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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011010
Report Date: 04/19/2024
Date Signed: 04/19/2024 02:21:10 PM


Document Has Been Signed on 04/19/2024 02:21 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:YOUNG HORIZONS-GRISHAM SITEFACILITY NUMBER:
198011010
ADMINISTRATOR:NICETA TANDOCFACILITY TYPE:
850
ADDRESS:11 W. 49TH STREETTELEPHONE:
(562) 984-3801
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:24CENSUS: 17DATE:
04/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Director - Chhum KenTIME COMPLETED:
02:30 PM
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Licensing Progam Analysts (LPAs) R. Derraco and A. Padilla conducted an unannounced case management visit to the above mentioned facility on 04/19/24. LPAs arrived at the facility at 1:45 PM and was met by Director, Chhum Ken, who guided analysts on a tour of the facility. LPAs observed 2 staff members and 17 children in care. The facility was observed to be clean and free of defects.

The purpose of this visit is to observe the completed construction of the playground located in the outdoor play yard. LPAs observed perimeter fencing and adequate shade through the outdoor play area. A climbing structure was observed to have plastic slides and rounded edges. LPAs observed the climbing structure rests above artificial grass and a soft mat throughout the fall zone. Director provided a copy of Inspection documents completed by Certified Playground Safety inspector dated 03/16/24.

LPAs observed the playground to be within compliance of title 22 regulations. No citations will be issued today.

An exit interview was conducted and report was reviewed with Director, Chhum Ken.
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:
DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/19/2024
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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