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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019539
Report Date: 03/20/2025
Date Signed: 03/20/2025 03:26:39 PM

Document Has Been Signed on 03/20/2025 03:26 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:OLIVE TREE LEARNING ACADEMYFACILITY NUMBER:
198019539
ADMINISTRATOR/
DIRECTOR:		JUNG A KIMFACILITY TYPE:
850
ADDRESS:1318 S. BERENDO ST.TELEPHONE:
(213) 378-0512
CITY:LOS ANGELESSTATE: CAZIP CODE:
90006
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 47DATE:
03/20/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Hyun KimTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced annual inspection. Upon arrival LPA Lee met with facility staff member Hyun Kim.

The purpose of this inspection was to provide consultation to the facility regarding the outdoor drinking fountain. The facility wishes to convert the drinking fountain out into an additional sink. The children already drink water from containers that are brought outside by staff members from inside the facility.

The facility was advised that the fountain can be converted into a sink. The facility still understands that this does not exempt the facility from regulations regarding lead testing since water from inside the facility is still going to be used for consumption and food preparation.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting for 30 days will result in a civil penalty of $100.00 dollars.

Exit interview conducted with facility staff member Hyun Kim. Appeal rights discussed and explained.
Katrina ChicoteTELEPHONE: (323) 981-3417
Seung LeeTELEPHONE: (323) 981-3382
DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
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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