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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192006561
Report Date: 05/22/2019
Date Signed: 05/22/2019 04:00:00 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:ALISO PICO PRESCHOOLFACILITY NUMBER:
192006561
ADMINISTRATOR:MARIA LABRADAFACILITY TYPE:
850
ADDRESS:1505 E. 1ST STREETTELEPHONE:
(323) 269-6921
CITY:LOS ANGELESSTATE: CAZIP CODE:
90033
CAPACITY:60CENSUS: 48DATE:
05/22/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Maria Labrada, Site SupervisorTIME COMPLETED:
04:15 PM
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A Case Management inspection was conducted by Licensing Program Analyst, Janeth Chavez for the purpose of following up on an incident received on 05/03/2019. Upon arrival, LPA met with Maria Labrada, Site Supervisor and was guided on a tour of the facility. There are 28 children present and 10 staff. This program consists of 2 preschool classrooms: Classroom A: Staff #1, 2, 3, 4, & 5 with 28 children; Classroom B: Staff # 6, 7, 8, & 9 with 20 children. The facility is in compliance with teacher child ratio. The incident was reported timely and the facility is in compliance with reporting requirements.

During this investigation staff and children were interviewed. After interviewing staff and children there were no disclosures made. Based on information gathered there are no deficiencies cited at this time.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Maria Labrada, Site Supervisor. Appeal rights discussed and explained.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3417
LICENSING EVALUATOR NAME: Janeth ChavezTELEPHONE: (323) 981-3376
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2019
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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