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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003136
Report Date: 08/01/2022
Date Signed: 08/01/2022 10:30:24 AM


Document Has Been Signed on 08/01/2022 10:30 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 CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:Y.M.C.A GLB LOS ALTOSFACILITY NUMBER:
198003136
ADMINISTRATOR:BRIAN FLORESFACILITY TYPE:
840
ADDRESS:1720 BELLFLOWERTELEPHONE:
(562) 596-3394
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:70CENSUS: 0DATE:
08/01/2022
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Senior Program Director, Michele Janssen and Program Director, Sammy BrittainTIME COMPLETED:
10:30 AM
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On August 1, 2022 at 9:30 am, Licensing Program Analyst (LPA) Monique Ayala met with Senior Program Director, Michele Janssen and Program Director, Sammy Brittain at the Monterey Park Child Care Regional Office located at 1000 Corporate Center Dr., Suite 200B, Monterey Park, CA 90815. The purpose of the office meeting was to discuss the pending Capacity Change application for the facility noted above.

During today's meeting, facility representatives informed LPA Ayala that the pending application for Y.M.C.A. GLB Los Altos 198003136 is being withdrawn due to no longer needing a capacity increase at this site. Facility representatives also informed LPA that the Y.M.C.A. Greater Long Beach plans on submitting 6 to 10 new school-age center applications due to Expanded Learning Opportunity Program (ELOP) state funding being received at school districts. During the meeting, LPA advised the facility representatives on the application process and regulations.

Exit interview conducted and report was reviewed with the facility representatives.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Monique AyalaTELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:
DATE: 08/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/01/2022
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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