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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021186
Report Date: 04/27/2023
Date Signed: 04/27/2023 02:44:36 PM

Document Has Been Signed on 04/27/2023 02:44 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:LOS ANGELES COUNTY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198021186
ADMINISTRATOR:AVILA, MARIA FRANCISCAFACILITY TYPE:
850
ADDRESS:1200 N STATE STREETTELEPHONE:
(323) 409-2240
CITY:LOS ANGELESSTATE: CAZIP CODE:
90033
CAPACITY: 68TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/27/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Lisa WilkinTIME COMPLETED:
02:45 PM
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An announced pre-licensing site inspection was conducted today by Licensing Program Analysts (LPAs) Crystal Green and Mary Silva to inspect and measure facility for capacity determination. Licensee is requesting a change of location for their existing preschool program (198000615) from 1401 N. Mission Rd., Los Angeles, 90033. Licensing staff met with Executive Director, Lisa Wilkin and Site Director, Maria Francesca.

This facility is located adjacent to LAC + USC Medical Center. At approximately 12:40 pm, Licensing staff was guided through a tour of the proposed preschool classroom. This facility will have (2) preschool classrooms; preschool room 1 and preschool room 2. The preschool classrooms were observed to have its own entrance. Per Director, parents will arrive through the main office and walked directly to the preschool classroom to sign in. Individual storage space was observed available for each child inside the classroom. Toys were observed to be clean and safe. Furniture and equipment were inspected for age appropriateness and good repair.

LPAs observed in preschool room 1 a total of 3 toilet and 3 sink available for children. The preschool room 2 was observed to have 3 toilets and 3 sinks available for children. LPAs observed a changing table located in classroom 2 within arm’s reach of a sink. All toilets and sinks are in safe and sanitary operating conditions. LPA observed the restroom to have age-appropriate equipment available for children. Water will be accessible to children via water pitcher and deposable cup and children will also have their individual sippy cup. The facility will have cots available for children. LPAs observed the preschool to have emergency/first aid kits located throughout the facility. There are also smoke detectors and fire extinguishers located throughout the facility. The office will be used as the designated ill isolation room. Ill children will utilize the staff restroom.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE: DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/27/2023
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 3
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: LOS ANGELES COUNTY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198021186
VISIT DATE: 04/27/2023
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The preschool program will have (3) designated outdoor space. The first outdoor space was observed located directly behind classroom 1. The second outdoor space was observed located behind classroom 2. Per Director, the preschool children will have access to the outdoor space located in the courtyard for bike riding. All outdoor areas were observed surrounded by fencing. All play areas were observed to have adequate shading provided via canopies. All areas around or under high climbing equipment, and slides were observed to have cushion material to absorb a fall.

Facility will prepare snacks and lunches on site for the children in care. The kitchen was observed located next to infant classroom. The children will not have access to the kitchen. Food will be brought into each classroom.

No transportation will be provided by the facility.

Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

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

DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3
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: LOS ANGELES COUNTY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198021186
VISIT DATE: 04/27/2023
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To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

An approved Fire Clearance has been received by the Department. Based on measurements obtained today, capacity for the preschool program will be (68) children.

The following corrections will need to be made prior to submitting application for final approval. Correction will be due by 5/15/2023.

• Licensee will need to install a safety gate in the outdoor play yard located behind classroom 1
• Licensee will need to remove PVC pipe located on the outdoor play yard located behind classroom 1
• Licensee will need to place an additional barrier near the exit gate door.

Exit interview was conducted with Director and a signed copy of this report was provided.





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

DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023
LIC809 (FAS) - (06/04)
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