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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198002602
Report Date: 03/29/2022
Date Signed: 03/29/2022 12:46:11 PM

Document Has Been Signed on 03/29/2022 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:PAGE LEARNING ACADEMY, INC.FACILITY NUMBER:
198002602
ADMINISTRATOR:JESSY OGBUEFIFACILITY TYPE:
850
ADDRESS:216 W. VERNON AVE.TELEPHONE:
(323) 233-7253
CITY:LOS ANGELESSTATE: CAZIP CODE:
90037
CAPACITY: 44TOTAL ENROLLED CHILDREN: 10CENSUS: DATE:
03/29/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Jessy Ogbuefi, DirectorTIME COMPLETED:
01:05 PM
NARRATIVE
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On March 29, 2022, Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced case management- other. Upon arrival, LPA met with Director Jessy Ogbuefi, who gave LPA a tour of the facility. There was present with 10 children and 3 staff members when LPA arrived to the facility.

Per Director sometime in the week of March 14, 2022, a toilet would not flush down in the children's restroom causing water to overflow from the first toilet onto classroom #2. Facility was closed on March 23rd to March 25th 2022 to fix the water leaks and walls. Physical plant issue and facility closure was not reported to the department.

California Code of Regulations, Title 22, Division 12, are being cited on the attached LIC 809D.



Exit interview was conducted with Director Jessy Ogbuefi. A copy of the appeal rights were given (LIC9058 01/16) were provided and explained.

Upon receipt, Licensee posted the Notice of Site Visit. The Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/29/2022
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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Document Has Been Signed on 03/29/2022 12:46 PM - It Cannot Be Edited


Created By: Susann Sanchez On 03/29/2022 at 12:14 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: PAGE LEARNING ACADEMY, INC.
FACILITY NUMBER: 198002602

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/29/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/30/2022
Section Cited
CCR
101212(d)

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Reporting Requirements: Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in
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Per Director, will review the reporting requirements and will report any future incidents to the department within the 24 hour period.
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(d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. This requirement was not met as evidenced by: based on director interview and LPA Sanchez attempted visit on 03/25/22, Facility was closed for repairs. There is no evidence that this was reported to out department. . This poses a potential Health & Safety risk to children in care.
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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:Valarie Cook
LICENSING EVALUATOR NAME:Susann Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/29/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/29/2022


LIC809 (FAS) - (06/04)
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