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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416279
Report Date: 12/12/2023
Date Signed: 12/12/2023 05:02:31 PM

Document Has Been Signed on 12/12/2023 05:02 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:NU BUILDING BLOCKS DAY CARE CENTERFACILITY NUMBER:
197416279
ADMINISTRATOR:PAIGE SOLOMONFACILITY TYPE:
850
ADDRESS:2313 WEST JEFFERSON BOULEVARDTELEPHONE:
(323) 732-5439
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY: 58TOTAL ENROLLED CHILDREN: 58CENSUS: 40DATE:
12/12/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Peyton Solomon, Facility RepresentativeTIME COMPLETED:
03:00 PM
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On 12/12/2023 at 1:00 PM, Licensing Program Analyst (LPA) Katrina Chicote arrived at the above facility for the purpose of conducting follow up on Plan of Corrections (POCs) from five Type B citations issued on 10/19/2023. Census was taken. LPA arrived to facility during children's nap time.

During inspection, LPA toured facility and observed outdoor play area. LPA did not observe surface of cushioning material under structure of play area maintained at time of inspection. LPA observed holes previously observed still unpatched, per Licensee (over the phone) he has been attempting to get holes patched up and has been in conversation with the Contractor but has been having difficulties getting the Contractor to work with them. Licensee states this will be taken care of after the New Year.

LPA reviewed six staff files present during today's inspection. Record review reveals that all staff files reviewed have current required AB1207 Mandated Reporter training completion certificates on file, all personnel records missing LIC 503 now have them complete, immunization records were obtained by staff, and staff have education verification on file. LPA reviewed required documents during inspection and reminded Facility Representative that files must remain maintained and if new staff is hired their files must also be maintained. Clearance letters were issued in regards to deficiencies.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 12/12/2023.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with the Facility Representatives.


Report Ends - Page 1 of 1
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2023
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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