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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014692
Report Date: 07/09/2020
Date Signed: 08/06/2020 09:55:09 AM

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:MAGNOLIA HEAD STARTFACILITY NUMBER:
198014692
ADMINISTRATOR:MARINA AGUILLENFACILITY TYPE:
850
ADDRESS:1910 MAGNOLIA AVENUETELEPHONE:
(213) 746-2613
CITY:LOS ANGELESSTATE: CAZIP CODE:
90007
CAPACITY:26CENSUS: 0DATE:
07/09/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Kellie Konysky, Director EducationTIME COMPLETED:
01:00 PM
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This was a case management inspection for the purpose of modification of the facility by adding the toddler option attach to the preschool license conducted by T. Tran, Licensing Program Analyst (LPA) due to COVID-19 and precautionary measures. This case management was conducted with Kellie Konysky, Director Education via tele-inspection by use of Zoom.

The facility is currently operating with the capacity of 26 preschool age children. The facility is requesting to reduce the capacity of preschool to 18 children by adding the toddler option with the capacity of 16 toddlers. Fire clearance granted and obtained preschool/toddler option. The hours of operation from 8:00 AM - 4:30 PM, Monday through Friday. The facility had sufficient indoor, outdoor space with toilets and sinks to accommodate the 18 preschooler and 16 toddlers.
This is a Head Start facility. During Zoom inspection, LPA observed appropriate for both components. Changing table with an arm reach from the sink. Children’s belongings were stored separately. Isolation area met regulation requirement. LPA observed two separate yards to accommodate the both programs. Drinking water was available in classrooms and the outdoor play area. Serviced fire extinguishers, smoke detectors/carbon monoxide detectors were observed. All required posting observed.
LPA reviewed and obtained the facility current/updated Personnel Record (LIC 500). LPA reviewed facility's sketch which matched the physical plant of the facility. Updated copy of Parent Handbook. The facility was in compliance with Title 22 regulations during today's inspection. Action needed-Due to health and safety concern, toddler children need a clear access path from the classroom to the outdoor yard. Facility will send photo to LPA by 7/30/2020 in order for new license to be issued.

Exit interview was conducted with Director Education, via tele-inspection. This report along with a copy of Notice of Site Visit will be sent to the noted person via email with a read receipt or confirmation of receipt of email, which will act as the Director Education's signature.

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2020
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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