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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419606
Report Date: 04/28/2022
Date Signed: 04/28/2022 10:36:59 AM

Document Has Been Signed on 04/28/2022 10:36 AM - 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:PACE - YOUNG INNOVATORFACILITY NUMBER:
197419606
ADMINISTRATOR:ARAKELYAN, ANUSHFACILITY TYPE:
850
ADDRESS:3740 DON FELIPE DRIVETELEPHONE:
(323) 389-8470
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 20DATE:
04/28/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Ruzanna DatvianTIME COMPLETED:
10:45 AM
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On 4/28/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced Case Management – COVID-19 inspection to follow up on reported positive cases of COVID-19. Upon arrival, LPA met with the Site Director, Ruzanna Datvian. LPA conducted a risk assessment and toured the inside and outside of the facility. LPA observed 20 children and 6 staff.

According to the Unusual Incident Report LIC 624 submitted on 2/15/2022- 6 children tested positive for COVID-19. Site Director stated that all children who tested positive for COVID-19 isolated and were cleared to return to the facility. No additional children or staff have tested positive for COVID-19 since.

During visit, LPA observed COVID-19 related signs/posters throughout the facility. The entrance and classrooms include sanitation areas with hand sanitizer and touchless thermometers. LPA observed all bathrooms fully stocked with soap and paper towels. The children classroom materials and supplies are kept separate in plastic containers with their names on it. LPA observed floor markers and tape on tables to maintain social distancing.



During the visit LPA and Director discussed the following best practices:

Arrival Procedures - Site Director confirmed children and staff complete temperature checks and wellness checks every morning before entering the facility.

Face Masks - Although face masks are not required, the practice remains recommended.

Isolation area - Isolation area is located in the office area. A designated staff will stay with the child until the parent arrives.



[CONTINUE ON PAGE 2]
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE: DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/28/2022
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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