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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191223292
Report Date: 05/24/2024
Date Signed: 05/24/2024 12:25:34 PM

Document Has Been Signed on 05/24/2024 12:25 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:VALLEY PRESBYTERIAN PRESCHOOL/INFANT CENTERFACILITY NUMBER:
191223292
ADMINISTRATOR/
DIRECTOR:		MICHELE VOLT JIMENEZFACILITY TYPE:
830
ADDRESS:9240 HASKELL AVETELEPHONE:
(818) 892-1622
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY: 21TOTAL ENROLLED CHILDREN: 21CENSUS: DATE:
05/24/2024
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Michele Vault JimenezTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
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On 5/24/24 at 12 PM, Licensing Program Analyst (LPA) Jeanine Lipsey conducted an unannounced case management visit for the purpose of obtaining signatures and delivering an amended report. LPA met with, Director Dr. Michele Vault Jimenez.

Upon entry, LPA Lipsey observed 15 children, between two classrooms, being supervised by five staff members.



Exit interview conducted and report was reviewed with the Director Dr. Michele Vault Jimenez. A notice of site visit was given to the director and must remain posted for 30 days.
Betty Bell
Jeanine Lipsey
DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2024
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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