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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870869
Report Date: 12/06/2023
Date Signed: 12/06/2023 11:50:53 AM


Document Has Been Signed on 12/06/2023 11:50 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:MAOF CHILD CARE CENTER TELEGRAPHFACILITY NUMBER:
191870869
ADMINISTRATOR:RAMIRO RIVERAFACILITY TYPE:
850
ADDRESS:4457 TELEGRAPH ROADTELEPHONE:
(323) 263-9507
CITY:LOS ANGELESSTATE: CAZIP CODE:
90023
CAPACITY:142CENSUS: 30DATE:
12/06/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Cynthia RodriguezTIME COMPLETED:
10:40 AM
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Licensing Program Analysts (LPAs) T. Tran and A. Padilla made an announced case management visit at 4457 Telegraph Road Los Angeles, CA 90023 for the purpose of capacity decrease request. Upon arrival, LPAs met with Cynthia Rodriguez, Education Coordinator and provided LPAs a tour of the facility. LPA observed proper care and supervision.

Facility was licensed for the capacity of 142 preschool with toddler attached. Facility requested for a capacity decrease to serve 50 preschool and 30 toddlers for the total capacity of 83 children, to accommodate the Infant license. The hours of operation are 6:30 AM – 5:30 AM, Monday through Friday. Based on the new measurement, facility had sufficient indoor, outdoor space with toilets and sinks to accommodate the new capacity requested.

No deficiency was found during today’s visit. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Cynthia Rodriguez.

SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/06/2023
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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