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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197413649
Report Date: 09/15/2022
Date Signed: 09/15/2022 10:36:37 AM

Document Has Been Signed on 09/15/2022 10:36 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ALTA VISTA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
197413649
ADMINISTRATOR:THERESA VAN DUSENFACILITY TYPE:
850
ADDRESS:815 KNOB HILLTELEPHONE:
(310) 316-6956
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90277
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: DATE:
09/15/2022
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
08:46 AM
MET WITH:Sonoya WyneeTIME COMPLETED:
10:40 AM
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On 09/15/2022 Licensing Program Analyst ( LPA) Doris Whitmore conducted a Case Management Annual Continuation. LPA was greeted by Site Supervisor Sonoya Wynne. There were a total of Four staff files that were reviewed. Files were reviewed at the Alta Vista Child Development Center. Site Supervisor shared a letter from the Assistant Superintendent that the school employees have until September 23, 2022 to complete the Mandated Reporter. Mandated Training is taken every year. Some Documents are at the District Office. Exit interview was conducted and there are no deficiencies cited on 09/15/2022.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2022
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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