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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015461
Report Date: 07/26/2019
Date Signed: 07/26/2019 08:43:33 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:LITTLE OWL PRESCHOOLFACILITY NUMBER:
198015461
ADMINISTRATOR:LINDA DIANE WILSONFACILITY TYPE:
850
ADDRESS:3426 LINDEN AVENUETELEPHONE:
(562) 786-5333
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY:70CENSUS: 13DATE:
07/26/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Michelle Ramirez.TIME COMPLETED:
09:00 AM
NARRATIVE
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Licensing Program Analysts (LPAs) Warren Birks and Dayna Chambers conducted an announced case management inspection to conduct an additional inspection of the additional outdoor playground. LPAs met with Executive Director Linda Wilson and Program Coordinator Michelle Ramirez who gave a tour of the outdoor space. This is a preschool program currently licensed to provide care for 70 preschool children. The Licensee is seeking to increase capacity to 117 with the addition of the two new classrooms and additional outdoor space.

LPA's inspected foam cushioning material surrounding poles set up for shade covers. LPA Birks touched and punched the foam padding surrounding the poles. LPA observed padding to be approximately 3 inches thick and adequate to protect a child from a serious injury. Program Coordinator Michelle Ramirez indicated that the foam padding is temporary as they are in process of approving a pole padding order online.

Based on LPAs observations and previous measurements, the facility will be recommended for management approval for a capacity of 117 total children (47 additional from previous License of 70 due to new outdoor space and two additional classrooms).

Exit interview with Program Coordinator Michelle Ramirez.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2019
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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