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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492927
Report Date: 12/13/2019
Date Signed: 12/16/2019 10:00:17 AM

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:RISING STARS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
197492927
ADMINISTRATOR:MICHELLE NANCEFACILITY TYPE:
830
ADDRESS:762 W. 130TH STREETTELEPHONE:
(310) 324-5800
CITY:GARDENASTATE: CAZIP CODE:
90247
CAPACITY:8CENSUS: 5DATE:
12/13/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Michelle Nance & Darren JonesTIME COMPLETED:
03:30 PM
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Licensing Program Analyst, V. Wheatley conducted a case management inspection and met with director, Michelle Nance. The purpose of the inspection is to verify that the staff completed the videos and training that was required per the Informal Office Meeting which was held on October 30, 2019.

LPA received a copy of declaration stating the videos were completed by the entire staff. LPA also received a sign in sheet with all the names of every teacher that completed the videos. In addition a staff meeting was held on November 14, 2019.

A copy of this report was provided.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019
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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