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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418714
Report Date: 02/03/2020
Date Signed: 02/03/2020 04:06:53 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:LA MARINA PRESCHOOLFACILITY NUMBER:
197418714
ADMINISTRATOR:AGUILERA, BIBIANAFACILITY TYPE:
830
ADDRESS:115 S. SEPULVEDA BLVD.TELEPHONE:
(310) 372-2974
CITY:MANHATTAN BEACHSTATE: CAZIP CODE:
90266
CAPACITY:19CENSUS: 16DATE:
02/03/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Bibiana AguileraTIME COMPLETED:
09:36 AM
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On 2/3/2020, Licensing Program Analyst (LPA) Helen Estrella conducted a Case Management visit to the facility. Upon arrival, LPA met with Director Bibiana Aguilera and informed the nature of the visit. There were 16 infants in care during the inspection. LPA confirmed there was appropriate teacher to child ratio and the facility appeared to operate within its license capacity limitations.

The purpose of the visit was to discuss the Infant Safe Sleeping plan and the advisory form that was provided to the Director on 1/15/2020. LPA obtained photos of Infant Room #2 and copy of the Infant Needs/Services Plan.

A Facility Visit Summary Report (809-S) report was provided to the Director at the time of the visit. The Director was informed a Facility Evaluation Report (809) would be mailed to the facility. The Director signed written (809-S) report and was provided a copy. Exit interview conducted.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen EstrellaTELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2020
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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