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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191500590
Report Date: 05/05/2023
Date Signed: 05/05/2023 02:52:14 PM


Document Has Been Signed on 05/05/2023 02:52 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:ARCADIA EPISCOPAL PRESCHOOLFACILITY NUMBER:
191500590
ADMINISTRATOR:OSTROWSKI, MARIEFACILITY TYPE:
850
ADDRESS:1881 S. FIRST AVETELEPHONE:
(626) 445-5050
CITY:ARCADIASTATE: CAZIP CODE:
91006
CAPACITY:43CENSUS: 22DATE:
05/05/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:58 PM
MET WITH:Marie Ostrowski - DirectorTIME COMPLETED:
03:20 PM
NARRATIVE
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced Case Management inspection to follow up on an incident report submitted to the department on 05/04/2023. Upon arrival at 1:58pm, LPA was greeted by Director Marie Ostrowski, to whom the purpose of the inspection was explained. At 2:05pm, LPA was provided a tour of the facility where there were children present during the time of inspection.

Census was taken. There were 22 children and 3 staff members.

On 05/04/2023, director was approached by the parent of a child enrolled in the program. There was concern from the parent regarding their child. Facility self-reported to the department within the required 24hrs from being made aware. Per director, parent has had a meeting with the facility to explain and share the concerns and information reported to the Department. Facility conducted internal investigation and discussed with the parent that there was no information disclosed regarding their concerns. Per director, Parent did not make claim that the facility was the cause of their concern.

During the inspection, LPA interviewed director. Pictures and emails related to the incident were obtained during the inspection.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit.

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.

Exit interview was conducted with Director Marie Ostrowski, at 3:05pm. Copy of Report provided

END OF REPORT

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3391
LICENSING EVALUATOR NAME: Nolan TchengTELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2023
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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