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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191224698
Report Date: 09/09/2021
Date Signed: 09/09/2021 01:49:31 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:FAITH BAPTIST SCHOOL - FOUR-YEAR KINDERGARTENFACILITY NUMBER:
191224698
ADMINISTRATOR:STEPHANIA RASMUSSENFACILITY TYPE:
850
ADDRESS:7644 FARRALONE AVE.TELEPHONE:
(818) 340-6131
CITY:CANOGA PARKSTATE: CAZIP CODE:
91304
CAPACITY:180CENSUS: 0DATE:
09/09/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:18 AM
MET WITH:Roland RasmussenTIME COMPLETED:
02:07 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 9/9/2021 at 11:18AM Licensing Program Analyst (LPA) Laticia Thompson and Jillinda Chandler made an unannounced visit to Faith Baptist School for the purpose of conducting a room additions visit. Upon arrival it was discovered that the current license has a different address from the room addition location. The applicant will file for a separate preschool application to reflect the correct address of the facility location. LPA met with Roland Rasmussen (Elementary School Principal) who provided a tour of the facility. During the tour of the facility LPA's dicovered the following corrections needed:

All electrical outlets shall be covered with protectors throughout the facility, The trash cans require tight fitting lids (non touch trash cans preferred). All poisonous, hazards cleaning material shall be locked, stored and inaccessible to children in care.

Room #1 Facility Representative will remove all swings, saucers, bouncers and changing table during facility operating hours. Smoke detector/carbon monoxide detector will need to be replaced due a safety recall.

Play area requires open plumbing fixtures to be covered. Electrical outlets on the wall to be locked, secured and inaccessible to children. Side gate must have a lock to prevent children from exiting the area into the parking lot.

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Laticia S ThompsonTELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021
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