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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601468
Report Date: 03/20/2025
Date Signed: 03/20/2025 03:22:23 PM

Document Has Been Signed on 03/20/2025 03:22 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
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:MYCHAL'S LEARNING PLACEFACILITY NUMBER:
198601468
ADMINISTRATOR/
DIRECTOR:		EDWARD LYNCHFACILITY TYPE:
775
ADDRESS:4901 W. ROSECRANS AVETELEPHONE:
(310) 297-9333
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY: 45CENSUS: 37DATE:
03/20/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:20 PM
MET WITH: Interim Administrator - Bridgett FrancoTIME VISIT/
INSPECTION COMPLETED:
03:40 PM
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On 03/20/2025 around 2:20 PM, the California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD) Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with the Interim Administrator, Bridgett Franco and was granted entrance into the facility. LPA explained the purpose of the visit and was accompanied by the Interim Administrator inside and outside the facility during this inspection.

This facility is licensed to serve a total of 45 adults ages 18 to 59 years old, of which 2 may be non-ambulatory.

The Annual Licensing Fees are current.

During today’s annual inspection the department conducted a tour of the facility. Due to time conflicts the department was unable to complete the annual inspection.

No citations were provided.

An exit interview was conducted, and a copy of this report was left with the Interim Administrator.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
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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