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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493018
Report Date: 02/23/2023
Date Signed: 02/23/2023 11:43:52 AM


Document Has Been Signed on 02/23/2023 11:43 AM - 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: DATE:
02/23/2023
TYPE OF VISIT:CollateralANNOUNCEDTIME BEGAN:
11:28 AM
MET WITH:LEONISHA ANDERSON - FAMILY SERVICESTIME COMPLETED:
11:40 AM
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On 2/23/2023 Licensing Program Analyst (LPA) Jillinda Chandler made a visit to the Inglewood Unified School District office for the purpose of delivering requested staff files, back to the main office.

The following files were returned: Deatrice Green, Lucious Monroe and Yemmy Palacios.

A file review was conducted at the INGLEWOOD USD-WORTHINGTON STATE PRESCHOOL, No documents were removed from the files.

Files were received by: Leonisha Anderson -family services worker

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:
DATE: 02/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/23/2023
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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