks were inventoried for availability, quality, quantity, and appropriateness to children in care. Disposal of food and debris was discussed. Storage areas were inspected for toxins/cleaning compounds inaccessibility.

Outdoor equipment was inspected for safety, good repair and age appropriateness. Proper cushioning material was observed beneath climbing structures but did not cover all areas. Required shade, drinking water and fencing was inspected. The play area was inspected for hazards and inaccessibility of bodies of
SUPERVISOR'S NAME: Bill MayedaTELEPHONE: (310) 337-4341
LICENSING EVALUATOR NAME: Tabatha HaneyTELEPHONE: (310) 337-4809
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2012
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2012
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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