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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016140
Report Date: 06/21/2024
Date Signed: 06/21/2024 04:36:31 PM

Document Has Been Signed on 06/21/2024 04:36 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:1.2.3. CHRISTIAN MISSIONFACILITY NUMBER:
198016140
ADMINISTRATOR/
DIRECTOR:		JIN KYUNG LEEFACILITY TYPE:
850
ADDRESS:811 S. MANHATTAN PL.TELEPHONE:
(213) 733-1123
CITY:LOS ANGELESSTATE: CAZIP CODE:
90005
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 43DATE:
06/21/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Jin Kyung LeeTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced case management inspection. Upon arrival LPA Lee met with Director Jin Kyung Lee.

The purpose of this inspection was to obtain additional information regarding an incident report submitted by the facility on 06/20/2024.

During this inspection, LPA Lee made observations, reviewed documents, and conducted interviews in regards to the incident report provided by the facility.

Based on the information obtained during this inspection, LPA Lee did not observe any type of deficiency at this time.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Director Jin Kyung Lee. Appeal rights discussed and explained.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2024
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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