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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
191600600
Report Date:
05/03/2022
Date Signed:
05/03/2022 01:30:08 PM
Document Has Been Signed on
05/03/2022 01:30 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
CCLD Regional Office
,
1000 CORPORATE CENTER DR 200B
MONTEREY PARK
,
CA
91754
FACILITY NAME:
COLE, BONNIE FAMILY DAY CARE
FACILITY NUMBER:
191600600
ADMINISTRATOR:
COLE, BONNIE D
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(562) 492-6162
CITY:
LONG BEACH
STATE:
CA
ZIP CODE:
90806
CAPACITY:
14
CENSUS:
5
DATE:
05/03/2022
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
10:30 AM
MET WITH:
Kayla Hardiman, Assistant
TIME COMPLETED:
11:30 AM
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Continuation 05/03/22 to 05/04/22
SUPERVISOR'S NAME:
Valarie Cook
TELEPHONE:
(323) 513-3858
LICENSING EVALUATOR NAME:
Dayna Chambers
TELEPHONE:
(323) 558-2962
LICENSING EVALUATOR SIGNATURE:
DATE:
05/03/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/03/2022
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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