Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493810
Report Date: 07/05/2018
Date Signed: 07/05/2018 10:59:16 AM

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:SCHWARZKOPF FAMILY CHILD CAREFACILITY NUMBER:
197493810
ADMINISTRATOR:SCHWARZKOPF, ZOHARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 357-7712
CITY:TARZANASTATE: CAZIP CODE:
91335
CAPACITY:14CENSUS: 0DATE:
07/05/2018
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Zohaar SchwarzkoffTIME COMPLETED:
10:30 AM
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
This is an announced pre-licensing visit conducted by Margarit Sislyan Licensing Program Analysts (LPA). LPA met with applicants Zohar Schwarzkoff who guided analyst on a tour of the facility.

LPA observed the following corrections were made.

· Fire extinguisher 2A10BC


· Water fountain was converted to flower planter.
· The cleaning compounds were out of reach of children
· Fire Place was screened to prevent access by children.

The license for large family day care will be granted

Exit interview

SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (424) 302-3048
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: ((42) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2018
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