County of Los Angeles Fire Department
Form 484 Emergency Business Information
Fire Station: 060 2300 27TH ST SIGNAL HILL, CA 90755 Phone: 562-595-1620 Fax:562-988-3624 Occupant/Facility Information Inspection Detail ln
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Year:! - · - .. --· ··- 2 Q 22:
* Location Name:FOLE VOCATIONAL SERVICES I lnsp Date: ; I :
' Shift/lnsp.10: ==� _I Record#:L __ !3763;
OBA: ADULT DAY CARE
FACILITY
-! #Employees:! _§ lnsp Type: _ .. ---
Previous Occ:1-H-AR_P
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__ #Students:13()1 lnsp Result:.-----------------
SALES L=.J
Phone =1562-912-734 0
Fax =1562-912-7342
: ERIN WELCH
· ADMINISTRATOR
Sr. Person Name
Title.
Ext:
EMall. ·I ERIN.WELCH@SEVITAHEAL TH.COM
Property Address
* Street Address: 2798 N JUNIPERO AVE 3- * City/State/Zip: SIGNAL HILL, CA 90755 '----·-------------- .,._ ---
Mailing Address
* Street Address: 2798 N JUN
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* City/State/Zip: SIGNAL HILL, CA 90755
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Additional Information
Note:
Alarm Company Information
Alarm Co:
l._E_�C_ _��_ _r,,,_
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& ____..I Phone:18 77-253-71 06 I
Property Owner Information
Property Owner
Phone:
:
Street Address
City/State/Zip
:
:
Property Use Code/Description
I
* PUC: ADULT DAY CARE -2541
PUD: ADULT DAY HEALTHCARE - 1320
Emergency Contact Information
Inspector Name:I lnsp Notes /
410 Vlolatlons: '------------------·
Previous Inspection Listing
Date lnsp Result Inspection Type Inspected By
1------t----t----1---------1�---·-.. ---i 6/28/2022 34F PASS ANNUAL DEALBA iNote: _ _J
Building Information
* Responsibility:[ SIS Sector/Drawer: 6
. -
* Fire Station: 06 0 * lnsp Freq:ANNUAL I
* 0cc Code: 1 4 -CUSTODIAL CARE FACILITIES >6
PERSONS <24 HOURS
Roof Type:
Knox Box
Location:
Hazmat:
SQFT: ___ .-.. I -. Stories: 1
* Sprinklered: YES I * Basement: NO
5 Yrs Sprinklered/ I 06/2024
· Cert Expiration:
* Target Haz:�
O -]
• Fire Permit: NO 1 · HM Handler:!��---- __ .
FDC Location: --------
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First Name Last Name Title 1st Phone 2nd Phone
1st Contact:
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MINIST _ RA_T_o_
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2nd Contact:
�-----_._ ______ ___.____________ _,_ ______ __,_ _______ ___, -------i
Attachment C
County ofLos Angeles Fire Depart{11ent
Form 484 Emergency Business Information
2300 27TH ST SIGNAL HILL, CA 90755 Phone: 562-595-1620 Fax: 562-988-3624 OBA: 1··--···· ... ,, .. ,.,,,,,,,.~--·---,,,,,,,,,~,,.,,~~ .. · '#E~pk;"y~;;~r~"'"1a1 0-''"'"" ''"'"''''""'"""""""~'~''""',,"' 1-""''~"'''1
Previous Occ:I #Students:; !
i ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,~,,~,,,~,~~-"''j ,,~,,,,,,,,,,l,,,,,,,,,,,,,,,~ HHMDID:j !
