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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400187
Report Date: 03/09/2021
Date Signed: 03/09/2021 02:58:49 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:AGAPE SARANG CHILD CENTER-INFANTFACILITY NUMBER:
198400187
ADMINISTRATOR:HYE JOUNGFACILITY TYPE:
830
ADDRESS:1516 S. WESTERN AVETELEPHONE:
(818) 279-1685
CITY:LOS ANGELESSTATE: CAZIP CODE:
90006
CAPACITY:28CENSUS: 3DATE:
03/09/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Hye Joung TIME COMPLETED:
11:55 AM
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Licensing Program Analyst (LPA) Seung Lee conducted a case management inspection. Upon arrival LPA Lee met with applicant Hye Joung. The purpose of this inspection was to measure the indoor and outdoor activity space for the infant program.

Based on the measured activity space during the inspection, the approved fire clearance, and the number of sinks and toilets available to children the measured capacity came out to be 15 children.

Exit interview conducted with Applicant Hye Joung. Appeal rights discussed and explained.
SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2021
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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