Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019499
Report Date: 04/11/2018
Date Signed: 04/11/2018 02:40:35 PM

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:PLAY PRESCHOOLFACILITY NUMBER:
198019499
ADMINISTRATOR:GABRIEL ROSSFACILITY TYPE:
830
ADDRESS:2828 GLENDALE BLVDTELEPHONE:
(323) 664-8494
CITY:LOS ANGELESSTATE: CAZIP CODE:
90039
CAPACITY:20CENSUS: 18DATE:
04/11/2018
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Gabriel Ross TIME COMPLETED:
03:00 PM
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A Case Management site visit was conducted today by Judy Mora, LPA to inspect and measure the infant facility for a capacity determination. Applicant is currently Licensed for an infant program with a capacity of 20. Applicant is requesting to increase the infant capacity to 50. The infant program operates from Monday through Friday 8:00AM - 6:00PM. There is also a preschool license on site, #198019498. This component is physically separate from any other component at this facility both indoors and outdoors.

The fire clearance was granted for 50 infants on 03/26/2018.

The following measurements were taken and totaled:

-Indoor Space:
Infant classrooms (2)- Total Indoor Activity space: 1765.11 sq. ft. / 35 sq. ft. = 50 children

Total Indoor Space allows for 50 infants. Sufficient napping equipment was observed.

The Outdoor Activity space was previously measured, Facility Evaluation Report, dated 11/06/2017.
Outdoor activity space: 3777.31 sq. ft. / 75 sq. ft = 50 children

Capacity Increase will be granted pending file review. License will be amended to reflect new capacity of 50 infants.

An exit interview was conducted with Gabriel Ross. Appeal rights were issued and explained.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2018
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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