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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013857
Report Date: 04/05/2024
Date Signed: 04/05/2024 02:36:25 PM


Document Has Been Signed on 04/05/2024 02:36 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:VILLAGE KIDS - CARSON SQUAREFACILITY NUMBER:
198013857
ADMINISTRATOR:KELLY ECHEVERRIAFACILITY TYPE:
850
ADDRESS:1110 1/2 E. DOMINGUEZ STREETTELEPHONE:
(310) 631-8881
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY:42CENSUS: 12DATE:
04/05/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Adriana Ortiz, Director TIME COMPLETED:
02:55 PM
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Licensing Program Analysts (LPAs) Susann Sanchez and Anthony Padillia conducted an unannounced annual inspection on 04/05/2024 at 9:45 PM. LPA met with Adriana Ortiz, director. LPA provided director with a copy of the Entrance Checklist for Child Care Centers form (LIC 125). Director then guided LPA on a tour of the facility. This preschool program that consists of nine (9) rooms ; Room Space, Room Animals, Cafeteria, Computer Room, Library, Art Room, Music Room, Fish Room, and Drama Room. Children only nap in the Drama. Facility operating hours are Monday to Friday from 6:30AM to 6:00PM.

All areas identified on the Facility Sketch were inspected. Upon arrival, the following staff were present during this inspection; Room Space: Staff #2 with 12 preschoolers napping in the Drama Room. The facility was observed to be within the license capacity and limitations. Sign in sheet was reviewed and all 12 children present were signed in.

During the tour, Director Adriana Ortiz informed LPAs that the facility will be permanently closing April 11th, 2024. Parents were informed on March 14th, 2024. LPAs explained closing procedures and provided Director with resources.

A notice of site visit was given. Exit interview conducted and report was reviewed with the Director Adriana Ortiz.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Susann SanchezTELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:
DATE: 04/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/05/2024
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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