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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493415
Report Date: 07/27/2021
Date Signed: 07/28/2021 10:27:46 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:KWON FAMILY CHILD CAREFACILITY NUMBER:
197493415
ADMINISTRATOR:KWON, YONG JINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 434-8552
CITY:LOS ANGELESSTATE: CAZIP CODE:
90019
CAPACITY:14CENSUS: 15DATE:
07/27/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Yong KwonTIME COMPLETED:
12:45 PM
NARRATIVE
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On July 27, 2021 at 11am, Licensing Program Analysts (LPAs) V. Wheatley and Judy Laureano conducted an unannounced Plan of Correction inspection and met with the licensee. The licensee's mother was also present.

The Plan of Correction inspection is being conducted to verify the corrections were made for the several violations the licensee was cited for last week.

LPAs along with the licensee inspected the entire home. LPAs observed 15 children on the premises (13 preschool aged children and 2 school aged). The children were being supervised by the licensee. The licensee is still operating over capacity. The licensee is being assessed a civil penalty for continue to operate over capacity.

Licensee states that Adult #2 who was not associated is no longer employed at the facility.

Licensee provided copies of the incomplete children's records and LIC 9224 signed by the parents and guardians.

A copy of this report was provided to the licensee.

Exit interview.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021
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: KWON FAMILY CHILD CARE
FACILITY NUMBER: 197493415
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/27/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/28/2021
Section Cited

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102416.5 (a) Staffing Ratio and Capacity
The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.
This requirement is not met as evidenced by:
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Based on observations, LPAs Wheatley and Judy Laureano observed 15 day care children upon arrival.LPAs observed 13 preschool aged children and 2 school aged children on the premises today. The licensee continues to operate over capacity.
A civil penalty will be assessed.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:
DATE: 07/27/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/27/2021
LIC809 (FAS) - (06/04)
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