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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018121
Report Date: 04/27/2022
Date Signed: 04/27/2022 01:59:00 PM


Document Has Been Signed on 04/27/2022 01:59 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:ST. ANNE'S EARLY LEARNING CENTER AT HYANSFACILITY NUMBER:
198018121
ADMINISTRATOR:JENNY UNGERFACILITY TYPE:
850
ADDRESS:2737 HYANS ST.TELEPHONE:
(213) 381-2931
CITY:LOS ANGELESSTATE: CAZIP CODE:
90026
CAPACITY:26CENSUS: 21DATE:
04/27/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:ELOISA LOPEZ GONZALEZTIME COMPLETED:
02:10 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
Licensing Program Analyst (LPA) Judy Mora conducted an unannounced Case Management- Incident inspection to address two separate incidents which occurred on 02/28/22 (Incident #1) and 03/02/22 (Incident #2). LPA Mora met with Lead Teacher, Eloisa Lopez Gonzalez. Upon arrival, LPA observed Lead Teacher outdoors with 02 children, 10 children with 01 staff in Room 1 and 11 children with 02 staff in Room 2.

The alleged incident that occurred on 02/28/22 was reported to the Department on 03/01/22 via telephone. The facility reported the incident as soon as they became aware.

The alleged incident that occurred on 03/01/22 was reported to the Department on 03/02/22 via telephone. The facility reported the incident as soon as they became aware.

LPA conducted interviews with staff and obtained documentation during this visit.

Incident #1 and Incident #2 were allegations of children's personal rights being violated. Based on all information obtained on this date, and interviews conducted with staff, there were no disclosures made that any child's personal rights were violated. Follow up will be conducted with the Administration Team in regards to documentation.

There were no deficiencies cited on this date.

The Notice of Site Visit (LIC 9213) – was provided and must remain posted for 30 days.

Exit interview was conducted with Eloisa Lopez Gonzalez.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 896-6847
LICENSING EVALUATOR SIGNATURE:
DATE: 04/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/27/2022
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