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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400496
Report Date: 04/07/2022
Date Signed: 04/07/2022 03:54:26 PM

Document Has Been Signed on 04/07/2022 03:54 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:BEGINNING ZONE, THEFACILITY NUMBER:
198400496
ADMINISTRATOR:REYNOLDS, ELMAFACILITY TYPE:
850
ADDRESS:5600 N. PARAMOUNT BLVD.TELEPHONE:
(310) 347-1318
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 41TOTAL ENROLLED CHILDREN: 41CENSUS: 0DATE:
04/07/2022
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Elma Reynolds, ApplicantTIME COMPLETED:
03:55 PM
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On Thursday, April 7 2022, Licensing Program Analyst (LPA) Mayra Rivera and Licensing Program Manager (LPM) Karen Chambers conducted an informal meeting with applicant Elma Reynolds. The meeting was in regards reviewing the application file and explaining corrections that are needed in the Parent Handbook, Employee Handbook, Job Descriptions, LIC 500 Personnel Record, for each component, additional staff for LIC 308 Designation of Facility Responsibility, Mandated Reporting procedures on the Employee Handbook, and Admission Agreement. Applicant has been informed once the infant application has been reviewed, LPA Rivera will connect with applicant to informed if corrections are needed.

Per LPM Chambers, a Provisional License will be issued with effective date of April 7, 2022. The Provisional License is only good for 90 days (expires 7/7/2022), and there will be no extension.

Applicant has been informed to submitted the corrections and pending documents by 5/9/22.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2022
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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