<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019653
Report Date: 08/27/2019
Date Signed: 08/27/2019 02:43:43 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:SIERRA MADRE UNITED METHODIST CHURCH-BRIDGEFACILITY NUMBER:
198019653
ADMINISTRATOR:STEPHANIE MCREYNOLDSFACILITY TYPE:
850
ADDRESS:695 W. SIERRA MADRE BLVDTELEPHONE:
(626) 355-0629
CITY:SIERRA MADRESTATE: CAZIP CODE:
91024
CAPACITY:60CENSUS: 43DATE:
08/27/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Stephanie McReynoldsTIME COMPLETED:
03:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Ariel Cazares conducted a case management inspection on this date for the purpose of addressing a request for a capacity increase. Upon arrival LPA met with Director Stephanie McReynolds and toured the facility. There were 43 children present and 6 additional staff. Licensee Rajeev Nandakumaran arrived shortly after.

LPA inspected the facility indoors and outdoors. LPA measured 4 classrooms and an added outdoor space. An additional restroom was made available that consists of 1 toilet, 1 urinal, and 1 sink. LPA observed no violations or hazards that required correction. There is a fire clearance that was granted for 68 children.

Based on the measurements indoors (68 capacity) and added outdoor space (19 capacity), the added toilet/sink (15 capacity), and fire clearance (68 capacity) the facility can be granted for a capacity of 68 children. The current outdoor staggered schedule that has an approved waiver must be maintained to meet the capacity requested. The facility is currently in compliance with the Department's regulations.

Exit interview conducted with Licensee Rajeev Nandakumaran. A copy of this report was provided. 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. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1