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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019937
Report Date: 06/23/2021
Date Signed: 06/23/2021 01:40:58 PM

Document Has Been Signed on 06/23/2021 01:40 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:KIDDY TYME CHILD CARE/LEARNING CENTERFACILITY NUMBER:
198019937
ADMINISTRATOR:ANGELA TSAIFACILITY TYPE:
850
ADDRESS:1465 N MONTEBELLO BLVDTELEPHONE:
(323) 278-9088
CITY:MONTEBELLOSTATE: CAZIP CODE:
90640
CAPACITY: 90TOTAL ENROLLED CHILDREN: 0CENSUS: 36DATE:
06/23/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Administrator, Suk SetoTIME COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Mireya Garcia conducted an unannounced POC (Plan of Correction) inspection to ensure that the Type A and Type B deficiencies cited on 06/08/2021 have been cleared. LPA met with Administrator, Suk Seto who guided analyst on a tour of the facility. Due to COVID- 19 precautionary measures were taken, licensing staff present during inspection wore appropriate personal protective equipment. There were 36 children present during this inspection. The following has been observed:

· LPA observed the replacement of medication for child #3 and conducted records review and observed handwritten parent notes of Child #1 & Child #2 indicating that child no longer requires medication. LPAs observed the required signed LIC 9224's in the children's files.
· LPA observed during records review proof of immunization on Staff #1, Staff #2, Staff #3 and Staff #4 files.
· LPA observed during records review certificate of attendance for Child Care Center Record Keeping Orientation for Administrator dated 06/12/21 and Manager dated for 06/18/2021.

After a tour of the facility LPA observed all corrections cited on 06/08/21 have been made in accordance with California Code of Regulations Title 22.

LPA cleared deficiencies on this date and provided a copy of the Licensing Report to Suk Seto, Administrator. LPA issued POC clearance letter during the visit.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Suk Seto, Administrator, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role. REPORT ENDS HERE PAGE 1 OF 1.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 06/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/23/2021
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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