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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494562
Report Date: 08/06/2021
Date Signed: 08/06/2021 02:48:54 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:FAIRVIEW CHRISTIAN ACADEMY & ENRICHMENT CENTERFACILITY NUMBER:
197494562
ADMINISTRATOR:ROSHAWN T. HOOPERFACILITY TYPE:
840
ADDRESS:1215 N MARLBOROUGH AVETELEPHONE:
(213) 910-8858
CITY:INGLEWOODSTATE: CAZIP CODE:
90302
CAPACITY:14CENSUS: 0DATE:
08/06/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Roshawn Hooper, LicenseeTIME COMPLETED:
02:55 PM
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Licensing Program Analyst (LPA) Shandra Powell conducted an unannounced Case Management to clear deficiencies from the 1 - Year Required Visit on 07/20/2021. LPA met with licensee, Roshawn Hooper the following deficiencies have been corrected and cleared:

1. Sign In and Sign Out -(a)(1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

2. 1596.7995 Employees or volunteers at day care center; immunization requirements; records; exemptions
(a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles.

3. Outdoor Activity Space for school-age Children.
Outdoor activity space provided for school-age child care center children shall be physically separated from space provided for other child care center children.


Exit interview was conducted with Licensee, Roshawn Hooper. The Licensee was provided a copy of this report, appeal rights (LIC 9058) A copy of the LIC 9213 Notice of Site Visit via email on 08/06/2021. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021
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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