!"''"''""'''''"''"'""""''~"'"'"'"'""~'""'"'1 '""'""'"''"''"'"""'''"' Phone:l562-494-5188 I Ext:!
j.,"~'"'~~·~·~"'"°'""'°'....,...,"~'"''"''""'~"'~·~~w•,.,__,~~~~=.,-~l !~~~·o•~~~·""~~w~--~-~ Fax:l562-494-8758 1 1·
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i···""'"'""'''~'""""~~-"""'"'"'''"''"''J.~,~"""'""''''""'"""'""""~''""'''< Sr. Person Name:IJONAH BAGSIC I 1---~"-~""'"'~""'~"'''''""'~""~"""'"''''"''''"'''"''"'"'''""''~'''"''"""'"'''',,"'i Title:IADMINISTRATOR I l'""""""'"'""""'""""'''''"""''"""''""''''""''''"'""'"'"'"''""''"""'"'""""'""""'"""'""'""'"""J EMail:\ i L,~,M-'~•-""""" ""'""'-'"M>•«=w~<«~'""""""_.,_,,,._,,.,,,.,~W-'<''"~~~w,.~~""--o'~~..,~w·"_._,..,~,,,,w,.,,,~•"~'-'"'"",..,_,M,.<«MJ.
Property Address
*Street Address:Fi88o"N.DAWSON .. AVE .. _ .. ,,,.. .. .. ,. ....... ~ .......... ,, ...... 1 ~'"'-'M~" •~"~', '" ·~· • ,:,~><••V-~~~·~~--.~~• ••CA~'"'~"" v•~~v"""~-~-~-~' wmv~~~,, "' ~~ "'""'""""~~•• °'"' ViOO "~"J * City/State/Zip:l~IG~~=~~L .. =: .. ~~=~~~~ ........ .,,. ,,............. ....... ,. .. ,.,,.,,, .. ! Mailing Address '~~<AO<•M"MW«O"'W'«<'<?O~O<-'"Y~OW~/-/~OV//'~'w"'"" ""'=""'~"'"'""'"'"""""~"•""'"°'~"'"...,w~="«""' * StreetAddress:l1880 N DAWSON AVE
'''""""""'"""'"'"""'""""""""""""""'"""""'"''"''""'""'"""""'""" "'""""""'"""' * City/State/Zip:jSIGNAL HILL, CA 90755 1
l<Y<• •<«W•O'<<'<""<~<o•o•o , >O"O~·~"'"""""'"~~ "'"" '""'°°'"""'~''°"'""""" i Additional Information
BEDS
Alarm Company Information
Alarm
Property Owner Information
Phone:!"""
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f""~'°''°''~"~'>'Y<h~o~~~'"'' >~;~;,_c,w''"'""""'"'""''"'°'" '0-<•M Property Owner:! NORTH AMERICAN HEALTHCARE
)""'"'"""""'"""'"'"'"'""'"""'""""'"'"'"'"'"""\"'"'""''"" Phone: i 949-240-2423 i
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Street Address:! ..................... ~ ....... ~~ .. L ....... ,, ..... ~ ... ,,,,,, .. ~ .......................... ,,,,,. __ .. l ~"~ ""'"~'' "-···-.~~"""',_~.,~_,,,.,.,,.,_,_,~-r-~<-,,~~~w'°'-'~'.0««;-~•-·x~''"''•.,~o·•~·~·•, ·~~,_,_ '"'''•wNY~ ·"{ City/State/Zip:IMISSION VIEJO, CA 92690
Property Use Code/Description
*
Emergency Contact information
First Name
1st Contact:
2nd Contact: MIGUEL
3rd Contact:
Last Name
BAGSIC
NAVARETTA
Title
Inspection Detail Information
;/"""~"'""~"'"""'°'"••~'°'-· o••••<•·~·'' 1
lnsp Date:!
• !""'"'"~'""'"'""""'
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Year:i
!'
Record#: I
2022
Sh1ft/lnsp.ID:1 85536
lnsp Type:t~=~:: .. =~ .. ,:~: .... ~:~: ., .. l __ ,,,,,~ ..... [~,: .... ::~~:·~~::: .... : .... -:-::::: .. ~~" lnsp Result:I 1 .... ,,,,,,.,, .... ,,, .. ,,,,,,,,,,,,,,,,,,, .............. ,,,,.,,.,, .. ,,,, .. ,,,, .. ,,,, ......................................................... ..
Inspector Name:!
