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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012295
Report Date: 03/22/2024
Date Signed: 03/22/2024 03:49:10 PM


Document Has Been Signed on 03/22/2024 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:AGAPE MONTESSORI SCHOOLFACILITY NUMBER:
198012295
ADMINISTRATOR:PI-SHUANG(EUNICE) CHENFACILITY TYPE:
850
ADDRESS:9537 TELSTAR AVENUETELEPHONE:
(626) 450-7686
CITY:EL MONTESTATE: CAZIP CODE:
91731
CAPACITY:75CENSUS: 17DATE:
03/22/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Pi-Shuang (Eunice), Director TIME COMPLETED:
04:00 PM
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At 2:30 pm Licensing Program Analyst (LPA) Roxana Lopez conducted a case management inspection. A COVID risk assessment was conducted upon entry. LPA met with Pi- Shuang (Eunice), Director who guided analyst on a tour of the facility- census was taken. The purpose of this inspection was to ensure that licensee received a copy of Decision and Order for Zhu Sheng dated March 4th, 2024, with an effective date of March 14th, 2024.

LPA informed the Director that the purpose of this inspection is to inform her that Zhu Sheng has a lifetime exclusion. The Decision and Order excludes Zhu Sheng from presence in the Child Care Facility. Zhu Sheng is prohibited from employment in, presence in, and contact with clients of, any facility licensed by the Department of Social Services, or certified by a licensed foster family agency, and from holding the position of member of the board of directors, executive director, or officer of the licensee of any facility licensed by the Department. The exclusion is for the remainder of Zhu Sheng’s life.

Per Director, they have received a copy of the Decision and Order and understand it. Director stated that they do not know who Zhu Sheng is as they have never been employed at the facility. During today’s inspection LPA provided Director with a copy of the Decision and Order.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Facility representative, Pi-Shuang (Eunice).-------- pg. 1 of 1 ------------------

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:
DATE: 03/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/22/2024
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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