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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
197414908
Report Date:
10/03/2019
Date Signed:
10/03/2019 01:54:52 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:
LEARNING GARDEN PRESCHOOL THE
FACILITY NUMBER:
197414908
ADMINISTRATOR:
NOURAYI-AGANGE, FATEMEH Z.
FACILITY TYPE:
830
ADDRESS:
2165 W. 236TH STREET
TELEPHONE:
(310) 326-1361
CITY:
TORRANCE
STATE:
CA
ZIP CODE:
90501
CAPACITY:
20
CENSUS:
16
DATE:
10/03/2019
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
01:44 PM
MET WITH:
director
TIME COMPLETED:
02:00 PM
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On 10/3/2019 Licensing Program Analyst (LPA) made an visit to the Learning Garden Infant center for the purpose of retrieving signatures on report created 10/2/2019. Signatures failed to update due to technical issues.
SUPERVISOR'S NAME:
Jennie Ferreira
TELEPHONE:
(424) 301-3067
LICENSING EVALUATOR NAME:
Jillinda Chandler
TELEPHONE:
(424) 301-3068
LICENSING EVALUATOR SIGNATURE:
DATE:
10/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/03/2019
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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