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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400357
Report Date: 03/10/2021
Date Signed: 03/11/2021 08:32:28 AM

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:B L HARVEY SCHOOLFACILITY NUMBER:
198400357
ADMINISTRATOR:PETTIS, MARGARETFACILITY TYPE:
850
ADDRESS:3581 E. IMPERIAL HWYTELEPHONE:
(310) 930-5208
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:30CENSUS: 0DATE:
03/10/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Margaret Pettis, ApplicantTIME COMPLETED:
03:00 PM
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THIS IS AN AMENDED DOCUMENT TO CORRECT INFORMATION:
This was a follow-up Pre licensing inspection conducted on 3/10/2021 at 2:00 PM by Denise Gibbs, Licensing
Program Analyst (LPA). Due to COVID-19 and precautionary measures, this Pre licensing Inspection was conducted with Margaret Pettis, applicant via a tele-inspection by use of Facetime. The purpose of this visit was to take measurements and observe corrections.

Measurements were taken indoors and outdoors. Applicant informed LPA of a correction to the days of operation. This facility will operate Sunday through Saturday 5:00 AM to 11:59 PM. (Language has been amended to correct information)

LPA observed corrections needed to continue the application process. In the younger children restroom LPA observed toilet paper holders in all stalls and a paper towel holder next to the sink. LPA observed operable refrigerator and stove in the kitchen. Applicant posted all COVID-19 required posters and Parent Board with required postings.

Applicant is seeking to provide care for 30 Preschool; A fire clearance has been granted as of 1/4/2021. Based on measurements, the facility has space for: 30 Preschool Children.

A Child Care license may be granted upon Licensing Program Manager (LPM) Approval. Once licensed, the applicant is required to comply with the terms and limitations stated on the license.



Exit interview was conducted with Margaret Pettis, applicant, via Facetime. This report will be sent to the facility via email. A read receipt or confirmation of receipt of email, will act as Applicant's signature.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2021
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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