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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019321
Report Date: 08/09/2021
Date Signed: 08/10/2021 05:38:21 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:ESGVJCC KOKORO NO SATO INFANT CENTERFACILITY NUMBER:
198019321
ADMINISTRATOR:PEARL OMIYAFACILITY TYPE:
830
ADDRESS:1203 WEST PUENTE AVENUETELEPHONE:
(626) 960-2566
CITY:WEST COVINASTATE: CAZIP CODE:
91790
CAPACITY:23CENSUS: 5DATE:
08/09/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Pearl OmiyaTIME COMPLETED:
02:30 PM
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An announced decrease in capacity site inspection was conducted on this date by Licensing Program Analyst (LPA) Cynthia Reyes for the purpose of Inspecting and approving removal of the Toddler option from the infant license. LPA met with Pearl Omiya, Licensee. Due to COVID- 19 precautionary measures were taken during the entire inspection and all individuals present during this inspection wore appropriate personal protective equipment. Days & Hours of this facility are Monday-Friday 630 AM-630 PM.

This center is previously licensed for 8 infant, and 15 toddlers. The facility request to decrease back to just 8 infants, which will be located only on the first floor of the building. The 2 classrooms located upstairs above the infant classroom were used for the Toddler option, however the licensee request to remove the toddler option and now request to be licensed for a new preschool (F#198020839) with a capacity of 15.

Pearl Omiya, Licensee guided the LPA on a tour of the facility indoors and outdoors and all was inspected to meet the regulations. No citations or corrections are needed at this time, however, for the outdoor play yard, a waiver was requested under the new preschool application to share the outdoor space. The proposed Preschool program is requesting to use a staggered outdoor play schedule in the infant play yard as the facility only has one play yard on the premises.

If the waiver is approved and final file review the capacity decrease will be granted. The license then will be amended to reflect the new capacity of eight (8) infant children.



During this inspection LPA discussed Social and Physical Distancing Guidance And Healthy Practices For Child Care Facilities In Response To The Global Corona virus (COVID-19) Pandemic

LPA advised the Applicant to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. Exit interview conducted with Pearl Omiya, Licensee and a signed copy of this report and appeal rights were provided.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2021
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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