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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021159
Report Date: 08/07/2024
Date Signed: 08/07/2024 08:58:21 AM

Document Has Been Signed on 08/07/2024 08:58 AM - 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:PINWHEELS PRESCHOOL LLCFACILITY NUMBER:
198021159
ADMINISTRATOR/
DIRECTOR:		DRUYEN, KARIFACILITY TYPE:
850
ADDRESS:1902 HYPERION AVETELEPHONE:
(323) 445-3790
CITY:LOS ANGELESSTATE: CAZIP CODE:
90027
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: 3DATE:
08/07/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:05 AM
MET WITH:Kari Druyen, DirectorTIME VISIT/
INSPECTION COMPLETED:
09:05 AM
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On August 8, 2024, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced Case Management Inspection – Plan of Correction at the above facility. A COVID-19 risk assessment was conducted prior to entering the facility. LPA met with director, Kari Druyen who guided LPA on a tour of the facility. LPAs observed 3 children in care with 5 staff. The purpose of this inspection is to ensure that the facility is in compliance with Title 22 Regulations and the deficiencies cited on 06/18/2024 were corrected.

Licensing staff observed and reviewed the following:

· Facility license posted


· Local Health Department posted
· Disaster Plan Posted
· Parent's Right's Posted
· Mandated Reporter training
· Snack Menu Posted
· Immunization's for staff
· Health Screening for staff
· TB Test for staff

Letters of Deficiencies Citations Cleared were provided for deficiencies corrected.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00

An exit interview was conducted, and a copy of this report was provided to director, Kari Druyen.

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2024
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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