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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191502246
Report Date: 08/29/2024
Date Signed: 08/29/2024 02:32:10 PM

Document Has Been Signed on 08/29/2024 02:32 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:SIERRA MADRE COMMUNITY NURSERYFACILITY NUMBER:
191502246
ADMINISTRATOR/
DIRECTOR:		AMY MC GINNISFACILITY TYPE:
850
ADDRESS:701 E SIERRA MADRE BLVDTELEPHONE:
(626) 355-1655
CITY:SIERRA MADRESTATE: CAZIP CODE:
91024
CAPACITY: 84TOTAL ENROLLED CHILDREN: 84CENSUS: DATE:
08/29/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Thais Anderson TIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 08/29/24, at 02:00 PM , Licensing Program Analysts (LPAs) Shushanik Safaryan and Priscilla Ochoa conducted an unannounced visit for the above facility for annual /random inspection . Upon arrival LPAs met with Facility Representatives ,Thais Anderson and Robert Boyman , whom the reason of the visit was explained . Per Facility Representatives , school is not in session and will be open next week . Per Facility Representatives maintenance will be conducted to the outdoor structures, classrooms for the first of school . During the visit LPAs conducted a quick tour with the licensee, changes were discussed . Per Facility Representative children are not enrolled for the school year yet . LPAs will follow up with annual inspection when school will resume.


End of the report .
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 08/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/29/2024
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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