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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493018
Report Date: 07/14/2023
Date Signed: 07/14/2023 04:10:03 PM


Document Has Been Signed on 07/14/2023 04:10 PM - It Cannot Be Edited

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:INGLEWOOD UNIFIED SCHOOL DISTRICT CHILD DEV. CTRFACILITY NUMBER:
197493018
ADMINISTRATOR:JOANNA CLIFTONFACILITY TYPE:
850
ADDRESS:10409 10TH AVENUETELEPHONE:
(310) 419-2691
CITY:INGLEWOODSTATE: CAZIP CODE:
90303
CAPACITY:131CENSUS: 22DATE:
07/14/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:27 PM
MET WITH:Linda Anderson - Lead TeacherTIME COMPLETED:
04:28 PM
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On 7/14/2023 Licensing Program Analyst made a Case Management - Incident, follow up visit. LPA met with Linda Anderson -Lead Teacher. On 7/6/2023 the center reported that toilets in room 3,4 and 5 had backed up and overflowed. Children were redirected to other classrooms for toileting and there were additional toilets located on site.

During todays visit LPA observed 4 toilets in a common used restroom for room four and five, and two toilets in room 3; all toilets were in operable condition.

LPA observed a changing area in room three and informed Ms. Anderson that the changing pad is required to have raised sides at least three inches high.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:
DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/14/2023
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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