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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012967
Report Date: 09/13/2024
Date Signed: 09/13/2024 09:44:17 AM


Document Has Been Signed on 09/13/2024 09:44 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:BALDWIN PARK USD TRICITIES HEAD START MAYWOOD CTRFACILITY NUMBER:
198012967
ADMINISTRATOR:LAURA CARDENASFACILITY TYPE:
850
ADDRESS:4801 E. 58TH STREETTELEPHONE:
(323) 726-9092
CITY:MAYWOODSTATE: CAZIP CODE:
90270
CAPACITY:20CENSUS: 1DATE:
09/13/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Ufuoma AkwajaTIME COMPLETED:
10:00 AM
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About 8:20AM, Licensing Program Analysts (LPAs), T. Tran and A. Padilla arrived at the above facility to conduct an annual visit. Upon arrival, LPAs met with teacher Stacy Morales, a Childcare teacher with a parent and a child. Per facility representative (FR), this site is currently pending to be licensed to serve 8 toddler children. In the meantime, the facility is only providing care to one family at a time for an hour and a half with a parent on site.

About 9:30AM, Ms. Ufuoma Akwaja, Early Childhood Education Program Manager arrived at the center. FR provided LPAs the pending application for this location. LPAs will be following with the application LPA upon return to the office.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Ufuoma Akwaja.

SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/13/2024
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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