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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364843322
Report Date: 10/12/2020
Date Signed: 10/14/2020 03:14:52 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:OCS OUR LADY OF THE ASSUMPTION PRESCHOOLFACILITY NUMBER:
364843322
ADMINISTRATOR:SUSAN LONGFACILITY TYPE:
850
ADDRESS:796 W. 48TH STREETTELEPHONE:
(909) 475-5437
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92407
CAPACITY:18CENSUS: 9DATE:
10/12/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:39 PM
MET WITH:Candace Meador, Director TIME COMPLETED:
03:10 PM
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Licensing Program Analyst (LPA) met with Director, Candace Meador today for the purpose of conducting a pre-licensing inspection, center is requesting to increase their capacity from 18 to 40. Center currently licensed in Room #A for a capacity of 18 and wish to add Room #B. Measurements were as follows:

Indoor activity area measurements:
Classroom B: 37 X 27 = 999 - Bathroom (16 X 9) = 144 = 855/35 = 24

Outdoor activity area measurements:
Total outdoor activity space: 51.9 x 28.5 = 1,998 divided by 75 = 26.
Capacity is limited to 26 children

LPA observed both classrooms to be equipped with the required postings regarding COVID, center has received "RAST" call.

Fire clearance was received for the requested capacity of 20 children.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2020
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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