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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197409873
Report Date: 07/06/2020
Date Signed: 07/06/2020 10:01:53 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:SCOTCH, INC. CHILD CARE CENTERFACILITY NUMBER:
197409873
ADMINISTRATOR:MAYES, ANNAFACILITY TYPE:
840
ADDRESS:9115 S. NORMANDIE AVENUETELEPHONE:
(323) 864-2361
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY:10CENSUS: DATE:
07/06/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:04 PM
MET WITH:TIME COMPLETED:
01:21 PM
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Licensing Program Analyst (LPA) Shandra Powell conducted an unannounced Case Management Visit for the purpose of obtaining new contact information for facility and to also see if facility is providing care for children.

LPA observed front gate to locked with lock. Facility appeared to be closed no sign of children at facility. Photos taken.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2020
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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