Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017951
Report Date: 02/01/2018
Date Signed 02/02/2018 12:56:33 AM

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:GRANDVIEW HOUSE PRESCHOOLFACILITY NUMBER:
198017951
ADMINISTRATOR:HAIEK, LENAFACILITY TYPE:
850
ADDRESS:1212 N. PACIFIC AVE.TELEPHONE:
(818) 245-6963
CITY:GLENDALESTATE: CAZIP CODE:
91202
CAPACITY:76CENSUS: 59DATE:
02/01/2018
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Lena HaiekTIME COMPLETED:
03:30 PM
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
A Plan of Corrections Inspection was conducted on this date. LPA met with Lena Haiek, Director. During the course of this inspection, LPA was taken on a tour of the facility. LPA observed 59 children present. LPA provided a roster by 11/21/17

Ms. Haiek was advised that continued inspections would be in place per office meeting dated November 17, 2017.
Both the Department and the licensee entered into a Compliance Contract to ensure continued compliance with Title 22 Regulations, including but not limited to, Limitation & Capacity Ambulatory Status. Compliance Contract was signed by on November 17, 2017.


LPA observed that the licensee was in full compliance with the current licensed capacity. No deficiencies cited. Notice of Site Visit to be posted for 30 days. Appeal rights discussed.
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2018
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