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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408676
Report Date: 12/29/2021
Date Signed: 12/30/2021 05:29:14 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:COMMUNITY CHILD DEV. CTR. OF LITTLE ANGELSFACILITY NUMBER:
197408676
ADMINISTRATOR:MASSENGALE & JOHNSFACILITY TYPE:
840
ADDRESS:3808 WEST 54TH STREETTELEPHONE:
(323) 299-0189
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:15CENSUS: 10DATE:
12/29/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Angela Massengale -TIME COMPLETED:
02:43 PM
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On 12/29/2020 Licensing Program Analyst (LPA) Jillinda Chandler and Shandra Powell made an unannounced visit to Community Child Development Center of Little Angeles for the purpose of identifying classrooms that will accommodate a decrease in capacity for the pre-school program from 129 to 114 and allow the school-age to increase its capacity from 15 to 30 children. Licensee plans use one classroom that was previously licensed for the pre-school program. LPA's were here to conduct two separate inspections.

An exit interview was conducted and a copy if this report was provided to licensee Angela Massengale.
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2021
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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