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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198001737
Report Date: 08/26/2022
Date Signed: 08/26/2022 11:47:07 AM


Document Has Been Signed on 08/26/2022 11:47 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:OPTIONS-STATE PRESCHOOL-LOMA VISTAFACILITY NUMBER:
198001737
ADMINISTRATOR:DEBORAH SLOBOJANFACILITY TYPE:
850
ADDRESS:11544 MINA AVE.TELEPHONE:
(562) 944-9983
CITY:SOUTH WHITTIERSTATE: CAZIP CODE:
90605
CAPACITY:24CENSUS: 0DATE:
08/26/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:39 AM
MET WITH:InactiveTIME COMPLETED:
11:45 AM
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LPA attempted to conduct an unannounced Required Annual Inspection but found the facility to be closed/inactive. LPA contacted Division Director Niland Lim who confirmed that this site along with Options State Mulberry site were unable to open due to low enrollment. Per Ms. Lim. she hopes to re-open Mulberry Site through UPK grant in the near future.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 08/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/26/2022
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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