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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018058
Report Date: 01/26/2023
Date Signed: 01/26/2023 03:24:53 PM


Document Has Been Signed on 01/26/2023 03:24 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:C11/WATTS TOWER HEAD STARTFACILITY NUMBER:
198018058
ADMINISTRATOR:BRENDA JUAREZFACILITY TYPE:
850
ADDRESS:1716 E. 105 STTELEPHONE:
(213) 385-5100
CITY:LOS ANGELESSTATE: CAZIP CODE:
90002
CAPACITY:40CENSUS: 0DATE:
01/26/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Rosa MariscalTIME COMPLETED:
02:50 PM
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About 1:40 P.M., an unannounced required visit at the above licensed facility was conducted by Licensing Program Analyst (LPA) T. Tran. Upon arrival, LPA met with Rosa Mariscal, Early Childhood Service Manager.

Per facility representative, there were no children enrolled for the 2022-2023 school year. The facility is currently pending to convert the preschool head program into an infant/toddler program. Currently, the facility is under alternation for indoor and outdoor physical plans then new application will be submit the licensing office. LPA did not observe any children enrolled during today's visit. LPA observed management team conducting training at the site.

No children or staff files were reviewed due to no children enrolled during this school year. A letter of this changes to the operation obtained.

No deficiency was cited at this time. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Rosa Mariscal.

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2023
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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