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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408593
Report Date: 03/15/2022
Date Signed: 03/15/2022 10:43:38 AM

Document Has Been Signed on 03/15/2022 10:43 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:BREAD OF LIFE CHURCH CHRISTIAN CHILD.CTR.(BOLCCC)FACILITY NUMBER:
197408593
ADMINISTRATOR:CHARITY LEEFACILITY TYPE:
840
ADDRESS:2780 LOMITA BLVD.TELEPHONE:
(310) 602-0185
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 0DATE:
03/15/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Charity Lee, DirectorTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Miriam Cohen conducted a Case Management visit for the purpose of room addition evaluation. The School Age Program is located inside the Bread of Life Church. Hours of operation is Monday through Friday from 1:00 PM - 6:00 PM. LPA met with the director, Charity Lee, and toured the facility inside and outside.
There is a preschool program in the premises identified with license #197410454.
Current license includes two classrooms. The licensee submitted an application for classroom addition, Room 116, without an increase in the capacity. The School Age program current capacity is for a total of 56 children.
Measurements taken for Room 116 as follows:
Indoor space:
Room 116
35.3 x 19.11 = 674.5 divided by 35 sq. ft. = 19 children
There are two children's bathrooms designated for children's use. There is a total of five toilets and seven sinks and one urinal.
The outdoor space is completely fenced in and there are no bodies of water. There is a shaded area.
An approved Fire Clearance from the Fire Department was received.

Licensee was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on childcare licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541


Email Address: childcareadvocatesprogram@dss.ca.gov
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE: DATE: 03/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/15/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BREAD OF LIFE CHURCH CHRISTIAN CHILD.CTR.(BOLCCC)
FACILITY NUMBER: 197408593
VISIT DATE: 03/15/2022
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Mandated Reporter: Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com

Update on Incidental Medical Services: Facilities that provide Incidental Medical Services (IMS) must identify those services in their facility’s Plan of Operation and submit an updated Plan of Operation to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag.

There are no corrections noted at the time of inspection.
Licensure for classroom 116 addition shall be granted.

A copy of this report was explained and issued to Charity Lee, Director.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2022
LIC809 (FAS) - (06/04)
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