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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016427
Report Date: 02/02/2022
Date Signed: 02/02/2022 12:04:53 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:CHILD EDUCATIONAL CENTER PRESCHOOL AT CALTECHFACILITY NUMBER:
198016427
ADMINISTRATOR:ERINN LEVINFACILITY TYPE:
850
ADDRESS:250-56 SOUTH MICHIGAN AVENUETELEPHONE:
(818) 354-3418
CITY:PASADENASTATE: CAZIP CODE:
91106
CAPACITY:38CENSUS: 11DATE:
02/02/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:08 AM
MET WITH:Erinn Levin - DirectorTIME COMPLETED:
12:17 PM
NARRATIVE
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced Case Management-Other for the purpose of providing an Advisory Note-Technical Violation to the facility. Upon arrival at 11:08am, LPA was met by Director Erinn Levin, to whom the purpose of the inspection was explained. At 11:12am, LPA was led on a tour of the facility.

Census was taken. During the time of inspection, LPA observed 2 staff and 11 children in the outdoor play yard.

An annual inspection was conducted for the facility on 01/28/2022. Per Director, the staff files are kept at their Human Resources (HR) Office at the address 236 W. Mountain St. #102 Pasadena, CA 91103. On 02/02/022, LPA conducted a visit to the HR Office to conducted staff file review for the three staff members present during the Annual Inspection on 01/28/2022. During the staff file review, LPA observed that Staff #3 did not have an up to date Mandated Reported AB1207 Child Care Provider Training completed. The certificate on file expired 02/2021. LPA is providing an Advisory Note-Technical Violation, to address the expired Mandated Reporter Training.

No deficiencies are being cited during this inspection.

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.

Exit interview was conducted with Director Erinn Levin, at 11:55am, including a copy of this report.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Nolan TchengTELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2022
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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