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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013463
Report Date: 05/31/2019
Date Signed: 05/31/2019 03:15:23 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: 38DATE:
05/31/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:17 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 (LPA) Timothy Fields for the purpose of interviewing children in care. LPA met with Director, Will Renteria prior to the interviews. LPA was provided a copy of the facility roster. LPA documented parent contact information.

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

DATE: 05/31/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2019
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