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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017139
Report Date: 07/18/2019
Date Signed: 07/18/2019 03:42:46 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:ST. JAMES' PRESCHOOLFACILITY NUMBER:
198017139
ADMINISTRATOR:KATARINA MATOLEKFACILITY TYPE:
850
ADDRESS:625 S. GRAMERCY PLACETELEPHONE:
(213) 382-2315
CITY:LOS ANGELESSTATE: CAZIP CODE:
90005
CAPACITY:60CENSUS: 34DATE:
07/18/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Patricia ThomasTIME COMPLETED:
04:00 PM
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LPA Dorsey conducted an unannounced Plan of Correction (POC) inspection to determine if the citations cited on 07/01/19 have been corrected. Upon entry LPA met with Director Patricia Thomas, LPA conducted census and found 34 children in care.

The following citations cited on 07/01/2019 have been corrected:
  1. 101238(g) - Building and Grounds - LPA Dorsey observed the buckets of paint have been removed from the playground. Per director the buckets of paint were removed from the property.

The licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Copies of the reports must also be provided to each parent when a serious deficiency, Type A, is cited (LIC9224).

Exit Interview was conducted with Director Patricia Thomas. Appeal rights were given and discussed.

SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019
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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