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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019671
Report Date: 12/01/2021
Date Signed: 12/01/2021 10:44:02 AM

COMPREHENSIVE INSPECTION
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:LIFT CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198019671
ADMINISTRATOR:NATALIE BRAMONFACILITY TYPE:
830
ADDRESS:2387 N. LAKE AVETELEPHONE:
(626) 797-6056
CITY:ALTADENASTATE: CAZIP CODE:
91001
CAPACITY:18CENSUS: DATE:
12/01/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Licensee, Anthony McFarlandTIME COMPLETED:
09:45 AM
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Licensing Program Analyst, Bardo Baluyot conducted an unannounced required annual inspection and was met by Licensee Anthony McFarland. Per Mr. McFarland, they have been closed since the pandemic and`present. LPA also obtained Licensee's current email address.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
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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