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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019526
Report Date: 05/01/2023
Date Signed: 05/01/2023 11:01:48 AM

Document Has Been Signed on 05/01/2023 11:01 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:FULL GOSPEL CHILD DEVELOPMENT CENTER PRESCHOOLFACILITY NUMBER:
198019526
ADMINISTRATOR:ADALINA HERRERAFACILITY TYPE:
850
ADDRESS:10700 S. SAN PEDRO STTELEPHONE:
(323) 756-1975
CITY:LOS ANGELESSTATE: CAZIP CODE:
90061
CAPACITY: 15TOTAL ENROLLED CHILDREN: 15CENSUS: 10DATE:
05/01/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:50 PM
MET WITH:Christian Seymour, DirectorTIME COMPLETED:
11:00 PM
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Licensing Program Analysts (LPAs), Denise Gibbs and Rosaura Valenzuela conducted an unannounced Plan of Correction(POC) visit on May 1, 2023 at 8:50AM. LPAs met with Christian Seymour.

LPA's toured facility and reviewed staff files to ensure the deficiencies cited on 4/4/23 and 3/14/23 are cleared. There were 10 preschool children when LPAs arrived. LPAs observed that the uneven floorboards have been covered with a carpet, the construction to entrance door is complete and no hazards were observed, and all ripped nap mats have been discarded. A children present are enrolled in the preschool program.

Measurements were taken of the toddler indoors/outdoor space and preschool indoor/outdoor space.

No deficiencies will be cited today 5/1/23.

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, Christian Seymour.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Denise Gibbs
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2023
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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