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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494348
Report Date: 11/05/2019
Date Signed: 11/05/2019 05:16:47 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:BRELLA PLAYA VISTA PRESCHOOLFACILITY NUMBER:
197494348
ADMINISTRATOR:MELANIE WOLFFFACILITY TYPE:
850
ADDRESS:12746 JEFFERSON BLVD, #3-3100TELEPHONE:
(213) 300-5962
CITY:PLAYA VISTASTATE: CAZIP CODE:
90068
CAPACITY:48CENSUS: DATE:
11/05/2019
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
05:13 PM
MET WITH:Melanie Wolff and KJ MayerTIME COMPLETED:
05:30 PM
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Licensing Program Manager (LPM) Mary Ruiz and Licensing Program Analysts (LPAs) Shandra Powell and conducted an announced office meeting located at the El Segundo Regional Office with applicant Melanie Wolff, and Kathryn J. Mayer (KJ) (Director). The purpose of the meeting was to receive all additional documents and corrections. The following was addressed during the meeting in order to complete the review of the application:

- Door/Gate in Garden Area completed with sound alarm and extension to lower space at bottom of the door to comply

- Letter from Park (The Lawn) giving permission for child care facility to utilize the park twice a day and the times the children will visit the park. No restroom at park location. Children will be brought back to facility to use rest room

- Ratios 1 adult to 6 children. There is 260 adult steps from facility to park (basically two small blocks) which will consist of a 5 minute walk

- Letter for waiver for outdoor activity space to be used at park (The Lawn)

During this office meeting, applicant stated that they would email all letters of protocol to establish waiver for LPM review. LPM and LPA also addressed concerns and documents for toddler option component and schedules per each age group. Documents were received. Permission letter from child’s parents/child representative was also discussed for Toddler Option Component.

Exit interview conducted with applicant and director, Melanie Wolff and KJ Mayer who is in agreement with the above.

SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019
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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