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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197402062
Report Date: 11/01/2019
Date Signed: 11/01/2019 10:36:49 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:WILTON PLACE EARLY EDUCATION CENTERFACILITY NUMBER:
197402062
ADMINISTRATOR:CURTIS JOHNSONFACILITY TYPE:
850
ADDRESS:4030 LEEWARD AVENUETELEPHONE:
(213) 383-4971
CITY:LOS ANGELESSTATE: CAZIP CODE:
90005
CAPACITY:110CENSUS: 68DATE:
11/01/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Mayra Alcantara, Office ManagerTIME COMPLETED:
10:50 AM
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Licensing Program Analyst (LPA) Janeth Chavez conducted an unannounced Case Management inspection to amend the report issued on 07/30/2019. LPA met with Mayra Alcantara, Office Manager, who provided a tour of the facility. Mrs. Ayanna E. Davis arrived later at the facility. There 68 children present with 14 staff upon arrival. All staff present has obtained a criminal record clearance or exemption as a condition of employment through LAUSD.

There are no deficiencies cited on today's inspection. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Dr. Ayanna E. Davis, Director.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3417
LICENSING EVALUATOR NAME: Janeth ChavezTELEPHONE: (323) 981-3376
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2019
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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