192006337-5-28-2021-33-CC-BBEL-C3G486-20210528185213

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 192006337
Report Date: 05/28/2021
Date Signed: 05/28/2021 06:52:31 PM

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 ALEGRIA		FACILITY NUMBER:	192006337
ADMINISTRATOR:	RAFAEL RAMIREZ		FACILITY TYPE:	850
ADDRESS:	420 N. SOTO STREET		TELEPHONE:	(323) 685-8501
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90033
CAPACITY:	62	CENSUS: 23	DATE:	05/28/2021
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Program Manager Maricela Guzman		TIME COMPLETED:	06:50 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	An unannounced in-person Case Management-Incident inspection was conducted on this date by Licensing Program Analyst (LPA) Emiko Bell to follow up on an Unusual Incident which allegedly occurred on 05/26/21 and was reported via phone on 05/27/21 and via fax on 05/28/21 to Community Care Licensing. Upon LPA's arrival to the building at 02:06 pm, LPA Bell was greeted and let into the facility by Teacher's Assistant (TA) Martha Maciel, who asked LPA to sanitize her hands, sign in, and took LPA's temperature; TA Maciel also announced that LPA was present to Program Manager (PM) Maricela Guzman, who then arrived to greet LPA. The purpose of the inspection was announced to PM Guzman At 02:15 pm, PM Guzman guided LPA on a tour to take census. In the Toddler area, there were 17 toddlers total (one staff with 6 toddlers in Room 1, one staff with 7 toddlers in Room 2, one staff with 4 toddlers in Room 3) and there was one staff with 6 children in the Preschool classroom. The Unusual Incident which was reported concerns the possible violation of the Personal Rights of a Preschool child. Page 1/2

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty Bell	TELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 05/28/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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 ALEGRIA	FACILITY NUMBER: 192006337
	VISIT DATE: 05/28/2021

NARRATIVE

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During today's inspection, between 02:18-05:05, interviews were conducted with three staff in the Director's office. At 04:22, photos of the Preschool classroom were taken. At 04:40 pm, file review of the files of Child #1 and Staff #1 were completed. Copies of documents from the files of Child #1 and Staff #1; the May sign in/out sheets for the Preschool classroom; the handwritten notes from Staff #2 and Staff #3; the Suspected Child Abuse Report and the Child Care Facility Roster dated 01/01/21 for the Preschool classroom were obtained and/or scanned to LPA's email.

Due to insufficient information available at this time, the above allegation needs further investigation.

Upon receipt, Program Manager Maricela Guzman shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100 civil penalty.

An exit interview was conducted with, and a copy of the report has been signed by and provided to Program Manager Maricela Guzman.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty Bell	TELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 05/28/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2021

LIC809 (FAS) - (06/04)

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