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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017389
Report Date: 08/14/2023
Date Signed: 08/14/2023 11:31:18 AM


Document Has Been Signed on 08/14/2023 11:31 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:GLASSELL PARK EARLY EDUCATION CENTERFACILITY NUMBER:
198017389
ADMINISTRATOR:JORGE REYESFACILITY TYPE:
850
ADDRESS:3003 NORTH CARLYLE STREETTELEPHONE:
(323) 221-1008
CITY:LOS ANGELESSTATE: CAZIP CODE:
90065
CAPACITY:168CENSUS: 52DATE:
08/14/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:13 AM
MET WITH:Principal Jorge ReyesTIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management- Incident inspection at the above facility on 08/14/23 at 08:13 a.m. A COVID-19 risk assessment was conducted prior to entering the facility. LPA met with Principal, Jorge Reyes who guided LPA on a tour of the facility. Census was taken.

The purpose of this inspection is to follow up on an unusual incident report that occurred on 07/28/23 and was reported to the Department by the facility, a parent alleges that a child's personal rights were violated while in care by Staff #1.

During this investigation, LPA interviewed, Staff 1 (S1-6), children 1 (C1-3), and obtained a copy of facility roster.

At this time, there were no deficiencies cited during today’s inspection.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative, a civil penalty of $100 can be assessed.

Exit Interview was conducted, and appeal rights were given, along with a copy of this report was provided to the Principal, Jorge Reyes.

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Veronica Martinez-GarzaTELEPHONE: (323) 981-3386
LICENSING EVALUATOR SIGNATURE:
DATE: 08/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2023
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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