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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191801470
Report Date: 06/21/2024
Date Signed: 06/21/2024 04:35:55 PM

Document Has Been Signed on 06/21/2024 04:35 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ORIENTAL MISSION CHURCH NURSERY SCH00LFACILITY NUMBER:
191801470
ADMINISTRATOR/
DIRECTOR:		NO, HANNAHFACILITY TYPE:
850
ADDRESS:424 N. WESTERN AVE.TELEPHONE:
(323) 466-8046
CITY:LOS ANGELESSTATE: CAZIP CODE:
90004
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 20DATE:
06/21/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Eileen KimTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced plan of correction inspection. Upon arrival LPA Lee met with Director Eileen Kim

On 04/25/2024, this facility was cited because a sources of water in the facility (1 sink) had Action Level Exceedance that were too high. The facility agreed to modify the sources of water and to have them retested.
During the inspection LPA Lee verified documents provided from the facility on 06/18/24 in regards to the revised testing that was conducted on 06/12/2024. After reviewing the documents provided, LPA Lee provided the facility with a clearance letter for the previous deficiency cited on 10/27/2023.

The notice of site inspection must remain posted for a period of 30 day during hours of operation. Failure to maintain posting during business hours will result in a civil penalty of $100.00 dollars.

Exit interview conducted Coordinator Director Eileen Kim. Appeal rights discussed and explained.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2024
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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