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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017148
Report Date: 05/22/2023
Date Signed: 05/22/2023 04:07:18 PM


Document Has Been Signed on 05/22/2023 04:07 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:CRYSTAL STAIRS, INC - CENTURYFACILITY NUMBER:
198017148
ADMINISTRATOR:KIMBERLY HARGROVEFACILITY TYPE:
850
ADDRESS:1700 IMPERIAL HIGHWAYTELEPHONE:
(323) 214-0020
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY:80CENSUS: 76DATE:
05/22/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Marina DeHonorTIME COMPLETED:
04:20 PM
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Licensing Program Analyst (LPA) T. Tran conducted an unannounced Case Management Incident visit at Crystal Stairs Century Head Start to follow up self reported incident occurred on 04/14/2023 regarding children personal rights concerns. Upon arrival, LPA met with Marina DeHonor, Site Supervisor and we toured the facility. LPA observed proper care and supervision.

LPA completed child and staff’s files review. LPA obtained staff records. Interviews were conducted with staff and children. Based on record review and observation, classroom A have 20 children enrolled with three qualified staff. Based on the available information it does not appear this incident was the result of Title 22 violation for children's Personal Rights.

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 the facility representative, Marina DeHonor.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 05/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/22/2023
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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