Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492944
Report Date: 06/10/2016
Date Signed 06/10/2016 11:14:39 AM

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:KIDS TOWN CHILDCARE CENTER, LLCFACILITY NUMBER:
197492944
ADMINISTRATOR:HOOKS, EDSEL WAYNEFACILITY TYPE:
850
ADDRESS:1825 WEST AVENUE J, SUITE 123TELEPHONE:
(661) 951-2070
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:12CENSUS: 3DATE:
06/10/2016
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Edsel Wayne Hooks applicant and Letricia TerrellTIME COMPLETED:
11:13 AM
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Licensing Program Analyst (LPA) Khadarian conducted a follow up visit to observe the corrections referenced to in the report dated 5/20/16. Upon arrival, LPA met with the applicant and current licensee. LPA was provided copies of records as discussed previously to include:

1. Name and records of prospective director.
2. Updated job duties and qualifications of staff
3. Updated and separate LIC 500 (Personnel report) for each component
4. Copies of letters provided to parents by current licensee and applicant regarding the sale of the business
5. Updated facility sketches for each component for indoor and outdoor areas
6. Updated snack menu
7. Updated parent handbook
8. Updated employee handbook

LPA observed the following during this visit:

1. The preschool yard was sectioned off with iron fencing. It was measured to be: (22.3 x 32.8) + (14.11 x 47.3)= 731.44 + 667.403 = 1398.843 /75 =18 preschoolers. The applicant has requested a capacity of 12 preschoolers. Large portion of the yard is padded with thick cushioning.
2. The applicant has placed around the poles located in the yard.
3. The applicant has washed and scrubbed the chairs used by the children that were observed inside the classroom.

The facility will be processed for the capacity of 12 preschoolers upon receipt of:
1. Proof of Preventive health and safety training by the prospective director.
Copy of this report was provided. Exit interview.
SUPERVISOR'S NAME: Scott HerringTELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Shoghig KhadarianTELEPHONE: (310) 337-4308
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2016
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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