<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017050
Report Date: 05/01/2019
Date Signed: 05/01/2019 01:15:00 PM

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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ESTRADA LEARNING CENTERFACILITY NUMBER:
198017050
ADMINISTRATOR:BLANCA ALDRETEFACILITY TYPE:
850
ADDRESS:3225 HUNTER STREETTELEPHONE:
(323) 224-3800
CITY:LOS ANGELESSTATE: CAZIP CODE:
90023
CAPACITY:36CENSUS: 29DATE:
05/01/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Blanca AldreteTIME COMPLETED:
01:26 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
A Case Management Inspection was conducted by Licensing Program Analyst (LPA), Timothy Fields and Reiko Jones to address an incident that occurred on December 20, 2018. It was alleged a child personal rights were violated. LPA interviewed staff and the child involved in the incident. Three staff members mentioned in the incident were not available on this date.

LPA requested all documentation including witness statements and letters of separation pertaining to this incident be provided to CCLD no later than 5/10/19. A return visit will be made to to determine whether a violated of Title 22 Regulations has occurred.

Exit interview conducted with Site Supervisor. Appeal Rights provided and explained. Notice of Site Visit must be posted for (30) days. Failure to do so may result in a $100.00 civil penalty.

INTERNET ADDRESS: http://www.ccld.ca.gov – To access licensing forms, updates and Title 22.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1