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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401698
Report Date: 08/19/2024
Date Signed: 08/19/2024 03:43:41 PM

Document Has Been Signed on 08/19/2024 03:43 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:YMCA OF METRO LA/WEST VALLEY JUSTICEFACILITY NUMBER:
197401698
ADMINISTRATOR/
DIRECTOR:
TRACY PRAT-HESTERFACILITY TYPE:
840
ADDRESS:23350 JUSTICE ST.TELEPHONE:
(562) 335-3251
CITY:WEST HILLSSTATE: CAZIP CODE:
91304
CAPACITY: 45TOTAL ENROLLED CHILDREN: 27CENSUS: 21DATE:
08/19/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:50 PM
MET WITH:Hailey PichradoTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Tatiana Bickham conducted an unannounced annual inspection to the above facility on 08/19/2024.  LPA arrived at the facility at 2:50 PM, identified self and met with Hailey Pichrado, Center Director, who guided analyst on a tour of the facility.  LPA provided Principal with a copy of the LIC 125 Entrance Checklist to help facilitate the inspection. This is a school-age program and consists of 1 bungalow with 2 classrooms.  Facility operation hours are Monday- Friday 7:00 AM- 8:30 AM, Monday, Wednesday-Friday 2:30 PM - 6:00 PM, and Tuesday's 1:30 PM- 6:00 PM.

All areas identified on the Facility Sketch were inspected.

There were 22 children and 3 staff present when LPA arrived. The facility was observed to be within the license capacity and limitations.

Center Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Due to time constraints the Annual visit will be completed on a future date.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Hailey Pichrado, Center Director.
SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Tatiana Bickham
LICENSING EVALUATOR SIGNATURE: DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/19/2024
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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