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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197492892
Report Date: 05/08/2024
Date Signed: 05/08/2024 03:37:59 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/23/2024 and conducted by Evaluator Lilia Hernandez
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20240223151425
FACILITY NAME:WAGON WHEEL SCHOOL OF MALIBUFACILITY NUMBER:
197492892
ADMINISTRATOR:SEGAL, RUTHFACILITY TYPE:
850
ADDRESS:28211 W. PACIFIC COAST HWYTELEPHONE:
(310) 350-1909
CITY:MALIBUSTATE: CAZIP CODE:
90265
CAPACITY:78CENSUS: 52DATE:
05/08/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Carol Jeffers, Center DirectorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff do not ensure heavy items are properly secured.
Licensee does not maintain required first aid supplies.
Staff do not document incidents involving day care children as required.
Licensee does not maintain a current roster of day care children.
Staff do not follow sign in/out procedure requirements.
Licensee does not ensure facility has a carbon monoxide detector on the premises.
Licensee does not ensure disaster drills are conducted as required.
Licensee does not ensure play equipment is maintained in good condition.
Staff do not ensure hazardous items are inaccessible to day care children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Lilia Hernandez conducted and unannounced complaint inspection to the above facility on 05/08/2024. LPA arrived to the facility at 9:45AM and met with Carol Jeffers, Center Director, who guided LPA on a tour of the facility. There were 52 children with 7 staff upon arrival. LPA also observed an addition adult staff that was not part of the teacher: child ratio.

The purpose of the visit is to deliver findings for the above allegations.

Information provided by the reporting party states that Licensee does not maintain required first aid supplies, does not maintain a current roster of day care children, does not ensure facility has a carbon monoxide detector on the premises, does not ensure disaster drills are conducted as required, and does not ensure play equipment is maintained in good condition.
---Page 1 of 2

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/23/2024 and conducted by Evaluator Lilia Hernandez
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20240223151425

FACILITY NAME:WAGON WHEEL SCHOOL OF MALIBUFACILITY NUMBER:
197492892
ADMINISTRATOR:SEGAL, RUTHFACILITY TYPE:
850
ADDRESS:28211 W. PACIFIC COAST HWYTELEPHONE:
(310) 350-1909
CITY:MALIBUSTATE: CAZIP CODE:
90265
CAPACITY:78CENSUS: 52DATE:
05/08/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Carol Jeffers, Center DirectorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff do not ensure required ratios are maintained.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Lilia Hernandez conducted and unannounced complaint inspection to the above facility on 05/08/2024. LPA arrived to the facility at 9:45AM and met with Carol Jeffers Center Director, who guided LPA on a tour of the facility. There were 52 children with 7 staff upon arrival. LPA also observed an addition adult staff that was not part of the teacher child ratio.

The purpose of the visit is to deliver findings for the above allegation.

Information provided by the reporting party indicates that staff do not ensure required ratios are maintained.

During the investigation conducted by the LPA, interviews were conducted, records were reviewed, pictures were obtained, copies of rosters and other pertinent information and documents were also obtained.
---Page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 8
Control Number 58-CC-20240223151425
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WAGON WHEEL SCHOOL OF MALIBU
FACILITY NUMBER: 197492892
VISIT DATE: 05/08/2024
NARRATIVE
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Center Director stated that at no time has the facility operated out of ratio. Per Center Director, enrollment and ratios are kept below 1 teacher per 12 children. Center Director also stated that when support is needed, they will step in to cover staff.
During staff interviews, disclosures were made regarding shortage of staff. 9 of 9 staff interviewed disclosed lunches and breaks are often taken in the classroom to ensure ratios are being met. LPA was unable to verify dates on when the facility operated out of ratio.

During parent interviews, parents made no disclosures regarding concerns with ratios. Parents did disclose that they do not enter the facility during drop off and pick up. Children are picked up at a gate that does not have direct access to the classroom’s where care is provided.

During LPA’s inspections, the facility was found to be within ratio.

Based on the investigation conducted by the Department it has been determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

A copy of this report, appeal rights, and Notice of Site Visit was provided.

Exit interview was conducted with Carol Jeffers, Center Director.
---Page 2 of 2
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 8
Control Number 58-CC-20240223151425
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WAGON WHEEL SCHOOL OF MALIBU
FACILITY NUMBER: 197492892
VISIT DATE: 05/08/2024
NARRATIVE
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Reporting party also stated that staff do not ensure heavy items are properly secured, do not document incidents involving day care children as required, do not follow sign in/out procedure requirements, and do not ensure hazardous items are inaccessible to day care children.

During the investigation conducted by the LPA, interviews were conducted, records were reviewed, pictures were obtained, copies of rosters and other pertinent information and documents were also obtained.

During LPA’s inspections, LPA observed the first aid kit to be incomplete and did not meet the requirements under health-related services. Center Director provided LPA with a copy of the children’s roster; however, the roster was missing child’s date of birth, date of enrollment, and physician’s name/phone number. LPA did not observe a carbon monoxide detector in the facility. LPA only observed smoke detectors. The Center Director was not able to confirm if a carbon monoxide detector was installed in the facility. The Center Director was also not able to confirm when the last disaster drill was conducted and did not have any disaster drills documented or logged for reference. The Center Director stated that child injuries are reported to parents via telephone or text. Per Center Director written reports of child injuries are not documented or kept in the child’s file. Center Director disclosed that parents forget to sign children in at drop off and sign out at pick up. Center Director and staff at times sign for parents. During parent interviews, parents confirmed that the Center Director and/or staff will sign in on their behalf when they forget to sign children in at drop off and pick up. LPA disclosed to parents that the facility must adhere to a sign in/sign out regulation outline in Title 22. LPA observed children playing with broken toy trucks in the sand and bicycles with handlebars that had rough metal protruding from the rubber bar grips. (photos taken) LPA observed heavy items stored on high shelves next to the space where children play in the classroom identified as Penguins. (photo taken) LPA also observed rusted metal shelves in the outdoors where children store their belongings. (photo taken)

Based on the investigation conducted by the Department the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22.

