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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
191609040
Report Date:
06/21/2019
Date Signed:
06/21/2019 04:47:28 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:
DEBBIE'S CHILD CARE DEVELOPMENT CENTER PRESCHOOL
FACILITY NUMBER:
191609040
ADMINISTRATOR:
DEBRA JOHNSON YOUNG
FACILITY TYPE:
850
ADDRESS:
521 SO. OSAGE AVENUE
TELEPHONE:
(310) 671-4440
CITY:
INGLEWOOD
STATE:
CA
ZIP CODE:
90301
CAPACITY:
77
CENSUS:
24
DATE:
06/21/2019
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
03:37 PM
MET WITH:
Licensee
TIME COMPLETED:
04:56 PM
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On 6/21/2019 Licensing Program Analyst (LPA) Chandler made an unannounced visit to Debbies CCDC for the purpose of delivering an amended report from a visit on 3/14/2019.
SUPERVISOR'S NAME:
Jennie Ferreira
TELEPHONE:
(424) 301-3067
LICENSING EVALUATOR NAME:
Jillinda Chandler
TELEPHONE:
(424) 301-3068
LICENSING EVALUATOR SIGNATURE:
DATE:
06/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/21/2019
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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