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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008821
Report Date: 09/07/2022
Date Signed: 09/07/2022 03:26:27 PM

Document Has Been Signed on 09/07/2022 03:26 PM - 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:AMISTAD PRESCHOOLFACILITY NUMBER:
198008821
ADMINISTRATOR:ANAHIT SHMAVONYANFACILITY TYPE:
850
ADDRESS:2037 N. LINCOLN PARK AVE.TELEPHONE:
(323) 441-8718
CITY:LOS ANGELESSTATE: CAZIP CODE:
90031
CAPACITY: 48TOTAL ENROLLED CHILDREN: 15CENSUS: DATE:
09/07/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Carolina Ramon TIME COMPLETED:
03:40 PM
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Licensing Program Analyst (LPA) Judy Mora conducted a case management inspection due to an incident that was reported to the Department on 08/03/22. LPA met with Interim Director, Carolina Ramon. LPA was guided on a tour of the preschool classroom by Ms. Ramon.

LPA observed 9 napping children with 03 staff present in Room 1.

The alleged incident that occurred on Tuesday, 08/02/22 was reported to the Department on 08/03/22; within the required 24 hours of occurrence. On 08/03/22, it was alleged that a child's personal rights were violated at the facility.

LPA conducted interviews and obtained documentation during this visit.

Based on the information obtained and interviews conducted with staff, no follow-up is necessary regarding the incident. There were no disclosures made and there is no information available that corroborates with the alleged allegation.

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

There were no deficiencies observed in regards to today's inspection.

Exit interview was conducted with Interim Director, Carolina Ramon. Appeal rights explained & provided.

Claudia Guangorena
Judy Mora
DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/07/2022
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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