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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493826
Report Date: 05/10/2019
Date Signed: 05/10/2019 11:47:09 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:MT SINAI EARLY LEARNING CENTERFACILITY NUMBER:
197493826
ADMINISTRATOR:ERIKA WILLIAMSFACILITY TYPE:
850
ADDRESS:3717 W 54TH STREETTELEPHONE:
(323) 291-1121
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:30CENSUS: DATE:
05/10/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Erika WilliamsTIME COMPLETED:
12:00 PM
NARRATIVE
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Licensing Program Analysts (LPA) Christopher Garlington met with Erika Williams, Director for the purpose of conducting an announced Case Management Visit. LPA toured the facility indoors and outdoors as identified per facility sketches.

LPA Garlington discussed facility’s concerns with the Director and delivered the corrected facility license.

A copy of the report and a Notice of Site Visit were provided.

SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Christopher GarlingtonTELEPHONE: (424) 301-3056
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
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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