' !,, ••.• ,"'.'"'"'WN<
I lnsp Notes / i
410 Violations:!
i 0 •·0""0•,'• Oij < >W~·--· ~--~~----~ ~ __ ,,,-0_, __ ,,._ .. ,_" __ -~~~-Mn< Building Information
* Responsibility:lsis.,, ................ ,,.I Sector/Drawer:!6""""""" I 1 I '""""'"' "'""""'"'""""'""'""'~""j """'"""""""'""""""""'"""'""" *Fire Station:I060 ! * lnsp Freq:IANNUAL
* occ code:l"'i21=/\Wi8ul.A:*oRv"cA"RE.~F"Acfl"irlEs"''""""~ .... ~ ·~"~'°" "W'O•<><~< .<W«<O'<" OM'°~,,.~'<·--~¥"<~" "-?>«0<>'~0" Roof Type: I FLAT; CONVENTIONAL
Knox Box ! FRONT GATE
Location:! \.-~~"-~' w ~- ''""''""'"'"'"-"'~'"' •••• ,.,.,,,_,~~--~,,.,,,~·W'-"••W'••~<~;-•~··-~~<--->-"•"'n'""""''--"""'"•-·•·~~~w•-o<~' Hazmat:i
"""'"""""T"'"""'"'""""'"'""'""""'"""'""'"T"'"~"""'"'"""""'""""""""""""'""'", SQFT: I * Stories:l 1
! I
*Sprinklered: ·· ....... ,, ..... ] * BasementJNo ................ .. ~11ti';<M1:01CX<;'&Y'W~'l'-Wm}l\.S'h'1'M<SS""-<10Y~'(.f;l,w,,.," ,,,"A''''"'''"_J,.,~""11"'¥"1'*""'"1';.,..:;"'''~~<~ 5 Yrs Sprinklered/ I 12/22
Cert Expiration:! i"--·~""""""-"~"~-r-..... .. ......... ,, .................. ,, .... ,, ..................... . *Target Haz:! NO 1
l•"'"'""""'~~""'"'""'"'"''""""""'"j !"'""'""'""""""""""'""'""""'" * Fire Permit:! NO j * HM Handler: I NO t-~~·~"'"""~·~·"•..,~~"-"..,,,.,''"""~"'"'J.~.~- .. ~·"'" . ,,,~,,,,~~,,, .. L-.,._,, '""'"v• FDC Location:ION 19TH o....~''''< <'~><•O-""'-''"'"'~""'"''~"'~'M'"''<'<"-"°'-<"••----~"<'~"'-" '" ~·W~<W'•W-,A""'~"",'"""''~W4"~"o~<· 1st Phone 2nd Phone
County of Los Angeles Fire Deparl1J1ent
Form 484 Emergency Business Information
Fire Station: 060 2300 27TH ST SIGNAL HILL, CA 90755 Phone: 562-595-1620 Fax: 562-988-3624 Occupant/Facility Information
j''"<'~'OO<'A"'"<?"~"<0"•'-~'<-<0' µ•ff'~---~'<'<<'•-<«<•• ,_ """''"''"'-'~'"'" *Location Name:!SIGNAL HILL CHILD DEVELOPMENT
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Previous #Students:! 81 ! 1~•<•< l, 00••<,~0A"'l
HHMDID:I
Phone:f562~989~5766····
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Fax:i562-989-5416
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l·A~----" <O"'"'"''' ""'°'"""" '""~"' ,_~, .. "°'" ""' ~'="<"MP~O'>""" '"'~"' 0.,,, , 0 Sr. Person Name:!DR FARAH KHALEGHI
'
EMail:i L_
Property Address
*Street Address:[2399 .. Nc:A.L'1FORNiAAVE
* City/State/ZipJSIGNAL HILL, CA 90755 t."A<- ><•COO "" •<c••<'-0'000'<UµA "'"'>W '°'"'"""""'"""'~""AO" Mailing Address
Ext:l··
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'"'"'---·~~~·"'AO~<~<-~<"m«~~< """ """'"" """"""""'""'"""'""""' """"'"'"'" """"' *Street Address:l 2399 N CALIFORNIA AVE
t,,,_.,-, "'"'"A°''" "m•w•m<~~'~'-""''''~"·"-" ~ ,<•• '"""""'"'"'"""""""'"""""""'""""""''""''""""""""'i * City/State/Zip:l~I~~~= ~l~: .. ~~-=?~5,5, ................................................................ , ...... , Additional Information
Alarm Company Information
Alarm
Property Owner Information
f~«~W~"AO><A'>;'>~0WA"O_,,._,.,,....,,.,,...,,
Phone:1
L_.,, __ ,,., .................. ~ ............ ..
