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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019508
Report Date: 04/28/2021
Date Signed: 04/28/2021 01:23:18 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:LYCEE INTERNATIONAL DE LOS ANGELESFACILITY NUMBER:
198019508
ADMINISTRATOR:SARAH KOAFACILITY TYPE:
850
ADDRESS:2714 ST GEORGE STTELEPHONE:
(323) 522-3848
CITY:LOS ANGELESSTATE: CAZIP CODE:
90027
CAPACITY:96CENSUS: 67DATE:
04/28/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Sarah KoaTIME COMPLETED:
01:25 PM
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Licensing Program Analyst (LPA) Ariel Cazares conducted a case management inspection on this date for the purpose of inspecting a restroom in the facility that will be converted from a staff to children's restroom. LPA met with Director Sarah Koa via FaceTime, due to precautionary measures as relates to COVID-19. A census of the children in care was taken. There were a total of 67 children present as follows: Room 1- 11 children, 2 staff; Room 2- 10 children, 2 staff; Room 3- 12 children, 2 staff; Room 6- 11 children, 2 staff; Room 7- 12 children, 2 staff; Room 8- 11 children, 2 staff.

LPA then toured the restrooms that will be changed. One of the restrooms near the Auditorium across from classrooms will be converted from a staff restroom to a children's restroom. LPA observed anti-slip mats on the floor, stools in each stall, and a step bench under the sink for children. There was hand soap, paper towels, and hand washing signs present. This restrooms consists of 3 stalls and 2 sinks. This restroom is in addition to the currently licensed children's restrooms and is not impacting the capacity licensed for. Across from the restroom is another separate restroom that will remain designated for staff. This restroom consists of 1 stall, 3 urinals, and 2 sinks. LPA requested that a sign be placed on each door distinguishing them from children's and staff's restroom. Director agreed and will send LPA a photo of the signs. Children will be escorted and supervised to the restroom at all times, by qualified staff. LPA requested to see the ill isolation restroom which is separate from the staff restroom. The isolation restroom is located in the office near the First Aid Room. There have been no changes to the ill isolation area as mentioned by Director.

The facility provided LPA with a copy of their current and valid fire permit which is on file. Based on today's inspection the proposed restroom will be approved for use by children. Any changes to the restroom, or should it be converted back to the staff restroom, must be reported to the Department prior to changes being made. Director agreed to this. Exit interview conducted with Director Sarah Koa and copy of this report will be emailed with attached read receipt for confirmation of receipt of report.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel CazaresTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021
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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