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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192006561
Report Date: 06/14/2024
Date Signed: 06/14/2024 08:49:46 AM

Document Has Been Signed on 06/14/2024 08:49 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ALISO PICO PRESCHOOLFACILITY NUMBER:
192006561
ADMINISTRATOR/
DIRECTOR:		CLAUDIA ARREOLAFACILITY TYPE:
850
ADDRESS:1505 E. 1ST STREETTELEPHONE:
(323) 269-6921
CITY:LOS ANGELESSTATE: CAZIP CODE:
90033
CAPACITY: 60TOTAL ENROLLED CHILDREN: 37CENSUS: 11DATE:
06/14/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:10 AM
MET WITH:Supervisor, Claudia TIME VISIT/
INSPECTION COMPLETED:
09:10 AM
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On Friday June 14, 2024, Licensing Program Analyst (LPA) Staicy Perry conducted a Case Management inspection to amend the visit report from inspection conducted on 6/11/2024 and to assess civil penalties. LPA Perry met with Supervisor Claudia who guided LPA on a tour of the facility. Census was taken and LPA observed 11 children and 5 staff.

During the inspection conducted on 6/11/2024 the following deficiency was 101229(a)(1) Responsibility for Providing Care and Supervision. No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation, and 101223 Type A Personal Rights states (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment to meet his/her needs. During today’s visit civil penalties in the amount of $500 are being assessed for Absence of Supervision due to a child wandering away from the facility on 6/10/2024. On this visit LPA Perry amended the LIC-809D page from the previous visit conducted on 6/11/2024 to include the civil penalties being assessed. LPA Perry also amended page 2 of the report to reflect correct verbiage.


SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE: DATE: 06/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/14/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ALISO PICO PRESCHOOL
FACILITY NUMBER: 192006561
VISIT DATE: 06/14/2024
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Notice of Site visit was provided to Supervisor Claudia and must remain posted for 30 days.

Exit interview was conducted with Supervisor Claudia and Appeal Rights were provided and discussed.

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2024
LIC809 (FAS) - (06/04)
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