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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020567
Report Date: 09/19/2024
Date Signed: 09/19/2024 03:25:24 PM

Document Has Been Signed on 09/19/2024 03:25 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MYKKIDS - PRESCHOOLFACILITY NUMBER:
198020567
ADMINISTRATOR/
DIRECTOR:		STEPHANIE LIFACILITY TYPE:
850
ADDRESS:1507 GARFIELD AVE.TELEPHONE:
(323) 258-3690
CITY:SOUTH PASADENASTATE: CAZIP CODE:
91030
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 4DATE:
09/19/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Richard WebbTIME VISIT/
INSPECTION COMPLETED:
01:49 PM
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On 09/19/24, at 12:30 PM , Licensing Program Analyst(LPA) Shushanik Safaryan conducted an unannounced POC (Plan of Correction) inspection to the above facility to ensure Type B deficiency cited on 08/23/24 has been cleared.
Upon arrival ,LPA met with Facility Representative, Richard Webb , who guided analyst on a tour of the facility. During this inspection , LPA observed 4 napping children with 1 staff member.
During the visit LPA , toured outdoor play area. The surface of the outdoor activity space was in a safe condition for the activities planned. LPA observed outdoor area free of hazards, holes, broken glass and other debris, and dry grasses that pose a fire hazard.
During the visit, LPA cleared deficiency cited on 08/23/24 and provided a copy of the Licensing Report to Facility Representative and issued POC clearance letter.

The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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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