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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419783
Report Date: 05/17/2019
Date Signed: 05/17/2019 02:01:11 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:LITTLE BLESSINGS CHRISTIAN ACADEMYFACILITY NUMBER:
197419783
ADMINISTRATOR:CALDWELL, YVONNEFACILITY TYPE:
850
ADDRESS:3944 SLAUSON AVETELEPHONE:
(323) 298-1547
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:30CENSUS: 10DATE:
05/17/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Kandace Caine TIME COMPLETED:
02:16 PM
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Licensing Program Analyst (LPA) Christopher Garlington conducted an unannounced Case Management to discuss the facility’s concerns regarding potential changes to capacity requirements.

LPA Garlington met with Kandace Caine, Director who contacted Licensee by telephone. LPA consulted with and advised Licensee with regards to the issues and questions related to the discussed changes.

LPA provided the facility with a Notice of Site Visit and a copy of the report. An exit interview was also conducted.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Christopher GarlingtonTELEPHONE: (424) 301-3056
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019
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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