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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417711
Report Date: 08/23/2024
Date Signed: 08/23/2024 01:40:40 PM

Document Has Been Signed on 08/23/2024 01:40 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:MYCHAL'S LEARNING PLACEFACILITY NUMBER:
197417711
ADMINISTRATOR/
DIRECTOR:		LYNCH, EDFACILITY TYPE:
840
ADDRESS:4901 W. ROSECRANS AVENUETELEPHONE:
(310) 297-9333
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
08/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:BIANCA AMEZCUA, PROGRAM SUPERVISORTIME VISIT/
INSPECTION COMPLETED:
01:55 PM
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On 8/23/2024, Licensing Program Analyst (LPA) Loyce Phillips conducted an unannounced Case Management-Other Inspection. LPA met with Bianca Amezcua, Program Supervisor. No children were present during visit. The purpose of this visit is to obtain the newly hire Director's packet.

LPA received and reviewed the following:


1. LIC 9096 (not completed).
2. Unofficial Transcripts
3. Mandated Reporter Training completed on 4/9/2024
4. CPR/First Aid completed on 4/10/2024
5. LIC 508
6. LIC 503 Health Screening Report with TB
7. LIC 501 Personnel Record
8. Immunization's with MMR, TDAP and TB

LPA explained to the Program Supervisor additional information for Director's packet is required in order to qualified the Director. LPA reviewed Title 22 section 101215.1 Child Care Center Directors Qualifications and Duties with Program Supervision.

An exit interview was conducted and a copy of this report was read and provided to Bianca Amezcua.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2024
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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