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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492892
Report Date: 05/08/2024
Date Signed: 05/08/2024 03:54:24 PM

Document Has Been Signed on 05/08/2024 03:54 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:WAGON WHEEL SCHOOL OF MALIBUFACILITY NUMBER:
197492892
ADMINISTRATOR/
DIRECTOR:		SEGAL, RUTHFACILITY TYPE:
850
ADDRESS:28211 W. PACIFIC COAST HWYTELEPHONE:
(310) 350-1909
CITY:MALIBUSTATE: CAZIP CODE:
90265
CAPACITY: 78TOTAL ENROLLED CHILDREN: 78CENSUS: 52DATE:
05/08/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:31 PM
MET WITH:Carol Jeffers, Center Director TIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced annual inspection to the above facility on 05/08/2024. LPA arrived at the facility at 2:31PM, identified self and met with Carol Jeffers, Center Director, who guided analyst on a tour of the facility. LPA provided Principal with a copy of the LIC 125 Entrance Checklist to help facilitate the inspection. This is a preschool program which consists of 3 classrooms. Facility operation hours are Monday to Friday from 8:30AM to 3:00 PM.

All areas identified on the Facility Sketch were inspected.

There were 52 children and 7 staff present when LPA arrived. LPA also observed an addition adult staff that was not part of the teacher child ratio. The facility was observed to be within the license capacity and limitations.

Center Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Due to time constraints the Annual visit will be completed on a future date.

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

Exit interview conducted and report was reviewed with Carol Jeffers, Center Director.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2024
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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