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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192006561
Report Date: 08/08/2019
Date Signed: 08/08/2019 02:25:55 PM

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ALISO PICO PRESCHOOLFACILITY NUMBER:
192006561
ADMINISTRATOR:ADRIANA HERMOSILLOFACILITY TYPE:
850
ADDRESS:1505 E. 1ST STREETTELEPHONE:
(323) 269-6921
CITY:LOS ANGELESSTATE: CAZIP CODE:
90033
CAPACITY:60CENSUS: 0DATE:
08/08/2019
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Lupe Granados TIME COMPLETED:
02:40 PM
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Licensing Program Analyst (LPA) Judy Mora conducted a Collateral visit to the International Institute of Los Angeles located at 3845 Selig Place LA, CA 90032. LPA met with Lupe Granados.

The purpose of this visit is to conduct a staff file review. There is an Administrative file for the above facility, International Institute of Los Angeles.

LPA observed staff files to have required documentation.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

Exit interview conducted with Lupe Granados.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019
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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