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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014073
Report Date: 08/12/2020
Date Signed: 08/12/2020 12:46:33 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: 64DATE:
08/12/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Renae PlantTIME COMPLETED:
12:50 PM
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An announced pre-licensing site inspection was conducted today by Licensing Program Analyst (LPA) Crystal Green to inspect and measure facility for capacity determination. Licensee is seeking to add a toddler option to the preschool license. LPA Green met with Director, Renae Plant, who guided analyst on a tour of the facility. This proposed Toddler Option program will operate from Monday through Friday 8AM - 6PM.

At 10:10 AM LPA was guided through a tour of the preschool facility and the proposed toddler option classroom. This facility is currently operating and a total of 64 children with 13 staff were observed. During this inspection, LPA observed the (2) proposed rooms for the Toddler Option and the designated outdoor area for Toddler Option. LPA observed the area to be physically separated from the Preschool. LPA inspected this area and observed it to be free of immediate hazards. There are doors and large sliding windows in both areas to provide ventilation. There is a fire extinguisher and functioning carbon monoxide detector in proposed toddler area. LPA observed portable drinking water available in classroom. There is a kitchen area located near the proposed toddler classrooms available for meals and snacks preparation. The main office will be used as the designated ill isolation area for sick children. The staff restroom will be used for ill children. Parents will provide snacks and their child lunches. There is adequate shade in outdoor play area. All areas around or under high climbing equipment and slides are cushioned with material to absorb a fall.

Based on measurements taken today, capacity for the proposed Toddler Option will be twenty (20) toddlers. Based on the documents submitted and the inspection on this date, the facility is in compliance.

Exit interview was conducted with Director Ranae Plant. Appeal Rights were issued and discussed. 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: Christina GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 854-5730
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2020
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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