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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416919
Report Date: 02/14/2025
Date Signed: 02/14/2025 04:07:26 PM

Document Has Been Signed on 02/14/2025 04:07 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:SPIRIT CHILD DEVELOPMENT CENTERFACILITY NUMBER:
197416919
ADMINISTRATOR/
DIRECTOR:		KEENA TAYLORFACILITY TYPE:
850
ADDRESS:4061 WEST WASHINGTON BOULEVARDTELEPHONE:
(323) 737-2467
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 32DATE:
02/14/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:05 PM
MET WITH:Keena TaylorTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 2/14/2025 at 3:05 pm Licensing Program Analysts (LPAs) Claudia Kam and Christine Nolan conducted a case management visit at the above facility for the purpose of consulting in regards to transportation liability. Upon arrival, LPAs met with associate director, Keena Taylor and provided LPAs a tour of the facility. LPAs observed proper care and supervision.

LPAs completed child, and staff’ records review and reviewed the parental agreement and admission agreement.

Based on interviews conducted and records reviewed, it appears that the facility had followed the health and safety protocol regarding transportation. Facility has been advised to make changes to the admission agreement to ensure full disclosure of transportation to guardians and addition of a liability waiver.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today 2/14/2025.


A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Keena Taylor.

Denise GibbsTELEPHONE: (323) 981-3385
Claudia KamTELEPHONE: (626) 602-6842
DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2025
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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