Property owner:IL.A:s"8R'i.A:s"Co"M"MuN'liY.Hous1NG ........ ~ ..... ~ ...... 1 l 1 ... , '" '''""'"'"'""""
Phone: I 562-989-9994
'' •e•""'"~-""-'"''"~" • ••e••-/w~J
t <M~W"'-•• ,_-~•·"'"""~ .,_ "" • <• •••• ',~,•oo•r" "•W~,,_,,, Street Address:j2399 CALIFORNIA AVE SUITE C "'"]
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City/State/Zip:iSIGNAL HILL, CA 90755
l""''"'• e ,.,,, "• •>' °"'~''""""' °''"""'°"',,~'""'~'·"~"-"'~·~'"'''"''A ""'o<·~w~·<o-'"«'"~"A'~A'>-"« Property Use Code/Description
,,,.~v,•o""m•-~··••0<•• ,
Emergency Contact Information
Inspection Detail Information
lnsp Date:!
Shift/lnsp.ID:!
lnsp Type:i
f" lnsp Result:!
Inspector Name:!' .. i
lnsp Notes I I
410 Violations:!
Previous Inspection Listing
(''""
i
Year:! 2021
92318
HARDIE
Building Information
* Responsibility:rFso6o .............. I sector/Drawer:f2 1 ........................... """''"""".<
*Fire Station:!060 ! * lnsp Freq:iANNUAL
* Occ Code:i"E:":""E"ouCP. r"1o"NtDAYCARE USE THROUGH
l12TH GRADE !"'"""""""'""""""'""''''"'' """""""""'""""
Roof Type:1 FLAT; CONVENTIONAL r ..... ~ .. -.... ~ ............... . Knox Box IYES. AT FRONT OFFICE Location: ·l·""~'""'""'"'"'"""""""""'""""'""' Hazmat:!
!·:"~"""""""'"""""""" , .......... T .................................. : .......... r ......... .
SQFT:L.~ .......................... J * Stor1es:l:. ...... . .. * Sprinklered:INO ! * Basement:iNO
I i I
5 Yrs Sprinklered/ 1'NtAW"""~""m"""""'"'""W""1 .... . ... """·'"'""'"'""""""·'"°'"'"""' Cert Expiration:! P,<ft''''°''°"~N
*Target Haz:i NO
* Fire Permit:i NO ...... l *HM Handler:fNO
;,._~ __ , '<
FDC Location:!
