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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870566
Report Date: 01/31/2024
Date Signed: 01/31/2024 03:16:25 PM


Document Has Been Signed on 01/31/2024 03:16 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:CENTRO DE NINOS, MARAVILLAFACILITY NUMBER:
191870566
ADMINISTRATOR:LETICIA SANTOS CUEVASFACILITY TYPE:
850
ADDRESS:4850 E. CESAR CHAVEZ AVENUETELEPHONE:
(323) 268-4600
CITY:LOS ANGELESSTATE: CAZIP CODE:
90022
CAPACITY:68CENSUS: 55DATE:
01/31/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Leticia Cuevas, DirectorTIME COMPLETED:
03:35 PM
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On January 31, 2024, Licensing Program Analysts (LPAs) Monique Ayala and Kruz Long conducted an unannounced Case Management inspection for two incidents. One of the incidents occurred on 01/05/2024 and the other on 01/09/2024. The incidents were reported to the department in a timely manner. LPAs met with director, Leticia Cuevas who guided LPAs on a tour of the facility. LPAs observed 55 children in care with 12 staff.

On 01/05/2024 and 01/09/2024, incidents were self reported to the Department via email by the facility who reported children injuries The purpose of the inspection was to obtain additional information regarding the allegation reported to the Department.

During the inspection, LPAs reviewed documentation of children and staff that were present during the times of the incidents and obtained a copy of incident reports that were provided to both parents. Per director, no medical attention was required for the two incidents.

The facility is not being cited any deficiencies as this time as further investigation is required.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted and a copy of this report was provided to the director, Leticia Cuevas.

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2024
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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