<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013463
Report Date: 05/24/2019
Date Signed: 05/24/2019 03:13:40 PM

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:COALICION DE LATINO AMERICANOS, INC.FACILITY NUMBER:
198013463
ADMINISTRATOR:ANA POPPERFACILITY TYPE:
850
ADDRESS:7413 JABONERIA ROADTELEPHONE:
(562) 928-5138
CITY:BELL GARDENSSTATE: CAZIP CODE:
90201
CAPACITY:48CENSUS: 0DATE:
05/24/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Will RenteriaTIME COMPLETED:
03:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
A Case Management inspection was conducted by Licensing Program Analyst, Timothy Fields for the purpose of interviewing children in care. Prior to meeting with Director Will Renteria LPA had a brief phone consultation with Licensing Program Manager, Trevino Cochran. Upon arrival LPA was informed class was dismissed at 11:30am due to a scheduled minimum day. There were no children present to interview. Normal operating hours will resume 5/28/19.

An exit interview was conducted with Director Will Renteria. A copy of the report and notice of site visit was provided.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1