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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014073
Report Date: 05/01/2020
Date Signed: 05/01/2020 01:24:01 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:CAMELOT KIDS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198014073
ADMINISTRATOR:KATHERINE MANLYFACILITY TYPE:
850
ADDRESS:2880 ROWENA AVENUETELEPHONE:
(323) 662-2663
CITY:LOS ANGELESSTATE: CAZIP CODE:
90039
CAPACITY:101CENSUS: 0DATE:
05/01/2020
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
12:14 PM
MET WITH:Renae PlantTIME COMPLETED:
12:30 PM
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This was a case management inspection conducted by Licensing Program Analyst (LPA) Ariel Cazares, due to COVID-19 and precautionary measures. This case management inspection was conducted with Director Renae Plant via a tele-inspection by use of FaceTime for the purpose of inspecting additional areas to be added to the current licensed facility.

During this tele-inspection the director took LPA on a tour of areas currently not included in the license. These areas referred to as “Little Knights” include 2 indoor classrooms, 1 children’s restroom, and an outdoor yard space. During this tour the following was observed:

At 12:15 pm the tour of the outdoor space began. At 12:17pm, the director guided LPA through 3 indoor classroom spaces. Room #2 has one children’s restroom that allows for individual privacy. Director showed LPA the smoke/carbon monoxide system that is hardwired throughout the facility. LPA did not observe any immediate hazards or violations. The classrooms have appropriate furniture and equipment, along with supplies for children. LPA requested a photo be sent of the fire extinguisher. LPA informed director that the information and inspection details will be reviewed with management for approval of adding the space to the license.

Exit interview was conducted with Director Renae Plant, via tele-inspection. This report along with a copy of the appeal rights will be sent to the director via email with a read receipt or confirmation of receipt of email, which will act as the Applicants/Licensee’s signature. A copy of the signed report will also be sent to the Department.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel CazaresTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2020
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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