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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418819
Report Date: 11/22/2019
Date Signed: 11/22/2019 02:15:29 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:LITTLE PEOPLE BIG DREAMSFACILITY NUMBER:
197418819
ADMINISTRATOR:PULIDO, MARIAFACILITY TYPE:
850
ADDRESS:11828 W. WASHINGTON BOULEVARDTELEPHONE:
(310) 980-8940
CITY:LOS ANGELESSTATE: CAZIP CODE:
90066
CAPACITY:24CENSUS: 13DATE:
11/22/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Maria PulidoTIME COMPLETED:
02:35 PM
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On 11/22/2019 at 1:00 PM Licensing Program Analyst (LPA) Angelica Ramirez conducted an unannounced plan of correction (POC) inspection. The purpose of the inspection is to review the corrections that stemmed from the violations issued during the 10/31/2019 annual inspection. LPA met with licensee Maria Pulido who guided the LPA on a tour of the facility.

Upon arrival, LPA observed 13 children in care, with licensee and one volunteer. Also present is one additional staff. LPA advised Ms. Pulido the reason for the inspection today.

The following items were required to be corrected by 11/19/2019:
1. Food Services-Menu: licensee will create menu and post one week in advance.
2. Personnel Records - licensee shall provide complete packet of documents for Staff #1 and Staff #2 (volunteer).
3. Annual Fees: Licensee shall pay annual fees and provide proof of payment to the department.
4. Mandated Reporter Training: Licensee shall provide mandated reporter training certification for Staff #1.

On 11/22/2019 LPA Ramirez observed the following corrections:
1. LPA observed a posted menu of the snacks to be provided.
2. LPA observed complete packets for Staff #1 and Staff #2
3. LPA confirmed licensing fees paid in full.
4. LPA observed mandated reporter certification for Staff #1 completed on 5/7/2019.

Corrections were cleared during today's inspection. The proof of correction was provided to Ms. Pulido along with a copy of this report and notice of site visit.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Angelica RamirezTELEPHONE: (424) 301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019
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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