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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493647
Report Date: 01/19/2023
Date Signed: 01/19/2023 04:32:33 PM

Document Has Been Signed on 01/19/2023 04:32 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:SMALL WORLD CHILDCARE IIFACILITY NUMBER:
197493647
ADMINISTRATOR:GLENISHA GIBSONFACILITY TYPE:
830
ADDRESS:6305 S. VERMONT AVENUETELEPHONE:
(323) 752-2126
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY: 24TOTAL ENROLLED CHILDREN: 12CENSUS: 5DATE:
01/19/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
04:11 PM
MET WITH:Glenisha Gibson, DirectorTIME COMPLETED:
04:45 PM
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Licensing Program Analyst (LPA) Shandra Powell, conducted an unannounced required 1 year inspection to the above facility on 01/19/2023. LPA arrived at the facility, identified self and gave director the reason for the unannounced visit. LPA provided Director, Gibson with a copy of the LIC 125 Entrance Checklist. Director guided analyst on a tour of the facility inside and outside. This is a Infant Center which consists of one large classroom. The large classroom is divided in sections with a crib area and crawler area. The Infant Center operating hours are Monday through Friday, 6am to 5:30pm. LPA observed 5 infants with Staff #1 and Staff #2.

Due to time constraints required 1 year inspection will be completed at a future date.

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

Exit interview conducted and report was reviewed with the Director, Glenisha Gibson.

Director was advised that LIC 9213 Notice of Site Visit is required to be posted for 30 days.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE: DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/19/2023
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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