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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197420022
Report Date: 10/02/2019
Date Signed: 10/02/2019 12:56:49 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:CCRC HEAD START-ANATOLAFACILITY NUMBER:
197420022
ADMINISTRATOR:TEREZA ANJANFACILITY TYPE:
850
ADDRESS:7364 ANATOLA AVENUETELEPHONE:
(818) 342-2071
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY:20CENSUS: 19DATE:
10/02/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Noelle Cook,TIME COMPLETED:
01:15 PM
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LPA Christopher Garlington made an unannounced Case Management visit to the facility and met with Noelle Cook, Lead Teacher Designee and was guided on a tour of the facility according to facility sketches.

LPA interviewed Noelle Cook, who stated that on 09/05/19 the Anatola Elementary School announced over the intercom a gas leak had occurred in the area. The school nor the facility was put on lockdown.

No injuries occurred. Facility activities were not limited or disrupted.

LPA has determined no further investigation is necessary.

LPA provided a copy of this report and a copy of the Notice of Site Visit to the facility.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Christopher GarlingtonTELEPHONE: (424) 301-3056
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2019
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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