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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
304371147
Report Date:
07/17/2019
Date Signed:
07/22/2019 09:46:18 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
,
750 THE CITY DRIVE, SUITE 250
ORANGE
,
CA
92868
FACILITY NAME:
THINK TOGETHEREARLY LEARNING PROGRAM-PENDLETON
FACILITY NUMBER:
304371147
ADMINISTRATOR:
ALVA, TIFFANY
FACILITY TYPE:
850
ADDRESS:
7101 STANTON AVENUE
TELEPHONE:
(714) 521-8568
CITY:
BUENA PARK
STATE:
CA
ZIP CODE:
90621
CAPACITY:
24
CENSUS:
DATE:
07/17/2019
TYPE OF VISIT:
Annual/Random
UNANNOUNCED
TIME BEGAN:
08:30 AM
MET WITH:
TIME COMPLETED:
08:37 AM
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SUPERVISOR'S NAME:
Rina Lopez
TELEPHONE:
(714) 703-2808
LICENSING EVALUATOR NAME:
Stacy Torrence
TELEPHONE:
(714) 703-2823
LICENSING EVALUATOR SIGNATURE:
DATE:
07/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
07/22/2019
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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