<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191590259
Report Date: 08/03/2023
Date Signed: 08/03/2023 10:32:30 AM


Document Has Been Signed on 08/03/2023 10:32 AM - 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: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: 40DATE:
08/03/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Program Manager, Rebecca Jimenez BarlowTIME COMPLETED:
10:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Mary Silva conducted an unannounced case management inspection. Upon arrival LPA met with Director Rebecca Jimenez Barlow. The purpose of the inspection was to obtain additional information from the facility regarding an incident reported to the regional office. Census was taken.

The department received an incident report via email from this facility on 07/24/2023 for an incident that occurred at the facility on 07/24/2023.

During the inspection LPA conducted (2) staff interviews regarding the allegation. LPA obtained documentation in the form of facility roster, facility sign in and sign out sheets, reviewed children's files and pictures were taken of where the incident occurred.

Due to insufficient information at this time, a follow up visit may be conducted at a later date for further investigation.

There are no citations being issued today.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Program Manager Rebecca Jimenez Barlow. Appeal rights discussed and explained.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Mary SilvaTELEPHONE: (323) 558-2711
LICENSING EVALUATOR SIGNATURE:
DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/03/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1