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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015711
Report Date: 05/02/2019
Date Signed: 05/22/2019 02:53:35 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:KIDS FIRST LEARNING CENTER - DOWNEYFACILITY NUMBER:
198015711
ADMINISTRATOR:CYNTHIA SAENZFACILITY TYPE:
850
ADDRESS:13200 COLUMBIA AVENUETELEPHONE:
(562) 803-0400
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY:144CENSUS: 75DATE:
05/02/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Site SupervisorTIME COMPLETED:
04:35 PM
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Licensing Program Analyst (LPA) Tran arrived at the above facility to conduct a case management incident inspection that occurred on 04/09/19 regarding a concern parent did not feel comfortable how staff handled her child in the classroom.

Based on interview conducted with staff, children and others, it indicated that C1 is is comfortable with all the teacher in her classroom. Staff did not have any concern with how S1 handled C1. At this time based on the available information it does not appear this incident was the result of Title 22 Violation for personal rights.

No deficiency was cited.

Due to replication the handwriting 809 report was provided. The original 809 report was generated at Regional Office and sent on 05/22/19. No representative signature is required.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2019
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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