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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400834
Report Date: 09/27/2023
Date Signed: 09/27/2023 11:18:48 AM

Document Has Been Signed on 09/27/2023 11:18 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:JUMP FOR JOY DAY CARE CENTERFACILITY NUMBER:
198400834
ADMINISTRATOR:BIAS, GWENDOLYN DENISEFACILITY TYPE:
850
ADDRESS:1219 ROSECRANS AVETELEPHONE:
(310) 627-9251
CITY:COMPTONSTATE: CAZIP CODE:
90222
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: DATE:
09/27/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Gwendolyn BiasTIME COMPLETED:
11:20 AM
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On 9/27/23 about 11:00AM licensee Gwendoly Bias arrived at RO office and was greeted by Licensing Program Analyst (LPA) T. Tran for the purpose of picking up the licenses and amend the prelicensing report.

This is an amended 809 prelicensing report from the original report that was written and provided to the licensee on 9/11/2023. This amended report is being revised from the original.

Exit interview was conducted and copy of report was given.

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2023
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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