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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600878
Report Date: 03/23/2020
Date Signed: 03/23/2020 01:25:45 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ANTHONY'S PRE-SCHOOLFACILITY NUMBER:
191600878
ADMINISTRATOR:SANDRA HUTSONFACILITY TYPE:
850
ADDRESS:8702-8708 CRENSHAW BLVD.TELEPHONE:
(323) 751-2646
CITY:INGLEWOODSTATE: CAZIP CODE:
90305
CAPACITY:85CENSUS: 2DATE:
03/23/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:36 PM
MET WITH:Sandra Hutson, DirectorTIME COMPLETED:
01:25 PM
NARRATIVE
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Licensing Program Analyst (LPA) Shandra Powell conducted an unannounced case management inspection during a complaint investigation. LPA was met by Sandra Hutson, Director to clear deficiencies from the Annual Inspection conducted on 05/23/19. Census were taken. The following deficiencies have been cleared:

Children's Roster

Plan of Operation for all children receiving Incidental Medical Services

Disaster Drill Log

LPA observed and obtain a copy of all the above documents during this visit.

LPA Powell informed any questions in regards COVID-19 to be emailed to CCLCOVID-19INFO@dss.ca.gov

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Sandra Hutson , Director, Appeal Procedures given and explained.

SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2020
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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