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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191800796
Report Date: 08/16/2023
Date Signed: 08/16/2023 02:03:04 PM


Document Has Been Signed on 08/16/2023 02:03 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:GLENFELIZ BOULEVARD EARLY EDUCATION CENTERFACILITY NUMBER:
191800796
ADMINISTRATOR:GOAR GEGEYANFACILITY TYPE:
850
ADDRESS:3745 DOVER PL.TELEPHONE:
(323) 665-4165
CITY:LOS ANGELESSTATE: CAZIP CODE:
90039
CAPACITY:116CENSUS: 37DATE:
08/16/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:17 PM
MET WITH:Christina Ramaya, PrincipalTIME COMPLETED:
02:15 PM
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On August 16, 2023, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced case management inspection at the above facility. A COVID-19 risk assessment was conducted prior to entering the facility. The purpose of the inspection is to follow up on an unusual incident that occurred on 07/06/2023. The incident was reported to the department on 07/07/2023; the report was submitted in a timely manner. LPA met with Principal, Christina Ramaya who guided LPA on a tour of the facility. LPA observed 37 children in care.

Brief Summay: Child #1 (C1) told Parent #1 (P1) that Child #2 (C2) touched C1 in the private area. P1 reported the incident to the school on 07/06/2023.

During the inspection LPA reviewed C1 and C2's file, interviewed Staff #1 (S1), interviewed C1 and obtained image of tunnel on playing structure.

Based on interviews, S1 stated that C1 was laying in the tunnel located on the top part of the climbing structure and C2 was trying to pass through. C2 climbed over C1 to get through the tunnel. Once C2 crossed over, C2 walked down the play structure and stood with S1. C1 was picked up at approximately 3pm and P1 returned to the facility at approximately 3:10pm to inform S1 about what occurred. Per S1 she asked C1 what happened and C1 stated that she was laying in the crawling tunnel when C2 climbed over her and touched her private area. Per S1, she asked C1 if the touch was intentional? C1 stated no, C2 just climbed over me. LPA interviewed C1 who stated that no incidents had occurred with C2, C1 and C2 were friends but did not play together and C1 stated she felt safe around C2. LPA was unable to interview C2 as C2 is no longer attending the facility.

There are no deficiencies being given at this time. An exit interview was conducted and a copy of this report was provided to the principal along with Notice of Site Visit.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2023
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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