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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414787
Report Date: 04/22/2022
Date Signed: 04/22/2022 04:32:27 PM

Document Has Been Signed on 04/22/2022 04:32 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:SHIRAYURI YOUCHIENFACILITY NUMBER:
197414787
ADMINISTRATOR:YOSHIMI, MORIFACILITY TYPE:
850
ADDRESS:23325 SO. VERMONT AVENUETELEPHONE:
(310) 530-5830
CITY:TORRANCESTATE: CAZIP CODE:
90502
CAPACITY: 79TOTAL ENROLLED CHILDREN: 79CENSUS: 40DATE:
04/22/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Hiroko KozuchiTIME COMPLETED:
04:45 PM
NARRATIVE
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On 4/22/2022, Licensing Program Analysts (LPAs), Veronica Wheatley and Lillian Casillas conducted an unannounced Plan of Correction inspection and met with the Director, Hiroko Kozuchi, at 2:20PM.

LPAs Wheatley and Casillas toured the entire preschool program and observed the children napping. The children were supervised properly and within ratios by staff. Director was supervising napping children.

At the end of the inspection, LPAs observed an adult female (Adult #1) who stated she is a piano teacher and teachers piano lessons for the preschool children. The Licensee's wife, Tomi Aoyama, was called from the other facility and arrived at 2:50pm. LPAs utilized Language Link to interpret in Japanese. Tomi Aoyama stated that the music teacher was her friend and she had an appointment with her today. Tomai Aoyama stated that she was thinking of using Adult #1 as a piano teacher in general. Tomi Aoyama denied Adult #1 was on the premises to teach the children today, although witnesses stated otherwise. The Adult #1 does not have a fingerprint clearance and is not qualified to supervise the children during piano lessons alone. According to the Director that Adult #1 usually teaches children with parents present. The director was informed that if the music teacher teaches the children alone she is required to have a fingerprint clearance. If the Department learns that the music teacher is teaching the children piano lessons without a fingerprint clearance in the future the licensee will be cited.

An exit interview was conducted with the Director, Hiroko Kozuchi. LPAs provided a copy of the report, as well as a Notice of Site Visit.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 04/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/22/2022
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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