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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
195700098
Report Date:
08/30/2023
Date Signed:
08/30/2023 05:08:40 PM
Document Has Been Signed on
08/30/2023 05:08 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
EL SEGUNDO CC NORTH
,
300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO
,
CA
90245
FACILITY NAME:
FAIRVIEW CHRISTIAN ACADEMY & ENRICHMENT CENTER
FACILITY NUMBER:
195700098
ADMINISTRATOR:
ROSHAWN T HOOPER
FACILITY TYPE:
850
ADDRESS:
3751 W 54TH STREET
TELEPHONE:
(424) 227-7999
CITY:
LOS ANGELES
STATE:
CA
ZIP CODE:
90043
CAPACITY:
50
TOTAL ENROLLED CHILDREN:
50
CENSUS:
DATE:
08/30/2023
TYPE OF VISIT:
Office
UNANNOUNCED
TIME BEGAN:
04:58 PM
MET WITH:
Roshawn Hooper, Applicant
TIME COMPLETED:
05:09 PM
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On 08/30/2023 Applicant reported to office in order to receive Amended Licensing Report. for visit conducted on 08/17/2023
SUPERVISORS NAME
:
Rita Ramos
LICENSING EVALUATOR NAME
:
Laticia S Thompson
LICENSING EVALUATOR SIGNATURE
:
DATE:
08/30/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/30/2023
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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