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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198401080
Report Date: 07/09/2024
Date Signed: 07/09/2024 12:35:34 PM

Document Has Been Signed on 07/09/2024 12:35 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:CANN ACADEMY PRESCHOOLFACILITY NUMBER:
198401080
ADMINISTRATOR/
DIRECTOR:		CANN-DOAH, RONNIEFACILITY TYPE:
860
ADDRESS:8778 S CENTRALTELEPHONE:
(323) 541-7271
CITY:LOS ANGELESSTATE: CAZIP CODE:
90002
CAPACITY: 40TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
07/09/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Ronnie Cann-DoahTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
NARRATIVE
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An office meeting was conducted with Applicant, Ronnie Cann-Doah. The purpose of this meeting is to discuss and review the pending application that was received on 05/15/2024.

The following was discussed with the Applicant and items that need to be updated:

· Parent handbook.
· Admissions Agreement.
· Job descriptions.
· Personnel Report (LIC 500)
· In-Service Training Plan.
· Designation of Facility Responsibility (LIC 308).
· A board resolution authorizing the designation of Ronnie Cann-Doah as the director and to apply for a license.
· Application (LIC 200A) (8/23).
· Daily Schedule.
· Menu.
· List of furniture.
· Proof of Orientation.
· Proof of influenza or declination letter for Ronnie Cann-Doah.
· Outdoor waiver.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CANN ACADEMY PRESCHOOL
FACILITY NUMBER: 198401080
VISIT DATE: 07/09/2024
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Applicant states that she will provide all missing documents & updated documents by 8/9/2024.

Exit interview conducted with Ronnie Cann-Doah, Applicant who is in agreement with this report which documents this meeting.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
LIC809 (FAS) - (06/04)
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