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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018124
Report Date: 03/06/2024
Date Signed: 03/06/2024 02:25:43 PM


Document Has Been Signed on 03/06/2024 02:25 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:ST. ANNE'S EARLY LEARNING CENTER AT MARYLANDFACILITY NUMBER:
198018124
ADMINISTRATOR:VICTORIA HERNANDEZ-MUSTELIFACILITY TYPE:
850
ADDRESS:1317 MARYLAND ST.TELEPHONE:
(213) 381-2931
CITY:LOS ANGELESSTATE: CAZIP CODE:
90017
CAPACITY:36CENSUS: 0DATE:
03/06/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Anna Lopez, Carlos Tobar, Ruben Tarango and Reza KhosrowabadiTIME COMPLETED:
02:45 PM
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On 03/06/2024 at 12:35 pm, Licensing Program Analysts (LPAs), Crystal Green and Elka Chavez conducted an announced Case Management inspection for a change in capacity. Upon arrival, LPAs met with Licensee Representative, Anna Lopez, Carlos Tobar, Ruben Tarango and Reza Khosrowabadi. This facility is currently licensed to serve 36 preschool children ages 3 until entry into kindergarten. The Licensee, St. Anne’s Family Services, is requesting to reduce the existing preschool capacity to zero and add a new toddler option component with a capacity of 16 children ages 18 to 36 months in classroom Toddler 1 and classroom Toddler 2. Hours of operation will be Monday through Friday from 7:45 AM to 3:15 PM.

All indoor and outdoor activity space utilized for the children was inspected today. LPAs informed the licensee representatives that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, Anna Lopez stated that they will be stored in the office area in the mini fridge. A fully equipped first aid kit is located next to the kitchen and in each classroom. There is an operational carbon monoxide detector on site located in each classroom. All required licensing documents were observed posted near the exit doors of each classroom. Children will be signed in and out at the front of the building near their designated classroom.

LPAs continued to tour the facility and measured all indoor and outdoor activity space. Total indoor activity space for the toddler program measured 1384.33 square feet, which is sufficient to accommodate the requested capacity of 16 toddler children. LPAs observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (916) 936-5444
LICENSING EVALUATOR NAME: Elka ChavezTELEPHONE: (323) 981-3360
LICENSING EVALUATOR SIGNATURE:
DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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: ST. ANNE'S EARLY LEARNING CENTER AT MARYLAND
FACILITY NUMBER: 198018124
VISIT DATE: 03/06/2024
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napping cots, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via filter water jug with disposable cups. LPAs observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 12/04/2023.

LPAs observed changing tables in the classrooms to have at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink. LPAs observed a total of 6 sinks and 2 toilets available for children’s use. These are sufficient to accommodate the requested overall capacity of 16 children. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be the staff office area located near the office.



Facility will provide AM/PM snacks and lunch. The kitchen area currently includes a food warmer, microwave, refrigerator, dishwasher, and sink. The kitchen area and food storage areas were observed to be free of rodents and/or vermin. Hazardous items in the kitchen are inaccessible to children via a child safety gate leading to the kitchen area and the cabinets have pads locks.

The facility currently has a fully fenced playground. Fencing is made of a black wrought iron and blue brick fencing which was observed to be at least four feet high. The total square footage for all the outdoor activity space for the toddler component is 2067.86 square feet, which is sufficient to accommodate the requested capacity. Shade is provided via canopies and fixed shade structure. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a climbing structure on the playground for children ages 6 to 23 months which is properly anchored. There is adequate cushioning in fall zones of climber provided by outdoor surface mats. Drinking water is available via filtered water jug. LPAs observed all hazardous items on the playgrounds to be inaccessible to children. Applicant was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (916) 936-5444
LICENSING EVALUATOR NAME: Elka ChavezTELEPHONE: (323) 981-3360
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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: ST. ANNE'S EARLY LEARNING CENTER AT MARYLAND
FACILITY NUMBER: 198018124
VISIT DATE: 03/06/2024
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For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).

Licensee Representative, Anna Lopez, was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Licensee Representative was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (916) 936-5444
LICENSING EVALUATOR NAME: Elka ChavezTELEPHONE: (323) 981-3360
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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: ST. ANNE'S EARLY LEARNING CENTER AT MARYLAND
FACILITY NUMBER: 198018124
VISIT DATE: 03/06/2024
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No corrections are needed. A license for an overall licensed capacity of 16 toddler children will be granted upon a final file review. The licensee understands that the program will be licensed to serve toddlers from ages 18 to 36 months and must notify the department prior to serving preschool children.

A notice of site visit was given to Licensee Representative and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the Licensee Representative, Anna Lopez.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (916) 936-5444
LICENSING EVALUATOR NAME: Elka ChavezTELEPHONE: (323) 981-3360
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
LIC809 (FAS) - (06/04)
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