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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017672
Report Date: 08/24/2022
Date Signed: 08/24/2022 09:58:30 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 08/24/2022 09:58 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:OPTIONS-STATE PRESCHOOL-PARAMOUNTFACILITY NUMBER:
198017672
ADMINISTRATOR:DEBORAH SLOBOJANFACILITY TYPE:
850
ADDRESS:409 WEST PARAMOUNT AVENUETELEPHONE:
(626) 854-3449
CITY:AZUSASTATE: CAZIP CODE:
91702
CAPACITY:24CENSUS: 0DATE:
08/24/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:InactiveTIME COMPLETED:
09:15 AM
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LPA attempted to conduct an unannounced Required Annual inspection and found the facility closed. LPA contacted the number posted and spoke with Division Director, Niland Lim who stated that they were unable to reopen the site due to low enrollment. Per Division Director, she will submit a request for inactive status.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2022
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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