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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400402
Report Date: 03/04/2022
Date Signed: 03/04/2022 12:04:20 PM

Document Has Been Signed on 03/04/2022 12:04 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:TIPPY TOES ENRICHMENT CENTERFACILITY NUMBER:
198400402
ADMINISTRATOR:TRACIE ADAMSFACILITY TYPE:
830
ADDRESS:14405 S CENTRAL AVETELEPHONE:
(424) 338-3442
CITY:COMTONSTATE: CAZIP CODE:
90220
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 0DATE:
03/04/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Tracie Adams, AdministratorTIME COMPLETED:
12:05 PM
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On Friday, March 4, 2022 at 9:45 AM, Licensing Program Analyst (LPA) Mayra Rivera conducted pre licensing inspection and met with Administrator Tracie Adams. The purpose of the pre licensing inspection is to test the temperature of the water and diapering station meeting the hand distance to the hand washing sink. LPA observed the diapering station meeting the hand distance and observed the temperature of the water to be at 140 degrees. LPA advised to bring down the temperature.

During the visit, LPA reviewed and explained the purpose of the Parent Hand Book and Employee Hand Book.

The corrections of bringing down the water temperature was corrected during my visit. LPA tested the water at 11:35 AM and the thermometer marked 100 degrees. LPA observed and also took a picture of the water heater and it indicates low.

LPA informed Tracie, the advertising banners posted on the front fence and any type of advertisement requires to have the facility numbers. LPA informed correction must be done by March 7, 2022.

A final review of the application will be completed prior to licensure. Once licensed, the applicant is required to adhere to the terms and limitations stated on the license. Exit interview was conducted and plans of correction were reviewed with director Administrator Traci Adams.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2022
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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