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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191597832
Report Date: 12/12/2024
Date Signed: 12/12/2024 04:44:26 PM

Document Has Been Signed on 12/12/2024 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:MAOF CHILD CARE CENTER - DOWNEYFACILITY NUMBER:
191597832
ADMINISTRATOR/
DIRECTOR:		ARACELY GARCIAFACILITY TYPE:
850
ADDRESS:8100 TELEGRAPH ROADTELEPHONE:
5628065054
CITY:DOWNEYSTATE: CAZIP CODE:
90240
CAPACITY: 80TOTAL ENROLLED CHILDREN: 77CENSUS: 42DATE:
12/12/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:30 PM
MET WITH:Samantha JimenezTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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While conducting an investigation for a complaint, Licensing Program Analysts (LPAs), T. Tran and A. Carter observed the following deficiency:

During interview conducted. staff confirmed that in April 2024 facility has 5 cases of Hand, Foot, and Mouth cases. Then In July 2024, facility had 6 cases of covid.

Facility failed to report these incidents to the licensing department.

Facility was cited a type B deficiency. See Facility Evaluation Report LIC 809D for deficiency cited.

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



Exit interview conducted and report was reviewed with the Site Supervisor Samantha Jimenez.
Denise Gibbs
Tiffanie Tran
DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2024
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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Document Has Been Signed on 12/12/2024 04:44 PM - It Cannot Be Edited


Created By: Tiffanie Tran On 12/12/2024 at 04:33 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MAOF CHILD CARE CENTER - DOWNEY
FACILITY NUMBER: 191597832

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/03/2025
Section Cited

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The licensee shall report to the local health officer all outbreaks or suspected outbreaks involving two or more children of any communicable disease
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This requirement is not met as evidenced by
based on interview conducted facility failed to report the HFM and Coivd outbreak which poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Denise Gibbs
LICENSING EVALUATOR NAME:Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:
DATE: 12/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/12/2024


LIC809 (FAS) - (06/04)
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