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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018738
Report Date: 05/13/2019
Date Signed: 05/13/2019 11:25:34 AM

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:ALPHA-SHEN PRESCHOOLFACILITY NUMBER:
198018738
ADMINISTRATOR:LINDA P. CHUFACILITY TYPE:
850
ADDRESS:618 N. MOORE AVENUETELEPHONE:
(626) 282-2011
CITY:MONTEREY PARKSTATE: CAZIP CODE:
91754
CAPACITY:44CENSUS: 40DATE:
05/13/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:23 AM
MET WITH:Linda ChuTIME COMPLETED:
11:37 AM
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A Case Management inspection was conducted by Licensing Program Analyst (LPA), Timothy Fields. LPA met with Director, Linda Chu who guided LPA on a compete tour of the facility. An Increased/Annual Random inspection was conducted on 5/1/19. Due to LPA's computer performing a consistency check and electronic report could not be drafted.

During the 5/1/19 inspection the facility was cited for violating Title 22 regulations 101161(a) Limitations on Capacity and Ambulatory Status and 101238(a) Building and Ground. On that day the facility exceeded the maximum number of children allotted in the facility by five children, with 49 present. The maximum capacity is 44 children. Thorned rose bushes were also observed on the playground accessible to children.

A census was taken during today's inspection and 40 children were present. The throned bushes have been removed as well. The facility was observed to be in compliance on this date. Due to further program errors the 5/1/19 report could not be drafted on this date. The facility will receive a copy at a later time. An exit interview was conducted with Director, Linda Chu and a copy of the report and Appeal Rights were provided.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2019
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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