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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600175
Report Date: 05/03/2024
Date Signed: 05/03/2024 10:42:17 AM

Document Has Been Signed on 05/03/2024 10:42 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:COVENANT PRESBYTERIAN CHURCH PRESCHOOLFACILITY NUMBER:
191600175
ADMINISTRATOR/
DIRECTOR:		SULTAN, KATHLEENFACILITY TYPE:
850
ADDRESS:6323 WEST 80 STREETTELEPHONE:
(310) 670-5758
CITY:LOS ANGELESSTATE: CAZIP CODE:
90045
CAPACITY: 74TOTAL ENROLLED CHILDREN: 74CENSUS: 62DATE:
05/03/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Kathleen SultanTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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On 5/03/24 Licensing Program Analyst (LPA) Ranita Richmond arrived at the above named facility to conduct an unannounced Proof of Correction Case Management Visit for necessary corrections from 4/17/24. LPA met with director Kathleen Sultan.

LPA toured the facility inside and outdoors. LPA observed 62 children being cared for and properly by 11 staff.

LPA reviewed current, up to date mandated reporter trainings for the following staff members: Tonya Bond-4/23/24, Margaret Cain-4/21/24, Crisanta Cox-4/20/24, Judy Genco-4/23/24, Kristen Herber-5/1/24, Filia Herbert-4/29/24, Shawna Kenan-4/28/24, Victoria Leamy-4/23/34, Kelly Lin-4/21/24, Kirstin Logsdon-4/28/24, Maren Payne-4/24/24, Blanka Shields- 4/23/24, Sheri Steinman- 4/29/24, Kathy Sultan- 4/20/24, Mary Thierjung- 4/29/24, Jacqueline Welsh- 4/25/24.

Proof of corrections completed for HSC 1596.8662(b)(1) and HSC 1596.8662(c) on 5/3/24.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2024
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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