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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400188
Report Date: 05/06/2021
Date Signed: 05/06/2021 11:03:48 AM

Document Has Been Signed on 05/06/2021 11:03 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:AGAPE SARANG CHILD CENTERFACILITY NUMBER:
198400188
ADMINISTRATOR:HYE JOUNGFACILITY TYPE:
850
ADDRESS:1516 S. WESTERN AVETELEPHONE:
(818) 279-1685
CITY:LOS ANGELESSTATE: CAZIP CODE:
90006
CAPACITY: 30TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
05/06/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Hye YoungTIME COMPLETED:
10:45 AM
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Follow up Prelicensing Tele Inspection was conducted by Licensing Program Analyst (LPA), Alanna Gontarek. LPA met with applicant, Hye Joung. Due to COVID-19 preventative measures, LPA was given a virtual tour of the indoors and outdoors of facility. LPA observed all staff and children wearing face masks during tele visit. The purpose of the follow up tele inspection was to ensure all corrections noted on licensing report dated 3/02/2021 were completed. Corrections:

LPA received Criminal Record Statement (LIC 508) and copy of Driver Licenses for: Song Jae Eun and Yang So Yong
LPA observed cushioning under play structure on preschool playground.
LPA observed available drinking water and cups in both Preschool Classrooms (Joy and Love Room)
LPA observed carbon monoxide detectors, secured to walls, in both Love and Joy Room. Applicant tested both carbon monoxide detectors, and both are functioning properly
LPA observed age appropriate toys in the Love Room and Joy Room
LPA observed first-aid supplies in both Love and Joy Room
LPA observed labeled cubbies for children’s belongings in the Love Room and Joy Room.
LPA observed cleaning supplies, stored in a bin inaccessible to children, in both Love and Joy Room
LPA observed the inside of the inaccessible garage. LPA observed combination lock on door, and a child safety gate.
LPA observed Emergency Supply bins with Emergency supplies located inside each classroom, and Emergency backpacks inside the Love and Joy Room as well.

LPA advised applicant to keep side gate, leading out to the street, locked and closed. LPA also advised applicant to post a sign stating to keep door locked and closed, along with an "Emergency Exit" sign above gate. LPA advised installing a sounding alarm when gate/doors are opened.

Based on observations today, the measured activity space during the inspection dated 3/9/2021, the approved fire clearance , and the number of sinks and toilets available to children, the capacity came out to be 22 children. The Preschool program is ready to be licensed.
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SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE: DATE: 05/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: AGAPE SARANG CHILD CENTER
FACILITY NUMBER: 198400188
VISIT DATE: 05/06/2021
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An exit interview was conducted with applicant Hye Joung, via telephone. A copy of this report (LIC 9099) and Appeal Rights were discussed, provided, and scanned via email to the licensee, who understands that an electronic “Read Receipt” and/or confirmation of receipt of the e-mail confirms receipt of the report constituting as an electronic signature.



























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SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2021
LIC809 (FAS) - (06/04)
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