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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419606
Report Date: 02/14/2023
Date Signed: 02/14/2023 04:40:36 PM


Document Has Been Signed on 02/14/2023 04:40 PM - It Cannot Be Edited

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 INNOVATORFACILITY NUMBER:
197419606
ADMINISTRATOR:ARAKELYAN, ANUSHFACILITY TYPE:
850
ADDRESS:3740 DON FELIPE DRIVETELEPHONE:
(323) 389-8470
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY:40CENSUS: 22DATE:
02/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:07 PM
MET WITH:Ruzaanna DavtianTIME COMPLETED:
04:36 PM
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On 02/14/2023, Licensing Program Analysts (LPA) Doris Whitmore conducted an unannounced Annual Required Inspection for the Pace Young Innovator Preschool license. LPA met with Director Ruzanna Davtian LPA toured the facility indoors and outdoors. Days and hours of operation are Monday-Friday, 7:30am-4:00pm. LPA observed in class 01 a total of 8 children with proper teacher/ child ratios and in classroom #2 a total of 14 children. with proper teacher teacher child ratios. LPA observed proper care and supervision during this inspection.

LPA observed all postings requirements for operation on the posting board Facility License, Menu, Notification of Parents Rights, Emergency Disaster Plan, Personnel Rights, Activity Schedule, & Child passenger restraint system poster.
Furniture and equipment are in good condition, free of sharp, lose 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 school’s kitchen, the facility's food is delivered daily for the program’s 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, lose 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. Riding toys were in good condition. LPA observed other educational materials were available for children to utilize. Shade area was observed for the children. No bodies of water were observed the facility is free of flies, insects and rodents.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


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: 02/14/2023
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Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Fire extinguishers were observed in all classrooms. First-Aid and emergency equipment was available. Age-appropriate sinks and toilets were inspected for availability. A review of medication policy, including administering, labeling, storage, and records was made. Sign in and out sheets were reviewed.

Incidental Medical Services were discussed. For IMS information see Evaluator Manual- Regulation Interpretations and Procedure for Child Care Centers Section 101173 and 101226. Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda,htm. LPA advised Regional Site Director on how to access quarterly reports, forms, and regulations for Child Care at www.,ccld.ca.gov LPA reviewed a total of 10 children’s files and six staff files and in good order with all documents.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were cited. Exit interview was conducted, Copy of report and Notice of Site Visit issued.

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2