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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191500284
Report Date: 12/03/2024
Date Signed: 12/03/2024 10:45:22 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 12/03/2024 10:45 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:WILLARD HEAD STARTFACILITY NUMBER:
191500284
ADMINISTRATOR/
DIRECTOR:		MICHELLE COLLASOFACILITY TYPE:
850
ADDRESS:3152 N. WILLARD AVE.TELEPHONE:
(626) 307-3379
CITY:ROSEMEADSTATE: CAZIP CODE:
91770
CAPACITY: 42TOTAL ENROLLED CHILDREN: 35CENSUS: 31DATE:
12/03/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:55 AM
MET WITH:Sandra Gonzalez, Director of Child DevelopmentTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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On 12/03/2024, Licensing Program Analyst (LPA) Kruz Long conducted a Case Management - Annual Continuation at the HR Office (2730 Del Mar Ave, Rosemead, CA 91770) to review Staff records. LPA met with Sandra Gonzalez, Director of Child Development and explained the purpose of the visit.

LPA observed Staff records are complete.

Exit interview conducted and a copy of this report provided to the Director of Child Development along with the Notice of Site Visit. Notice of Site Visit must to be posted for 30 days.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE: DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2024
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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