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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870520
Report Date: 10/26/2023
Date Signed: 10/26/2023 01:39:51 PM


Document Has Been Signed on 10/26/2023 01:39 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:ALLESANDRO ELEMENTARY SCHOOL-ST. PRESCHOOLFACILITY NUMBER:
191870520
ADMINISTRATOR:ANDREWS, LYNNFACILITY TYPE:
850
ADDRESS:2210 RIVERSIDE DRIVETELEPHONE:
(323) 661-9321
CITY:LOS ANGELESSTATE: CAZIP CODE:
90039
CAPACITY:30CENSUS: 7DATE:
10/26/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Anabell Ramirez, Lead TeacherTIME COMPLETED:
01:50 PM
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On October 26, 2023, Licensing Program Analysts (LPAs) Monique Ayala and Kruz Long conducted an unannounced Plan of Correction (POC) visit. The purpose of the inspection is to clear the deficiencies that were given on 09/20/2023. LPAs met with Lead Teacher Anabell Ramirez who guided LPAs on a tour of the facility. LPAs observed 7 children in care with 2 staff.

During the inspection LPAs observed,
1. Lead test results are available and posted for review
2. Trash cans have tight fitted lids
3. The playground is clean and free of debris
4. Staff #2 has completed the Mandated Reporter training
5. Staff #2 has a completed staff file on site
6. Child #1 has a complete Physicians Report (LIC701)

The facility has cleared on deficiencies by the given time frame. LPAs provided lead teacher with POC letters for the above deficiencies. The facility was found to be in compliance with Title 22 Regulations. There are no deficiencies being cited today, 10/26/2023.

An exit interview was conducted and a copy of this report was provided to lead teacher along with Notice of Site Visit. Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 10/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2023
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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