A copy of this report, appeal rights, and Notice of Site Visit was provided.
The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
Exit interview was conducted with Carol Jeffers, Center Director. ---Page 2 of 2
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 8
Control Number 58-CC-20240223151425
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WAGON WHEEL SCHOOL OF MALIBU
FACILITY NUMBER: 197492892
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/08/2024
Section Cited
CCR
101226(d)
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Health-Related Services (d) The licensee shall maintain the following first-aid supplies in a location accessible to staff but inaccessible to children:
(1) A current edition of a first-aid manual.(2) Sterile first-aid dressings. (3) Bandages or roller bandages.(4) Adhesive tape.(5) Scissors.(6)Tweezers.(7)Thermometer.(8) Antiseptic solution.
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Per Center Director, a first aid kit and a first aid manual was purchased for all 3 classrooms. LPA observed the first aid kit to be complete.
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This requirement was not met as evidenced by LPA observed the first aid kit to be incomplete and did not meet the requirements under health-related services which poses a potential health and safety risk to children in care.
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Type B
05/08/2024
Section Cited
CCR
101226(a)(2)
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Health-Related Service (a) The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch...(2) In the case of less serious injuries including, but not limited to, minor cuts, scratches and bites from other children requiring assessment and/or administration of first aid by staff, the licensee shall document the injury in the child's record and notify the child's authorized representative of the nature of the injury when the child is picked up from the center.
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Per Center Director, an ouch report was designed for staff to document any injuries and or first aid administered of children in care. A copy of the ouch report was provided to the LPA.
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This requirement was not met as evidenced by disclosures made by the Center Director who stated written reports of child injuries are not documented or kept in the child’s file services which poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 8
Control Number 58-CC-20240223151425
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WAGON WHEEL SCHOOL OF MALIBU
FACILITY NUMBER: 197492892
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2024
Section Cited
HSC
1596.841
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Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.
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Per Center Director, the roster will be updated to included all required information and will be submitted to the LPA via email by POC due date.
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This requirement was not met as evidenced by records reviewed Licensee provided a roster that was missing child’s date of birth, date of enrollment, and physician’s name and phone number which poses a potential health and safety risk to children in care.
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Type B
05/08/2024
Section Cited
HSC
1596.954
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Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections.
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Per Center Director, carbon monoxide detectors were installed in the facility. LPA observed a carbon monoxide detector installed and operable next to the Center Director's office.
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This requirement was not met as evidenced by observations made by the LPA who only observed smoke detectors. The Center Director was not able to confirm if a carbon monoxide detector was installed in the facility which poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 8
Control Number 58-CC-20240223151425
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WAGON WHEEL SCHOOL OF MALIBU
FACILITY NUMBER: 197492892
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/08/2024
Section Cited
CCR
101174(d)
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Disaster and Mass Casualty Plan (d)Disaster drills shall be conducted at least every six months. (1) Completion of such drills shall not require travel away from the child care center grounds or contact with local disaster agencies. (2) The drills shall be documented. This documentation shall be kept in the child care center for at least one year.
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Per Center Director, a disaster drill was conducted on 4/12/2024. LPA reviewed records that are being used to document drills.
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This requirement was not met as evidenced by disclosures made by Center Director who was not able to confirm when the last disaster drill was conducted and did not have any disaster drills documented or logged for reference which poses a potential health and safety risk to children in care.
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Type B
05/08/2024
Section Cited
CCR
101229.1
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Sign In and Sign Out (a) In addition to the sign-in procedure requirement of Section 101226.1(b)...(1)The person who signs the child in/out shall use his/her full legal signature and shall record the time of day...(d) The sign-in and sign-out sheets with the signatures required by this section and by Section 101226.1 shall be kept for one month and shall be available at the center for review by the Department.
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Per Center Director, parents were notified and reminded to sign their child in during drop off and sign child out at pick up. Center Director disclosed parent's have began signing their child in after LPA conducted interviews with parents.
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This requirement was not met as evidenced by disclosures made by Center Director and parents that the Center Director and/or staff will sign in on their behalf when they forget to sign which poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 8
Control Number 58-CC-20240223151425
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WAGON WHEEL SCHOOL OF MALIBU
FACILITY NUMBER: 197492892
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2024
Section Cited
CCR
101238(a)
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Buildings and Grounds(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
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LPA observed Center Director removed broken toys and bicycles from children's play area. LPA observed heavy items removed from the high shelves and a barriers installed to prevent items from falling from the shelves. The following corrections will be submitted in a form of a photo to LPA via email by POC due date: Secure cubbies in Seastar's classroom, remove or repair rusted metal shelves
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This requirement was not met as evidenced by LPA observed children playing with broken toy trucks in the sand, bicycles with handlebars that had rough metal protruding from the rubber bar grips, heavy items stored on high shelves next to the space where children play in the classroom identified as Penguins and rusted metal shelves in the outdoors where children store their belongings which poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
LIC9099 (FAS) - (06/04)
Page: 8 of 8