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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414479
Report Date: 04/12/2024
Date Signed: 04/12/2024 11:27:13 AM

Document Has Been Signed on 04/12/2024 11:27 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 NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:WESTSIDE WALDORF SCHOOL-SUNSET CAMPUSFACILITY NUMBER:
197414479
ADMINISTRATOR/
DIRECTOR:		JUDY PENROSEFACILITY TYPE:
850
ADDRESS:17310 SUNSET BOULEVARDTELEPHONE:
(310) 260-2708
CITY:PACIFIC PALISADESSTATE: CAZIP CODE:
90272
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 6DATE:
04/12/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:38 AM
MET WITH:Judy PenroseTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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 On 4/12/24 at 10:38 AM, Licensing Program Analyst (LPA) Jeanine Lipsey conducted an unannounced case management visit for the purpose of obtaining signatures and delivering an amended report. LPA met with, Director Judy Penrose and Head of School, Estee Auerbach.

Upon entry, LPA Lipsey observed six children, being supervised by two staff members.

Exit interview conducted and report was reviewed with Director, Judy Penrose on 04/12/2024.  A copy of this report, along with Appeal Rights, were provided.  A Notice of Site Visit was given and must remain posted for 30 days. 
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2024
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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