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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411657
Report Date: 01/10/2024
Date Signed: 01/10/2024 04:48:26 PM

Document Has Been Signed on 01/10/2024 04:48 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CHILDREN'S COLLECTIVE - YOU CHILD DEVELOPMENTFACILITY NUMBER:
197411657
ADMINISTRATOR:JEANETTE BANUELOSFACILITY TYPE:
850
ADDRESS:932 W. 85TH STREETTELEPHONE:
(323) 789-1873
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY: 10TOTAL ENROLLED CHILDREN: 10CENSUS: 6DATE:
01/10/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Donna Belvin, Facility DirectorTIME COMPLETED:
03:30 PM
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On 01/10/2024 Licensing Program Analyst (LPA)s Judy Laureano and Cristina Castellanos conducted an unannounced case management-deficiency inspection to determine if the deficiencys cited on 1/4/2024 has been cleared. LPAs met with Donna Belvin, and toured the facility. There were 6 children present at the time of the inspection with two staff members.

On 1/04/2024, the facility was cited under section code 102370 Criminal Record Clearance. Facility had one individual, J. Charles, who did not have a valid Criminal Record Clearance. Director, Donna Belvin, stated J. Charles is no longer employed at the facility as of 1/4/2024.

Exit interview conducted and report was reviewed with the licensee Donna Belvin.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2024
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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