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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494348
Report Date: 07/09/2021
Date Signed: 07/09/2021 10:00:27 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:BRELLA PLAYA VISTA PRESCHOOLFACILITY NUMBER:
197494348
ADMINISTRATOR:KENNER RAKOVFACILITY TYPE:
850
ADDRESS:12746 W JESFFERSON BL. #3-3100TELEPHONE:
(213) 300-5962
CITY:PLAYA VISTASTATE: CAZIP CODE:
90094
CAPACITY:43CENSUS: 38DATE:
07/09/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
07:33 AM
MET WITH:Melanie Wolff, Co-OwnerTIME COMPLETED:
08:39 AM
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On 7/09/2021 at 7:33 am, Licensing Program Analyst (LPA), Deborah Lowe made case management – licensee initiated announced visit to Brella Playa Vista for the purpose of remeasuring room 4 at the request of the licensee. LPA Lowe met with Co-Owner Melanie Wolff.

Facility is looking to possibly change the toddlers designated classroom space to room 4.

Room 4 was remeasured with the following measurements:
Measurements with laser tool:
(9.75 x 2.33) = 22.72, (17 x 14.33) = 243.61, (9.92 x 2.05) = 20.34
Archway (8.17 x 3.42) = 27.94
- encumbered space (10.33 x 2.05) = 21.18, (2.05 x 4) = 8.20
Total : 22.72 + 243.61 + 20.34 + 27.94 - 21.18 - 8.20 = 285.23

Indoor activity space = 285.23

Measurements with roller tool:
(9.33 x 2.05)= 19.13, (16.42 x 14.05) = 230.70, (9.58 x 1.75) = 16.77
Archway (8.17 x 3.42) = 27.94
- encumbered space (10.33 x 2.05) = 21.18, (2.05 x 4) = 8.20
19.13 + 230.70 + 16.77 + 27.94 - 21.18 - 8.20 = 265.36

Co-Owner Melanie Wolf was present with LPA during measuring of Room 4 classroom space.

Exit interview conducted Exit interview was conducted with Melanie Wolff, Co-Owner, Darien Williams, Co-Owner and Kenner Rakoz, Director.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (434) 301-3069
LICENSING EVALUATOR NAME: Deborah LoweTELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2021
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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