<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494892
Report Date: 06/17/2022
Date Signed: 06/17/2022 03:08:40 PM

Document Has Been Signed on 06/17/2022 03:08 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:OAK TREE VIEW PARK WINDSOR HILLSFACILITY NUMBER:
197494892
ADMINISTRATOR:BUKKY SOLANKOFACILITY TYPE:
830
ADDRESS:4416 W SLAUSON AVENUETELEPHONE:
(323) 815-1093
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY: 10TOTAL ENROLLED CHILDREN: 3CENSUS: 3DATE:
06/17/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Jennifer Carter, LicenseeTIME COMPLETED:
03:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
A Case Management inspection was conducted by Licensing Program Analysts (LPAs ), Jillinda Chandler and Shandra Powell. LPA met with Licensee, Jennifer Carter who guided LPAs on a tour of the facility. The purpose of the inspection is due to a pending application for a Capacity Change. Licensee submitted an application to increase the capacity for the Infant Program on 04/12/2022. This facility is currently licensed for a capacity of 10 Infant children. The Licensee is requesting to increase the total capacity to 17 Infant children. Fire clearance is on file and has been approved for 17 Infant children total. Based on the previous inspection conducted on 03/24/2022 and today's observation and facility sketch review there were no structural changes made to facility. The previous measurements taken on 03/24/2022 were used to determine the capacity increase.

Indoor activity space = 595.28 divided by 35 sq. ft. per child for capacity total of 17 Infant children.
Outdoor activity space = 627.20 divided by 75 sq. ft. per child for capacity total 8 Infant children.

RESTROOMS
2 toilets = 1 toilet per 15 children for a total of 30 children
3 sinks = 1 sink per 15 children for a total of 45 children
Toilets and sinks were age appropriate
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE: DATE: 06/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/17/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: OAK TREE VIEW PARK WINDSOR HILLS
FACILITY NUMBER: 197494892
VISIT DATE: 06/17/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The changing table was within arms reach of the sink
The restrooms were clean and sanitized with the necessary toiletries, sinks and toilets were operable and in good repair. Faucets delivered cold water.
Staff restrooms is located in the preschool.

The Licensee shall request a waiver for Title 22, section 101238.2 for the purpose of accommodating the the outdoor space to meet the indoor capacity requested of Infant children 17.

Based on todays inspection the facility shall be recommended for a capacity increase of 17 Infant children determined by the Licensee request and upon approval of the outdoor activity space waiver.


Exit interview conducted with Licensee, Jennifer Carter. Appeal rights discussed and explained. Notice of site inspection must remain posted for 30 days during hours of operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2