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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191597334
Report Date: 06/24/2024
Date Signed: 06/25/2024 11:04:13 AM


Document Has Been Signed on 06/25/2024 11:04 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:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
191597334
ADMINISTRATOR:PAM DEEMFACILITY TYPE:
850
ADDRESS:1418 SOUTH VEGATELEPHONE:
(626) 289-3823
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:82CENSUS: 65DATE:
06/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Pam Deem TIME COMPLETED:
11:44 AM
NARRATIVE
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced case management inspection. Upon arrival LPA Lee met with Director Pam Deem.

The purpose of the inspection conducted on this date was to verify information from an incident report submitted by the facility on 06/21/2024. During the inspection, LPA Lee made observations, reviewed records, and conducted interviews in regards to the incident.

The incident involved a child in care sustaining an injury during outside play time. Child in care fell during outside play time and bumped their head on a play structure. LPA Lee observed that the plastic play structure that the child in care bumped into after falling down was appropriate and not out of place.

Based on the information obtained during this inspection, LPA Lee did not observe any type of deficiency at this time.

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 Director Pam Deem. Appeal rights discussed and explained.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3391
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:
DATE: 06/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/24/2024
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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