197419606-1-27-2022-30-CC-JCHR-CB3UDU-20220127143006

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197419606
Report Date: 01/27/2022
Date Signed: 01/27/2022 02:30:22 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:	PACE - YOUNG INNOVATOR		FACILITY NUMBER:	197419606
ADMINISTRATOR:	ARAKELYAN, ANUSH		FACILITY TYPE:	850
ADDRESS:	3740 DON FELIPE DRIVE		TELEPHONE:	(323) 389-8470
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90008
CAPACITY:	40	CENSUS: 22	DATE:	01/27/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	ROUZANNA DAVTIAN-DIRECTOR		TIME COMPLETED:	02:45 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	On 10/11/2021, Licensing Program Analysts (LPA) Jillinda Chandler conducted an unannounced Annual Required Inspection for the Pace Young Innovator Preschool license. LPA met with Director Rouzanna Davtian and new director Stephanie Pullman. LPAs toured the facility indoors and outdoors. Days and hours of operation are Monday-Friday, 7:30am-4:00pm. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. All toilets and hand washing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. All food prepping is conducted in the schools kitchen, the facility's food is delivered daily for the programs main kitchen. The storage areas are clean, free of litter/rubbish and free of rodents/vermin. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection. Drinking water is available both indoors and outdoors. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Fire extinguisher were observed in classroom and directors office. First-Aid and emergency equipment was available. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Wall heaters were made inaccessible and air conditioners provided cooling.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PACE - YOUNG INNOVATOR	FACILITY NUMBER: 197419606
	VISIT DATE: 01/27/2022

NARRATIVE

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children immunization and physicians reports are centrally located at the program human resource office. Director was able to access the records using an in-house application. director Davtian was advised that the records must be readily available for licensing review.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Director Rouzanna Davtian was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the director Rouzanna Davtian

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2022

LIC809 (FAS) - (06/04)

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