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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495270
Report Date: 06/15/2023
Date Signed: 06/15/2023 04:18:27 PM

Document Has Been Signed on 06/15/2023 04:18 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:CHALK PRESCHOOL OF HERMOSA BEACHFACILITY NUMBER:
197495270
ADMINISTRATOR:MADISON SANELLOFACILITY TYPE:
850
ADDRESS:739 LONGFELLOW AVENUETELEPHONE:
(747) 577-0042
CITY:HERMOSA BEACHSTATE: CAZIP CODE:
90254
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: DATE:
06/15/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Vida Wessell -Executive Director TIME COMPLETED:
01:15 PM
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On 6/15/2023 Licensing Program Analyst (LPA) Jillinda Chandler conducted an in office visit with Vida Wessell for the purpose of amending a pre-licensing report conducted on 6/14/2024. The report was to correct the encumbered space calculation, bringing the total of combined out door space from 19 to 20 children.

This report was discussed with Vida Wessell - Executive Director

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2023
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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