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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019281
Report Date: 07/21/2022
Date Signed: 07/21/2022 12:06:04 PM

Document Has Been Signed on 07/21/2022 12:06 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:HAPPY BIRCH PRESCHOOL- TAMARINDFACILITY NUMBER:
198019281
ADMINISTRATOR:SOLEDAD GUEVARAFACILITY TYPE:
850
ADDRESS:1429 TAMARIND AVETELEPHONE:
(323) 380-7311
CITY:LOS ANGELESSTATE: CAZIP CODE:
90028
CAPACITY: 46TOTAL ENROLLED CHILDREN: 46CENSUS: 13DATE:
07/21/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Mali Rando, LicenseeTIME COMPLETED:
12:15 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
On July 21, 2022 at 11am, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced case management inspection. The purpose of this inspection is to follow up on the COVID-19 outbreak at the facility with Registered Nurse from Department of Public Health, Joseph Tran. A risk assessment was conducted prior entering the facility. Upon arrival LPA was greeted by licensee, Mali Rando. LPA observed 13 children in care with 3 staff.

During this inspection, Department of Public Health Registered Nurse (DPHRN) advised that the facility implement, hand sanitizers for children and staff, when eating to ensure there is sufficient space between the children and if there is an ill child or staff the isolation area is recommended to be outdoors if the facility is able to provide a designated area. Per DPHRN, all recommendations will be sent to licensee via email, and forwarded to LPA Ayala.

Prior to arriving at the facility, LPA reviewed the facilities profile and did not observe any COVID-19 cases reported to the department. Per licensee, when she reported the COVID-19 cases to DPH, it was stated that licensee did not need to report the COVID-19 cases to licensing. LPA informed licensee, that any/all unusual incident reports, including COVID-19 cases, must be reported to the department following Title 22 Regulations. LPA provided licensee with a copy of Reporting Requirement regulation.

An exit interview was conducted, and a copy of this report was provided to licensee, Mali Rando along with Notice of Site Visit and Appeal Rights.

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2022
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 1