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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191603677
Report Date: 12/19/2024
Date Signed: 12/20/2024 08:21:05 AM

Document Has Been Signed on 12/20/2024 08:21 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:HOLY TRINITY LUTHERAN CHILD CARE CENTERFACILITY NUMBER:
191603677
ADMINISTRATOR/
DIRECTOR:		KORY HIGGINSFACILITY TYPE:
850
ADDRESS:9300 CRENSHAW BLVDTELEPHONE:
(323) 757-4850
CITY:INGLEWOODSTATE: CAZIP CODE:
90305
CAPACITY: 85TOTAL ENROLLED CHILDREN: 85CENSUS: 13DATE:
12/19/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:54 PM
MET WITH:Shatoune ShepardTIME VISIT/
INSPECTION COMPLETED:
02:55 PM
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On 12/19/24 Licensing Program Analyst (LPA) Ranita Richmond arrived at the aboved named facility for an unannounced case management visit. LPA was greeted by administrator Shatoune Shepard.

LPA toured the facility for health and safety and observed 13 children being cared for and supervised by 4 fingerprint cleared staff.

LPA received an email from the board of directors regarding a newly hired staff.

LPA viewed guardian background check system. Newly hired staff information not populating in system.

LPA used facility organization number to associate staff to facility roster.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no were deficiencies cited today.

Exit interview conducted, and report was reviewed with Administrator Shatoune Shepard.


A Notice of Site Visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2024
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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