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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191594162
Report Date: 04/06/2022
Date Signed: 04/06/2022 12:22:33 PM


Document Has Been Signed on 04/06/2022 12:22 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:ALMANSOR CENTER (THE)FACILITY NUMBER:
191594162
ADMINISTRATOR:TAMERA PINELOFACILITY TYPE:
850
ADDRESS:1955 FREMONT AVENUETELEPHONE:
(323) 341-7768
CITY:SOUTH PASADENASTATE: CAZIP CODE:
91030
CAPACITY:60CENSUS: 62DATE:
04/06/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Director, Tammie PineloTIME COMPLETED:
12:30 PM
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Licensing Program Analysts (LPA's) Bardo Baluyot and Carolyn Tuba conducted an unannounced Case Management Inspection to follow up on an incident reported to Licensing on 3/30/22. A COVID-19 risk assessment was conducted upon entering the facility. PA met with Director, Tammie Pinelo who guided LPA's on a tour of the facility. There were 62 children observed to be present at the facility during this inspection. Required staff to children ratio was observed.

LPA conducted interviews with Director and staff and obtained documents, including, facility roster, staff files and children's files.

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

Exit interview conducted and report was reviewed with Director, Tammie Pinelo.


END OF REPORT

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/06/2022
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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