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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750036
Report Date: 05/16/2023
Date Signed: 05/17/2023 12:46:45 PM


Document Has Been Signed on 05/17/2023 12:46 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:WELL-WATERED GARDEN CHILDCARE CENTERFACILITY NUMBER:
197750036
ADMINISTRATOR:GYOUNGOK PARKFACILITY TYPE:
850
ADDRESS:10452 LOUISE AVETELEPHONE:
(818) 470-4077
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:21CENSUS: 15DATE:
05/16/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
06:00 PM
MET WITH:Gyoungok ParkTIME COMPLETED:
07:30 PM
NARRATIVE
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On 5/16/2023 at 11:00am Licensing Program Analyst (LPA) V. Wheatley met with owner/director Gyoungok Park. During a complaint investigation LPA was guided on a tour of the preschool. LPA observed a total of 15 preschool children. Seven of the children were in the classroom near the kitchen supervised by Staff #1 and eight children in the classroom with the restroom were supervised by Staff #2. The two staff members who are supervising the preschool children are not fingerprint cleared according the Department's Guardian fingerprint system. In addition, the director does not have any proof of fingerprint clearances.

This is a Type A violation and copies of this report must be given to every parent that has a child enrolled and every new parent that enrolls a child into the facility.

A civil penalty of $600 dollars is being assessed.

See LIC 809 D for deficiencies.

Exit interview was conducted and report will be provided.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:
DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/16/2023
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


Document Has Been Signed on 05/17/2023 12:46 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: WELL-WATERED GARDEN CHILDCARE CENTER
FACILITY NUMBER: 197750036

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/17/2023
Section Cited
CCR
101170(e)

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101170(e)-Criminal Record Clearance -
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility. This is evidenced by:
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The director will ensure that all individuals working on the premises are fingerprint cleared prior to being allowed to work. The director will also ensure that any adult that has a current fingerprint clearance transfer the fingerprint clearance to the Department prior to the adult working on the premises. The director will transfer the prints immediately or get the adults fingerprinted immediately.
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The director did not have proof of fingerprints / live scan for Staff #1 and Staff #2. This is required for all employees. LPA checked the Department's computer system and did not observe the clerances for the adult employees.
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The director will submit a plan of correction on how she will stay in compliance and will be sent to the Department by 5/17/23. No unfingerprinted individuals will be allowed on the premises.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:
DATE: 05/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/16/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2