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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
198015299
Report Date:
07/11/2023
Date Signed:
07/11/2023 01:10:54 PM
Document Has Been Signed on
07/11/2023 01:10 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
CCLD Regional Office
,
1000 CORPORATE CENTER DR 200B
MONTEREY PARK
,
CA
91754
FACILITY NAME:
YMCA GLB PLAY & LEARN PRESCHOOL
FACILITY NUMBER:
198015299
ADMINISTRATOR:
MONA ASAD
FACILITY TYPE:
850
ADDRESS:
2179 PACIFIC AVENUE
TELEPHONE:
(562) 218-4693
CITY:
LONG BEACH
STATE:
CA
ZIP CODE:
90806
CAPACITY:
104
CENSUS:
DATE:
07/11/2023
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
12:55 PM
MET WITH:
Natalie Ugalde, Site Director
TIME COMPLETED:
01:20 PM
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LPA Chambers stopped to meet the new Site Director and collect the Directors Package. The facility was not due for the annual inspection yet.
SUPERVISOR'S NAME:
Valarie Cook
TELEPHONE:
(323) 513-3858
LICENSING EVALUATOR NAME:
Dayna Chambers
TELEPHONE:
(323) 558-2962
LICENSING EVALUATOR SIGNATURE:
DATE:
07/11/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
07/11/2023
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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