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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495126
Report Date: 09/14/2023
Date Signed: 09/15/2023 09:00:18 AM

Document Has Been Signed on 09/15/2023 09:00 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:FIRST FLIGHT BY LA PETITEFACILITY NUMBER:
197495126
ADMINISTRATOR:MIRIAM KERAMATIFACILITY TYPE:
850
ADDRESS:9320 LINCOLN BLVDTELEPHONE:
(310) 568-2743
CITY:LOS ANGELESSTATE: CAZIP CODE:
90045
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 7DATE:
09/14/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Gabby Romero & Nancy MedinaTIME COMPLETED:
11:00 AM
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On 9/14/2023 Licensing Program Analyst (LPA) V. Wheatley conducted a Plan of Correction inspection and was greeted by Assistant Director Nancy Medina. The director Gabby Romero arrived shortly after LPA's arrival. The Plan of Correction inspection is regarding a deficiency that was cited on 8/31/23 by LPA Lisa Clayton. The facility was operating beyond the conditions and limitations specified on the license.

Today, LPA Wheatley observed 7 being supervised properly and within ratios by staff.

The deficiency is cleared. LPA observed the LIC 9224 signed by parents in the file.

Exit interview. A copy of the report will be provided
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2023
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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