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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191590259
Report Date: 07/28/2023
Date Signed: 07/28/2023 04:44:27 PM


Document Has Been Signed on 07/28/2023 04:44 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:BALDWIN PARK CHILDREN'S CENTERFACILITY NUMBER:
191590259
ADMINISTRATOR:REBECCA JIMENEZ BARLOWFACILITY TYPE:
850
ADDRESS:13529 FRANCISQUITOTELEPHONE:
(626) 337-2711
CITY:BALDWIN PARKSTATE: CAZIP CODE:
91706
CAPACITY:204CENSUS: 36DATE:
07/28/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:10 PM
MET WITH:Program Manager, Rebecca Jimenez Barlow TIME COMPLETED:
05:00 PM
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Licensing Program Analyst (LPA) Roxana Lopez conducted a case management inspection on this date. LPA met with Program Manager Rebecca Jimenez Barlow, who guided analyst on a tour of the facility.

The purpose of the inspection is to follow up on a personal rights observation during a previous inspection. Through inspection, interviews and records review LPA observed that even though children are being supervised and or shadow in the classroom, staff were not able to prevent incidents from occurring. LPA advised that staff need to be provided with more resources and training to provide children with a safe environment.

LPA offered TSP (technical support program) to program manager on this date. Referral will be completed by LPA.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative Rebecca Jimenez Barlow



SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:
DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/28/2023
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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