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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020696
Report Date: 06/05/2023
Date Signed: 06/05/2023 01:04:45 PM

Document Has Been Signed on 06/05/2023 01:04 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:NEST ON YORK LLC, THEFACILITY NUMBER:
198020696
ADMINISTRATOR:MA THERESA MARINOFACILITY TYPE:
850
ADDRESS:6027 YORK BLVDTELEPHONE:
(323) 428-1599
CITY:LOS ANGELESSTATE: CAZIP CODE:
90042
CAPACITY: 27TOTAL ENROLLED CHILDREN: 32CENSUS: 27DATE:
06/05/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Joseph Chua TIME COMPLETED:
01:20 PM
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Licensing Program Analyst (LPA) Crystal Green conducted an unannounced case management licensee- initiated inspection to inspect facility for capacity increase determination. LPA met with Ma Theresa Marino, Director and Joseph Chua, Licensee. The preschool operating hours are Monday to Friday from 8am to 5:30pm.

The following staff was present during this inspection: 21 children with 6 staff. Classrooms 1, 2, 3, 4, Reading Area, and Art Area. The preschool was observed operating and census was obtained during this inspection. LPA observed 27 children with 6 staff members. The facility was observed to be operating within its licensed capacity.

Licensee has requested to convert the Art Patio Area into their existing licensed indoor areas. LPA inspected the additional classroom area and observed age-appropriate furniture. Individual storage space was available for each child located inside the classroom. Toys were observed to be clean and safe. There are smoke detectors and fire extinguishers located throughout the facility. There will be drinking water accessible to the children in care via water fountain attached to the sink and personal sippy cups.

Outdoor play equipment was observed to be in good condition, free of sharp, lose or pointed parts. Outdoor equipment was observed to be age appropriate. Outdoor activity space surface was observed to be maintained in a safe condition as is free of hazards. There is adequate shade in the outdoor play area. LPA observed there to be cushioning material available in areas around and/or under climbing equipment to absorb a fall. LPA did not observe any violations or hazards outdoors. Page 1 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE: DATE: 06/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2023
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: NEST ON YORK LLC, THE
FACILITY NUMBER: 198020696
VISIT DATE: 06/05/2023
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An approved Fire Clearance has been received by the department. At this time, the Art Area will be added to be used as an indoor classroom. The facility indoor capacity will be for 35 children; however the licensed capacity will remain at 27 children. Per Licensee, the outdoor space will be increased at a later date.

Exit interview conducted and report was reviewed with Facility Representative. A notice of site visit was given and must remain posted for 30 days.

Report Ends Page 2 of 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023
LIC809 (FAS) - (06/04)
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