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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018287
Report Date: 12/15/2021
Date Signed: 12/15/2021 12:14:03 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:PLAZA DE LA RAZA - MAIZELANDFACILITY NUMBER:
198018287
ADMINISTRATOR:NNEKA ARINZEFACILITY TYPE:
850
ADDRESS:7601 CORD AVE.TELEPHONE:
(562) 205-2789
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY:80CENSUS: 56DATE:
12/15/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:47 AM
MET WITH:Cathy Gaeta, Site SupervisorTIME COMPLETED:
12:28 PM
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On 12/15/2021, Licensing Program Analyst (LPA) Lissete Gonzalez conducted a Case Management inspection due to an incident that occurred on 09/23/21. Upon arrival, LPA met with Sit Supervisor, Cathy Gaeta. This is a subsequent inspection to the initial inspection conducted on 10/05/2021. At 11:44AM, Education Coordinator, Araceli Brion, arrived at the facility to conclude the inspection. There were 56 children present.

The incident that occurred on 09/23/21 was reported to the Department via a written report emailed to Community Care Licensing on 09/24/21. The facility reported the incident to the Department in a timely manner. The Unusual Incident reported concerns of a possible violation of the Personal Rights of children in care by Staff #3 in Class #03 in Room #10.

LPA conducted interviews, file review, and obtained documentation including the facility roster and a copy of the police report from the Los Angeles County Sheriff’s Department. There were no disclosures to corroborate the allegation. This agency has investigated the allegation of a personal rights violation. Based on all of the information obtained and interviews conducted, no follow-up is necessary regarding the incident. There is not a preponderance of evidence to prove the alleged violation did or did not occur.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Education Coordinator, Araceli Brion.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3383
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
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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