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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416779
Report Date: 01/13/2022
Date Signed: 01/13/2022 12:35:19 PM

Document Has Been Signed on 01/13/2022 12:35 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:CASTLE IN THE CLOUDSFACILITY NUMBER:
197416779
ADMINISTRATOR:LEE, KYE J.FACILITY TYPE:
850
ADDRESS:1435 W. 120TH STREETTELEPHONE:
(323) 756-9191
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY: 50TOTAL ENROLLED CHILDREN: 17CENSUS: 5DATE:
01/13/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:EK Lee Administrator & Kye Lee DirectorTIME COMPLETED:
12:40 PM
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On 01/13/2022, Licensing Program Analyst, Adrian Risher conducted a case management inspection to deliver a civil penalty for the deficiency issued on 11/19/2021. LPA met with E.K. Lee, Administrator and Kye Lee, Director arrived while LPA was writing the report. LPA observed 5 children in care with 1 staff.

On 11/19/2021, ESRO received a complaint for this facility regarding lack of supervision due to a child wandering away from the daycare. The facility was cited on 11/19/2021 under section 101229(a)(1) Responsibility for Providing Care and Supervision due to absence of supervision. The facility was previously cited on 06/16/2021 under section 101229(a)(1) Responsibility for Providing Care and Supervision. The staff did not provide adequate supervision for the children in care.

A civil penalty is being issued today for a repeat violation within a 12 month period of time(06/16/2021 & 11/19/2021). See form LIC421IM for further instructions

Exit interview was conducted and a copy of the report was provided. Appeal rights were reviewed and provided
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2022
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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