First Name
1st Contact: LAURA
2nd Contact: ISABELA
Last Name
SIDNEY
Title
MANAGER
1st Phone 2nd Phone
BERMUDEZ
3rd Contact:
County of Los Angeles Fire Department
Form 484 Emergency Business Information
Fire Station: 060 2300 27TH ST SIGNAL HILL, CA 90755 Phone: 562-595-1620 Fax: 562-988-3624 Information
*Location Name:'DUNGARVIN
OBA: #Employees:
Previous Occ: VACANT #Students:
HHMOIO:
Phone: Ext:
Fax:
Sr. Person Name:
Title:
EMail:
Property Address
* Street Address:' 695 E 27TH ST
* City/State/Zip:.• SIGNAL HILL, CA 90755
Address
* Street Address: 695 E 27TH ST
* City/State/Zip: SIGNAL HILL, CA 90755
Additional Information
Note:
Alarm Co:
Property Owner:
Phone:
Street Address:
City/State/Zip:
Use Code/Description
* PUC:VACANT-9300
PUD:
Contact Information
First Name
1st Contact: OLLIE
2nd Contact:
3rd Contact:
Phone:
Last Name
MARTIN
Title
MGR
Inspection Detail Information
Year: 2021
lnsp Date:
Shift/lnsp.10: Record#: 93040
lnsp Type:
lnsp Result:
Inspector Name:
lnsp Notes I
410 Violations:
Previous Inspection
Date lnsp Result Inspection Type Inspected By
7/1/2021 B PASS BIENNIAL HARDIE
Note:
Building Information
* Responsibility:! FS060 Sector/Drawer: 1
*Fire Station:i060 * lnsp Freq:•BIENNIAL
* Occ Code:1 B - BUSINESS; OFFICE
Roof Type:
Knox Box
Location:
Hazmat:
SQFT:
* Sprinklered: NO
5 Yrs Sprinklered/ 0
Cert Expiration:
* Target Haz: NO
* Fire Permit: NO
FDC Location:
*Stories: 1
* Basement: NO
* HM Handler: NO
1st Phone 2nd Phone
323-500-3654
County of Los Angeles Fire Department
Form 484 Emergency Business Information
Fire Station: 060 2300 27TH ST SIGNAL HILL, CA 90755 Phone: 562-595-1620 Fax: 562-988-3624 Occupant/Facility Information
* Location Name:iuNLIMITEDQUEs::r&'c:A.l.1FORNIA .. MENTOR DBAJ I
Previous Occ:!UNLIMITED QUEST ... I
! #Employees:!
I #Students:! ····· '.
"J r L ~~, """w"!
HHMDID:i ;
i-~ ''"'<'1
Ext:!
Sr. Person
Property Address
*street Address:l335a·N·ai.:lvEAVE. ····· ;
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("'~-r~v.~-"~"'" •+ '0-""'""'"""-"''~''<00A<-O ·- •'- '"""""'~"~""""'! *City/State/Zip: I SIGNAL HILL, CA 90755
L....... .. .................................................................................... J Mailing Address C"'*'""-"'A'"-'~'V'W~<''W'-«'"<~<<W~«~«~VM<'~'~,~=,•~o~O-<'~%~''',--'' mo>•'~"•>'0«'0<'<'>"'" *Street Address:!3350 N OLIVE AVE ''"!
* City/State/ZipJs1GNAL HILL, CA 90755 !
........ 1
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Additional Information
Alarm Company Information
i/"""'A'"'~'''"~W'<N'""''""'"~ '°'''''-<«~
Phone:!866-689-0599 ! ! ; Alarm SAFET
Property Owner Information
Street ActctrE~ss.:i
Property Use CodefDescription
. * PUC:ISCHOOL: ADULT-2410 I
['~~--~"""
PUD:i
Emergency Contact Information
First Name
1st Contact: [JOSIE
~,, ..... , ... , .. , .... , .. 2nd Contact: I MEAGAN
I
3rd Contact: l!RASEMA
'
Last Name
!SANTOS
!HERNANDEZ
··!·sA'NoovP:i.:
I
~'""' '' '""'"'"'<'V•><•~•'-''-"'-~-'""""' _,!
Title
I
lnsp Notes I i
I
410 Violations:!
I
Previous Inspection Listing
; Date ····· 11~sp TR~~~it .... r1~spection Type /Inspected By ''"«"'""'"~)."-"'~'"N ,,,,.,L--.,""''' ~·· ··-·~""'''" . !217/2022 !C )CLOSED iANNUAL ;WREN ~ t <•<•WJ,»»w «'Lo -~.J, Note:
Building Information
* Responsibility:j FS060
*Fire station:lo6o ··
Sector/Drawer: i 0
* lnsp Freq: 1 BIENNIAL
* occ code:[u~ur1C1+YA'NDMiscELLANEous t."
Roof Type:!
Knox Box (
Location: ;.,,
Hazmat:!
* Sprinklered:lNO }'J.'f-'•~{~~o <0
5 Yrs Sprinklered/ Ina
Cert Expiration:i
*Stories:! 1
I
* Basement:INO
* Target Haz:i'N'o· .......... ,, .. t
*Fire Permit:lNo ·j * HM Handler:/ NO ... L
FDC Location:!
1st Phone 2nd Phone