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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191871356
Report Date: 08/22/2022
Date Signed: 08/22/2022 03:01:31 PM

Document Has Been Signed on 08/22/2022 03:01 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:LA SANTA CRUZ STATE PRESCHOOLFACILITY NUMBER:
191871356
ADMINISTRATOR:MARIA LABRADAFACILITY TYPE:
850
ADDRESS:2747 WHITTIER BLVD.TELEPHONE:
(213) 262-1123
CITY:LOS ANGELESSTATE: CAZIP CODE:
90023
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 0DATE:
08/22/2022
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Program Director Lupe Granados TIME COMPLETED:
03:05 PM
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On 8/22/22 Licensing Program Analyst Jeanette Estrada conducted an unannounced visit to International Institute of Los Angeles (iiLos Angeles) Headquarter's office located at 3854 Selig Pl Los Angeles, CA 90031. This is a continuation of an annual inspection conducted on 6/29/22. LPA met with Program Director Lupe Granados and informed her of the purpose for the visit.

The purpose of today's visit was to review staff records for completeness as well as teacher and director qualifications. LPA reviewed staff files for five staff present during the visit on 6/29/22.

No deficiencies were cited during today's visit.
Exit interview was conducted with Program Director Lupe Granados.
Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2022
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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