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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191595960
Report Date: 12/15/2022
Date Signed: 12/15/2022 02:25:13 PM


Document Has Been Signed on 12/15/2022 02:25 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:UNITED CHRISTIAN EDUCATION CENTERFACILITY NUMBER:
191595960
ADMINISTRATOR:EVA CHEUNGFACILITY TYPE:
850
ADDRESS:16152 GALE AVENUETELEPHONE:
(626) 336-3334
CITY:HACIENDA HEIGHTSSTATE: CAZIP CODE:
91745
CAPACITY:150CENSUS: 20DATE:
12/15/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:32 AM
MET WITH:Eva Chan-CheungTIME COMPLETED:
10:00 AM
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Case management inspection conducted by Licensing Program Analyst (LPA) Jennifer Hua. LPA met with director Eva Chan-Cheung. The purpose of the visit was announced. Covid-19 risk assessment was conducted. Director took LPA on the tour of the facility. Census was taken. LPA observed 20 children in care supervised by 4 staff.

The purpose of this visit is to follow up on the incident that was reported to the Department on 11/28/2022. It was reported that on 11/28/2022, a parent reported to the facility that child was discovered with blood around her private area after coming home from the facility on 11/23/2022.

Interviews were conducted with staff.

Based on information received, no deficiency cited at this time.

An exit interview conducted with director Eva Cheung. Copy of report provided. Notice of Site Visit form provided and notice shall be posted for 30 days in an area accessible for review.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jennifer HuaTELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:
DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/15/2022
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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