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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198401127
Report Date: 12/17/2024
Date Signed: 12/17/2024 12:07:53 PM

Document Has Been Signed on 12/17/2024 12:07 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:GROW AND LEARN CENTERFACILITY NUMBER:
198401127
ADMINISTRATOR/
DIRECTOR:		HANNAH, BETTYFACILITY TYPE:
860
ADDRESS:12183 FIRESTONE BLVDTELEPHONE:
(562) 556-1338
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY: 30TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
12/17/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Betty HannahTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
NARRATIVE
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On December 17, 2024, at 10:00am, Licensing Program Analysts (LPAs), Elka Chavez and Crystal Green conducted an office meeting with Applicant, Betty Hannah. The purpose of this meeting is to discuss and review the pending application that was received on July 18, 2024.

The following was discussed with the Applicant and items that need to be updated:
· Operating Agreement
· Personnel Policies
· Job Descriptions
· Parent handbook
· Admissions Agreement

Applicant states that she will provide all documents noted above by 12/20/2024.

Exit interview conducted with Betty Hannah, Applicant who agrees with this report which documents this meeting.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2024
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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