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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021117
Report Date: 01/25/2024
Date Signed: 01/25/2024 11:44:36 AM

Document Has Been Signed on 01/25/2024 11:44 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MODERN SCHOOLHOUSE, THEFACILITY NUMBER:
198021117
ADMINISTRATOR:ATHWAL, SUKHJITFACILITY TYPE:
850
ADDRESS:5117 EAGLE ROCK BLVDTELEPHONE:
(323) 474-6220
CITY:LOS ANGELESSTATE: CAZIP CODE:
90041
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 44DATE:
01/25/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:13 AM
MET WITH:Owner/Director Sukhjit AthwalTIME COMPLETED:
11:50 AM
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management Other inspection at the above facility on 01/25/24 at 11:13 a.m. Upon arrival LPA met with Lead Teacher Carmen Mendez who stated that the Owner/Director had just left the facility. LPA took a tour of the facility and census was taken. Owner/Director arrived at 11:24 a.m.

The purpose of this inspection is to provide an amended report issued on 01/05/24.

At this time, there are no deficiencies 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, and appeal rights were given, along with a copy of this report was provided to the Owner/Director Sukhjit Athwal.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE: DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/25/2024
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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