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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020337
Report Date: 04/18/2023
Date Signed: 04/18/2023 03:01:45 PM

Document Has Been Signed on 04/18/2023 03:01 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:SEGRAY EAGLE ROCKFACILITY NUMBER:
198020337
ADMINISTRATOR:JENNIFER LEMAY LANDAFACILITY TYPE:
850
ADDRESS:4475 EAGLE ROCK BLVD.TELEPHONE:
(323) 507-2640
CITY:LOS ANGELESSTATE: CAZIP CODE:
90041
CAPACITY: 155TOTAL ENROLLED CHILDREN: 155CENSUS: 114DATE:
04/18/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:47 PM
MET WITH:Director Jennifer LeMay LandaTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management other inspection at the above facility on 04/17/23 at 1:35PM. A COVID-19 risk assessment was conducted prior to entering the facility. LPA wore appropriate personal protective equipment. The purpose of this inspection is to follow up on an incident reported to the Department on 2/28/23. The purpose of this visit is to conduct a file review and ask additional pending questions. LPA met with Co-Director, Abby Pelaez who guided LPA on a tour of the facility. LPA also met with Director Jennifer LeMay Landa, Lauren Lovoy Granados Director for the Thousand Oaks facility, and Director of Administration Roselyn Adefuin. Census was taken.

LPA advised that children’s files are updated to include documentation that can assist with meeting the needs of children in care.

No deficiencies are being cited.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative, a civil penalty of $100 can be assessed.

Exit Interview was conducted, appeal rights were given along with a copy of this report was provided to the Director, Jennifer LeMay Landa.

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE: DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/18/2023
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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