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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018196
Report Date: 02/13/2020
Date Signed: 02/13/2020 02:34:12 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:CHILDREN'S COLLECTIVE INC - MAPLE STREET, THEFACILITY NUMBER:
198018196
ADMINISTRATOR:CHENIEKA MORGAN-MILLSFACILITY TYPE:
850
ADDRESS:255 EAST 28TH STREETTELEPHONE:
(310) 733-4388
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY:36CENSUS: 30DATE:
02/13/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:TIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA), Dayna Chambers conducted a Case Management Incident inspection to follow up on self-reported incident that occurred on 11/01/2019. The Monterey Park South West Child Care Office received the incident report on 11/01/2019 by Program Manager. Report stated that on 11/01/2019, a concern about an aggressive child who was acting inappropriately in the classroom and against other children. LPA met with Site Supervisor, Loretta Iberosi. LPA Chambers observed the facility and conducted an annual inspection during this time on 02/13/20. LPA Chambers interviewed the Site Supervisor, Loretta Iberosi who was also a witness. Per Site Supervisor, the child is 4 years old and enrollment began on 07/02/2018. The behavioral issues were a continuous issue and was documented by the facility. The facility referred the child to LA Child Guidance for assistance. The child's parents called the facility on 02/03/2020 and said the child was not going to attend anymore. The parent was given 14 days to appeal and have the child enroll again.

LPA observed that the facility was properly cared for during the incident. On 02/13/2020, Site Supervisor and LPA Chambers toured the facility, at the time of the inspection all ratios were compliant according to Title 22 Regulations.
Based on today’s inspection, and interviews conducted, the facility followed the appropriate Reporting Requirements, Notified Parents, and followed all the regulations and policies by the facility.

At this time based on the available information it does not appear this incident was the result of a Title 22 violation and the facility followed the appropriate regulations to care for the children in care.
The content of this report was read and discussed in detail at the time of with Site Supervisor, Loretta Iberosi.
Upon receipt, Notice of Site Visit shall be posted. Notice of Site Visit shall be posted for thirty (30) days. Failure to maintain posting as required will result in a $100 civil penalty.
An exit interview was conducted, and a copy of this report was provided to Site Supervisor, Loretta Iberosi, Notice of Site visit was issued.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020
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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