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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493415
Report Date: 08/16/2021
Date Signed: 08/16/2021 03:33:41 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: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: 7DATE:
08/16/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Yong KwonTIME COMPLETED:
02:30 PM
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On August 16, 2021 at 2PM, Licensing Program Analyst, V. Wheatley conducted an unannounced Plan of Correction inspection to verify that the licensee is operating within Title 22 Regulations and within required ratios. LPA met with licensee Ms. Kwon and observed 7 children on the premise. Six of the seven children were napping. The other child was sitting at the table.

Based on LPA's observance, the licensee is operating within proper staff to child ratios.

The plan of correction is cleared.

Exit interview.

Due to Covid-19 the report will be emailed to the licensee.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021
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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