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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013885
Report Date: 05/24/2023
Date Signed: 05/24/2023 03:20:32 PM


Document Has Been Signed on 05/24/2023 03:20 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:LAS FLORES PRESCHOOLFACILITY NUMBER:
198013885
ADMINISTRATOR:JUANITA BERNALFACILITY TYPE:
850
ADDRESS:1075 S. EASTMAN AVENUETELEPHONE:
(323) 980-5015
CITY:LOS ANGELESSTATE: CAZIP CODE:
90023
CAPACITY:22CENSUS: 0DATE:
05/24/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Lupe Granados - Program DirectorTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) R. Derraco conducted an unannounced case management visit with regards to Las Flores Preschool. LPA met with Lupe Granados, Program Director at the International Institute of Los Angeles located at 3845 Selig Place, Los Angeles CA 90031. The purpose of this visit is to continue the required one year inspection in order to review files for Site Supervisor Maria Mendoza and Teacher S2. Files were observed to be complete

Report was reviewed with Lupe Granados, program Director.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:
DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/24/2023
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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