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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
197493709
Report Date:
03/29/2023
Date Signed:
03/29/2023 04:00:53 PM
Document Has Been Signed on
03/29/2023 04:00 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:
LAUNCH PAD LEARNING
FACILITY NUMBER:
197493709
ADMINISTRATOR:
EMILY WALTON
FACILITY TYPE:
850
ADDRESS:
4141 EL SEGUNDO BLVD.
TELEPHONE:
(310) 644-2176
CITY:
HAWTHORNE
STATE:
CA
ZIP CODE:
90250
CAPACITY:
93
CENSUS:
0
DATE:
03/29/2023
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
03:55 PM
MET WITH:
Steven Nordel
TIME COMPLETED:
04:00 PM
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On 3/29/2023 Licensing Program Analyst (LPA) Jillinda Chandler made an announced visit
to the Launch Pad Learning Center for the purpose of conducting a case management visit to admend a report created on 3/3/2023
SUPERVISOR'S NAME:
Claudia Escobedo
TELEPHONE:
(424) 301-3044
LICENSING EVALUATOR NAME:
Jillinda Chandler
TELEPHONE:
(424) 301-3068
LICENSING EVALUATOR SIGNATURE:
DATE:
03/29/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
03/29/2023
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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