Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408159
Report Date: 12/01/2016
Date Signed: 12/01/2016 03:50:23 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME:SOPA-KIDS CENTERFACILITY NUMBER:
197408159
ADMINISTRATOR:DEANNA WEIGOLDFACILITY TYPE:
840
ADDRESS:14755 GREENLEAF STREETTELEPHONE:
(818) 986-4121
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91403
CAPACITY:150CENSUS: 66DATE:
12/01/2016
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:08 PM
MET WITH:Deanna WeigoldTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Myriam Saullo Luga conducted a visit to investigate the incident of 11/2/2016 when a parent was aggressive verbally toward staff. LPA met with the facility director and explained the purpose of the visit. LPA toured the facility indoor and outdoor. There were 66 children and 6 staff present during the visit.
According to the facility director, the parent was verbally aggressive with staff when she picked her child up from the facility due to aggressive behavior toward staff ( staff was not injured). No children were around during the incident. Staff managed to have the parent leave the premises. Staff provided written statements regarding the incident. LPA reviewed staff's records.
Based on review of staff's records, statements provided, and evaluation of the facility, no violation to title 22 regulations/deficiencies were noted.
An Exit interview was conducted and a copy of this report was provided to the facility.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (310) 337-4332
LICENSING EVALUATOR NAME: Myriam LugaTELEPHONE: (310) 337-4365
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2016
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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