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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008932
Report Date: 10/01/2019
Date Signed: 10/01/2019 05:53:08 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:KIDZONE PRE-SCHOOL & CHILDREN CENTERFACILITY NUMBER:
198008932
ADMINISTRATOR:BOOKER, LENOREFACILITY TYPE:
850
ADDRESS:1247 W. SAN BERNARDINO RD.TELEPHONE:
(626) 967-1223
CITY:COVINASTATE: CAZIP CODE:
91722
CAPACITY:39CENSUS: 15DATE:
10/01/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Lenore Williams BookerTIME COMPLETED:
04:00 PM
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Cynthia Reyes, and Alicia Bailey LPA's conducted a Plan of Correction inspection (POC) Inspection for the purpose of ensuring deficiencies that were cited on 09/10/2019 were corrected. LPA's met with Owner/Director Lenore Williams Booker.

A tour of the facility was conducted indoors and outdoors. LPA's observed 15 preschool children with Director Narissa Groves, 2 toddlers were observed with Lenore Williams Booker, who stated she was short staff due to a teacher calling out sick. LPA's also observed on the outside school age play yard 11 children with one teacher Ana Maria Delossantos.

Citation corrected and observed on this date are:

1) Mandated reported certificates for all staff: Director provided copies all staff mandated reporter certificate

2) Immunization verification for all staff : Director provided copies to LPA's current immunization for all staff

3)Preschool Program with toddler component: (Co-mingling) Owner Lenore Williams Booker is requesting to close the toddler option on this day however providing the parents with two weeks to be official closed as of 10/15/2019
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KIDZONE PRE-SCHOOL & CHILDREN CENTER
FACILITY NUMBER: 198008932
VISIT DATE: 10/01/2019
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4)Preschool Program with toddler component:( Written Permission) Due to owner Lenore Williams Booker no written permission slips will be provided.

5) Sign in & Sign Out Sheet : Director Lenore Williams Booker provided a declaration of the steps staff will take to ensure parents are signing in and out correctly.

6) Current roster of children: LPA's reviewed roster is completed and current.

7) Personnel Records: LPA's reviewed personnel reported was completed and current.

An exit interview was conducted and a copy of this report was provided as well as the plan of correction letters for all citations listed above on this date.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019
LIC809 (FAS) - (06/04)
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