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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
191802051
Report Date:
08/26/2022
Date Signed:
08/29/2022 03:23:32 PM
Document Has Been Signed on
08/29/2022 03:23 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:
SALVATION ARMY DAY CARE CTR
FACILITY NUMBER:
191802051
ADMINISTRATOR:
MARIA RODRIGUEZ
FACILITY TYPE:
850
ADDRESS:
836 STANFORD AVE
TELEPHONE:
(213) 623-9022
CITY:
LOS ANGELES
STATE:
CA
ZIP CODE:
90021
CAPACITY:
150
TOTAL ENROLLED CHILDREN:
150
CENSUS:
DATE:
08/26/2022
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
09:00 AM
MET WITH:
Maria Rodriguez, Director
TIME COMPLETED:
09:30 AM
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LPA returned to center to deliver the report and obtain signatures due to the technical difficulties from 08/12/2022 inspection. Signature is obtained on original reports
SUPERVISORS NAME
:
Valarie Cook
LICENSING EVALUATOR NAME
:
Dayna Chambers
LICENSING EVALUATOR SIGNATURE
:
DATE:
08/29/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/29/2022
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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