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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870959
Report Date: 01/26/2023
Date Signed: 01/26/2023 11:30:40 AM


Document Has Been Signed on 01/26/2023 11:30 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:PLAZA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191870959
ADMINISTRATOR:CIRENIA BARRERAFACILITY TYPE:
850
ADDRESS:648 SOUTH INDIANATELEPHONE:
(323) 268-9640
CITY:LOS ANGELESSTATE: CAZIP CODE:
90023
CAPACITY:110CENSUS: 43DATE:
01/26/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Denise CalderonTIME COMPLETED:
11:55 AM
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Licensing Program Analysts (LPAs) Raul Navarro and Patricia Medel arrived at the above licensed facility to conduct an unannounced Case Management inspection on 01/26/2023. LPAs arrived at the facility at 9:20am and met with Site Supervisor Denise Calderon, who guided LPAs on a tour of the facility. There were 43 children present and 11 staff during today's inspection.

The Monterey Park South West Child Care Regional Office received the incident report on 12/13/2023 regarding a child sustaining an injury that required medical attention. LPA's interviewed Site Supervisor Denise Calderon, Associate Teacher, Maria Holguin, Lead Teacher, Lace Miranda, and Pre-School Teacher, Jennifer Rodriguez. Information obtained through interviews were consistent with the information provided in the incident report. LPA's toured the play area where child fell. LPAs did not observe any objects in the play area that could be hazardous to children in care. Site Supervisor provided LPAs with a video that shows the incident. In the video it is seen that there was enough staff supervising the children in care. Child bumped into another child causing them to fall. Video shows that the incident was an accident and could not be prevented. Parent was notified in a timely manner.

According to the available information, it does not appear this incident was the result of the Title 22 violation for lack of care and supervision.

Exit interview conducted and report was reviewed with Site Supervisor Denise Calderon.

No deficiency was cited at this time. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2023
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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