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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493687
Report Date: 11/10/2021
Date Signed: 11/10/2021 10:25:13 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:CHALK OF WESTWOODFACILITY NUMBER:
197493687
ADMINISTRATOR:NICOLE BROZKAFACILITY TYPE:
850
ADDRESS:2028 WESTWOOD BOULEVARDTELEPHONE:
(310) 446-5400
CITY:LOS ANGELESSTATE: CAZIP CODE:
90025
CAPACITY:71CENSUS: 35DATE:
11/10/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Nicole Brozka, DirectorTIME COMPLETED:
10:35 AM
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On 11/04/2021 9:40AM, Licensing Program Analyst (LPA) Miranda conducted an announced case management – Licensee initiation. LPA met with Director Nicole Brozka. There are 35 children present with 5 teachers, Health and Safety Director and Director of the Facility.

Licensee ( Bright Horizons Children’s Center, LLC) requested to change the facility’s name from current name: Chalk of Westwood to The Academy at Westwood. Facility provided documents regarding name changing to El Segundo Regional Office and a fire clearance was granted on 10/06/2021. The owner of the facility still the same.

The facility name will be update and a new license certificate will be mail to facility’s address. Director was advised as soon the facility receive the new License Certificate under The Academy at Westwood, Director shall mail immediately to El Segundo Regional Office the License Certificate under Chalk of Westwood to LPA Miranda.

Advisory notes was provided to Facility. regarding advertisements and License Number.

An exit interview was conducted, a copy of this report and Notice of Site Visit were provided to the director.

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021
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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