Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419929
Report Date: 03/08/2017
Date Signed 03/08/2017 05:12:21 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:MUSICAL GANFACILITY NUMBER:
197419929
ADMINISTRATOR:HAIFETZ, MALIFACILITY TYPE:
850
ADDRESS:13624 BURBANK BLVDTELEPHONE:
(818) 786-7800
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91401
CAPACITY:20CENSUS: 20DATE:
03/08/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:36 PM
MET WITH:Sapir AdaniTIME COMPLETED:
03:37 PM
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Licensing Program Analyst (LPA) Myriam Luga met with the licensee( the facility director was off today), for the purpose of conducting an annual random visit. They toured/inspected the facility. The facility utilizes 2 classrooms. There were 20 children during the visit. The facility was operating within the capacity. There were 4 staff present during the visit who are all fingerprint cleared and associated to the facility.
LPA reviewed the sign in sheets of children and they were complete. Furniture and equipment/napping equipment were inspected for age appropriateness and good repair and all were in order. Telephone service, heating, lighting and ventilation were evaluated and were in compliance with Title 22 Division 12 Chapter 1 regulations. Storage for children's belongings was noted to be proper and neat. Isolation area is located in the facility director office which is located by a sink, toilet. The area is equipped with mat/cot and a sofa. The area was orderly.
The bathrooms are equipped with Age appropriate sinks and toilets that were inspected for availability, good repair, water temperature, toilet paper, paper towels, area safety and sanitation. First aid supplies were inventoried and first Aid kit was complete. Smoke detectors/carbon monoxide detector/fire extinguishers were observed. The facility does not administer medications. Documentation of Fire and Earthquake drills were posted. Activity Schedule was posted in all classrooms as well. Snack/lunch menus were observed. Storage areas of snacks were inspected and areas met regulations. Storing of cleaning supplies were observed to be proper without any accessibility to children in care ( chemicals/cleaning supplies were locked in a cabinet under the sink in the kitchen. Classrooms have drinking water available as well via bottled water.
Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness and it met regulations. Required shade, drinking water and fencing were observed. There is drinking water (water pitchers) available outdoors. Play area was inspected for hazards and inaccessibility to bodies of water and none were observed.Children's and staff's records were reviewed and were complete. Staff have proof of immunization against pertussis, measles and influenza. All teachers and the facility director have current certificates of pediatric first aid and CPR which expire in 11/2018. No citations were issued during the visit. Exit interview was conducted and the Director was given a copy of this report.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (310) 337-4332
LICENSING EVALUATOR NAME: Myriam LugaTELEPHONE: (310) 337-4365
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2017
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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