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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198010126
Report Date: 09/27/2024
Date Signed: 09/27/2024 03:49:17 PM

Document Has Been Signed on 09/27/2024 03:49 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:RALPH M. PARSONS PRE-SCHOOLFACILITY NUMBER:
198010126
ADMINISTRATOR/
DIRECTOR:		MARGARET MENDOZAFACILITY TYPE:
850
ADDRESS:841 W. MARTIN LUTHER KING JR.TELEPHONE:
(213) 763-5119
CITY:LOS ANGELESSTATE: CAZIP CODE:
90037
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 0DATE:
09/27/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Micha MimsTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 9/27/24 at 3:00 p.m. Licensing Program Analysts (LPAs) Claudia Kam and Joshua Ortega conducted a case management visit at the above facility for the purpose of following up on a Unusual Incident Report (UIR) reported on 9/17/2024. Upon arrival, LPAs met with Micha Mims, director and provided LPAs a tour of the facility.

LPAs completed interviews with Director during today's visit and observed video of the incident and the room where the incident occurred. Based on interviews conducted and record reviewed, it appears that the facility had followed the health and safety protocol to notify both parties parent/guardians of the incident and has procedure in place to keep both parties apart. Director has conducting an internal investigation. Director has filed a report with the City of Los Angeles and with the child abuse hot line and obtained a consult number. Director has conducting a teacher conference for both parties and has moved the child involved to another classroom. Director has consulted with the staff regarding a supervision plan and update of activities schedule to prevent reoccurrence. Parents and the department were notified of the incident timely. Based on the available information it does not appear this incident was the result of a Title 22 violation for lack of care and supervision.


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

Exit interview conducted and report was reviewed with director Micha Mims.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2024
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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