Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191871500
Report Date: 12/02/2016
Date Signed 12/02/2016 05:00:16 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:F.K.C. PRICE III, CHILD CARE CTRFACILITY NUMBER:
191871500
ADMINISTRATOR:KRISTINA MITCHELLFACILITY TYPE:
850
ADDRESS:7901 SO. VERMONT AVE.TELEPHONE:
(323) 758-3777
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY:80CENSUS: 39DATE:
12/02/2016
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:18 PM
MET WITH:Kristina Mitchell, DirecorTIME COMPLETED:
05:05 PM
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LPA Sharalyn Jenkins-Sweeten conducted an unannounced case management visit for the purpose of investigating a report of evidence of vermin in the classrooms, which was observed by staff 11/30/16 - 12/1/16.
LPA met with Kristina Mitchell, director. LPA toured the classrooms affected.

LPA toured the separate building (overflow/multiple purpose room) where children have been provided care and supervision since 12/1/16. The area was deemed safe in an emergency situation and division between programs was created with the use of folding tables arranged as partitions. LPA observed restrooms available for the exclusive use of children and a kitchen with water accessibility. However, this is the final day the space will be used. The LPA also toured additional classrooms within the preschool, which are not licensed or currently in use. The director has identified the rooms/areas they intend to use for the duration of the emergency relocation. LPA toured the additional rooms and there are no potential hazards. The room designated for infants requires 1 crib based upon current enrollment.

The following items must be received by the department no later than 12/7/16 as a formal request for the emergency relocation of children in care:

1) Emergency Plan of Action/Operation (Must specify purpose of request & outline manner of implementation)
2) Facility Sketch/Floor plan of entire facility including outdoor activity space
3) Most recent fire clearance for building
4) List of chemicals used by pest control company
5) Plan for sanitizing treated areas following pest control services prior to allowing children access
6) Schedule for alternating use of outdoor space by preschool children and infants to prevent commingling
7) Contact LPA to schedule inspection of rooms once all furniture is in

A copy of this report was explained and issued to Ms. Mitchell, director.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (310) 337-7332
LICENSING EVALUATOR NAME: Sharalyn Jenkins-SweetenTELEPHONE: (310)568-2448
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2016
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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