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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191201784
Report Date: 08/11/2022
Date Signed: 08/11/2022 11:21:48 AM


Document Has Been Signed on 08/11/2022 11:21 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:FIRST PRESBYTERIAN CHURCH PREPARATORY SCHOOLFACILITY NUMBER:
191201784
ADMINISTRATOR:MARY GENDLERFACILITY TYPE:
850
ADDRESS:10400 ZELZAH AVENUETELEPHONE:
(818) 368-7254
CITY:NORTHRIDGESTATE: CAZIP CODE:
91324
CAPACITY:138CENSUS: 18DATE:
08/11/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Mary Gandler - DirectorTIME COMPLETED:
11:30 AM
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On 08/11/2022 Licensing Program Analyst (LPA), Suzette Ornelas arrived to above address for the purpose of conducting an unannounced Annual Required Inspection for the preschool license. LPA met with Director, Mary Gandler, and toured the facility indoors and outdoors. Upon further review of files and interviews, LPA observed that the facility was no longer operating under First Presbyterian Church Preparatory School license 191201784. Per management, and LPA review of the current license on the display board, facility underwent change in corporation. This location is licensed as Granada Preparatory School 197494726 effective 03/25/2021 under the Palmdale Regional Office with zip code 91326. LPA will ensure facility First Presbyterian Church Preparatory School 191201784 is closed effective 03/24/2021. Changes unable to be made effective immediately due to being unable to access database in the field.
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette OrnelasTELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:
DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/11/2022
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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