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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419969
Report Date: 01/16/2020
Date Signed: 01/16/2020 08:18:08 AM

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:GOT GAME SPORTSFACILITY NUMBER:
197419969
ADMINISTRATOR:KALMAN, KOREYFACILITY TYPE:
840
ADDRESS:408 FAIRFAX AVENUETELEPHONE:
(310) 975-8524
CITY:LOS ANGELESSTATE: CAZIP CODE:
90036
CAPACITY:132CENSUS: 0DATE:
01/16/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
07:25 AM
MET WITH:Korey Kalman, LicenseeTIME COMPLETED:
08:30 AM
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Licensing Program Analyst (LPA) Denise Miranda conducted a Case Management Visit for the purpose of add one classroom. LPA met with Licensee Korey Kalman.

The facility is requesting to add one classroom# 26 as on limit area to the children in care and make the classrooms #32 and 33 as an off-limit area.

The capacity of the facility still 132 children. Fire clearance for the Classroom#26 was received and approved by Los Angeles Fire Department.

During this visit no children were present. LPA reviewed facility sketch which was updated.

LPA inspected the classroom#26. LPA observed the classroom#26 was clean and there were sufficient age appropriate/in good repair furniture, toys, free of sharp, lose or point parts

The facility is located on a Hancock Elementary School (LAUSD) school site and uses as well the auditorium as the indoor space, cafeteria and all areas of the playground for outdoor activities. There is an outdoor space immediately outside the auditorium with benches and tables that is being used for outdoor activities and/or eating snacks. There are no bodies of water on the premises and the outdoor space is completely fenced in. The licensee states that the children in the program will not be allowed to use the yellow and green play equipment (monkey bars), as well as the monkey bars on the purple equipment.

The facility was found to be in compliance per Title 22 regulations,

A copy of this report along with a Notice of Site Visit were issued and explained to the licensee. An exit interview was conducted.

SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2020
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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