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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494818
Report Date: 03/06/2025
Date Signed: 03/07/2025 08:35:18 AM

Document Has Been Signed on 03/07/2025 08:35 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:PARK FAMILY CHILD CAREFACILITY NUMBER:
197494818
ADMINISTRATOR/
DIRECTOR:		PARK, BYEONGIMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 703-6046
CITY:LOS ANGELESSTATE: CAZIP CODE:
90019
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
03/06/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Byeongim ParkTIME VISIT/
INSPECTION COMPLETED:
02:41 PM
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On 03/06/2025 Licensing Program Analyst (LPA) Ranita Richmond and Brittany Lovest arrived at the family childcare home to conduct a Plan of Correction visit and was met by Licensee Byeongim Park. LPA observed 5 children in care being supervised and cared for by licensee.

On 02/19/2025, Licensee was cited for the following:
1. Licensee will ensure that each child has a file including all of the Title 22 required documents.
2. Licensee will conduct fire drills and ensure the drill log is made available during Department's request.
3. Licensee will ensure that all detergents, cleaning compounds, beauty supplies, etc. are inaccessible to children in care.
4. Licensee will ensure stairs shall be fenced or barricaded.
5. Licensee will ensure poisons, medications, and knives shall be stored in a locked area.
6. Licensee will ensure prohibited items (walker) are not used and are removed from home.
7. Licensee will ensure cribs are free from loose articles and objects.
8. Licensee will ensure no objects hanging above or attached to side of crib/ play yard.
9. Licensee will supervise and document infant sleep.
10. Licensee will ensure Infant Sleeping Plan (LIC 9227) shall be completed for each infant up to 12 months of age.
11. Licensee will ensure infants are placed on their backs for sleeping.

During visit LPA Richmond and Lovest observed the following:
1. LPA reviewed children's file and found them to be complete, including immunization records and signed parent rights.
4. LPA observed stair barricade in place and used to barricade the stairs leading to the second floor.

2 of 11 Citations issued on 2/19/2025 has been cleared.
8 Failure to correct civil penalties were assessed. See LIC 421FC
An exit interview was conducted using Korean translator #SH609. A copy of this report, notice of site visit, deficiencies clearance letters were discussed and provided to Licensee.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
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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