<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191609482
Report Date: 07/13/2021
Date Signed: 07/13/2021 09:16:11 AM

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:YOUNG HORIZONSFACILITY NUMBER:
191609482
ADMINISTRATOR:ELAINE TRIPLETTFACILITY TYPE:
850
ADDRESS:2418 PACIFIC AVENUETELEPHONE:
(562) 424-6933
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY:30CENSUS: 0DATE:
07/13/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:18 AM
MET WITH:Amber Pimentel- Assistant Site Supervisor TIME COMPLETED:
09:35 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Raul Navarro arrived at the facility at 8:18am. LPA met with Lead Teacher Sonia Yanes. Site Supervisor Amber Pimentel arrived shortly after. Per Lead Teacher the preschool program is currently operating at a different location due to facility being painted. The preschool program is currently operating at Ludloff Center-Young Horizons which is a licensed facility. LPA did receive notification from the program notifying him of the temporary relocation.

LPA Navarro will return to conduct the annual inspection at a later date when the preschool program returns to the facility.

Exit interview was conducted with Assistant Site Supervisor Amber Pimentel. The Assistant Site Supervisor was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1