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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495058
Report Date: 01/14/2025
Date Signed: 01/14/2025 06:19:17 PM

Document Has Been Signed on 01/14/2025 06:19 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:CHALK PRESCHOOL TARZANAFACILITY NUMBER:
197495058
ADMINISTRATOR/
DIRECTOR:
VIDA WESSELFACILITY TYPE:
850
ADDRESS:19436 VENTURA BLVDTELEPHONE:
(818) 593-2244
CITY:TARZANASTATE: CAZIP CODE:
91356
CAPACITY: 83TOTAL ENROLLED CHILDREN: 83CENSUS: 51DATE:
01/14/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:20 PM
MET WITH:Julie Farr, Assistant Director)TIME VISIT/
INSPECTION COMPLETED:
06:25 PM
NARRATIVE
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Licensing Program Analyst (LPA) Laticia Thompson conducted an unannounced prelicensing inspection to increase the facilities capacity. During todays visit LPA observed 12 Toddlers being cared for by staff members in the blue classroom. Based on the Facilities current license LPA determined that the facility is operating beyond the terms of the license which is a Type B violation of Title 22 regulations (See 809D).

Upon arrival to the facility LPA met with Julie Farr whom stated she is currently the Assistant Director. LPA was informed that the assigned director is on leave and has been since July of 2024. The facility failed to report a change of directors to the department. Which is a Type B violation of Title 22, regulations (See 809D).



Based on todays visit the facility has been issued 2 Type B violations. A copy of this report, Notice of Site Visit (LIC 9213) and Appeal Rights were provided to Julie Farr (Assistant Director)
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2025
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 2
Document Has Been Signed on 01/14/2025 06:19 PM - It Cannot Be Edited


Created By: Laticia S Thompson On 01/14/2025 at 05:12 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CHALK PRESCHOOL TARZANA

FACILITY NUMBER: 197495058

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/14/2025
Section Cited
CCR
101212(b)

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Reporting Requirements (b)The name of the child care center director...designated to act in the child care center director's absence shall be reported to the Department within 10 days of a change.... This requirment has not been met as evidence by
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Facility will submit all required documentation for Julie Farr.to change director within 7-10 days.
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The facility director has been on leave over 10 dayss and the facility failed to report the information to the department. This poses a potential risk to the health and safety of children in care
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Type B
01/14/2025
Section Cited
CCR101161(a)

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Limitations on Capacity (a) A licensee shall not operate a childcare center beyond the conditions and limitations specified on the license, including the capacity limitation.This requirement was not met as evidenced by:
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Facility will provide all required documents to complete the application process for the increase in capacity and complete plan of correctionos to complete the single licescense to care for toddlers withing 7 days.
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LPA observed facility caring for Toddlers age 18 months -36 months without an approved licenses. This poses a potential risk to the health and safety of children in care
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Deborah Lowe
LICENSING EVALUATOR NAME:Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:
DATE: 01/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/14/2025


LIC809 (FAS) - (06/04)
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