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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270168
Report Date: 03/17/2022
Date Signed: 03/17/2022 12:22:37 PM


Document Has Been Signed on 03/17/2022 12:22 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:LOS ALAMITOS CHILD DEVELOPMENT CENTER-WEAVER SITEFACILITY NUMBER:
304270168
ADMINISTRATOR:DAGARIN, JEAN-MARIFACILITY TYPE:
850
ADDRESS:11872 WEMBLEY ROADTELEPHONE:
(562) 799-4585
CITY:LOS ALAMITOSSTATE: CAZIP CODE:
90720
CAPACITY:48CENSUS: 21DATE:
03/17/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Jean-Mari Dagarin, DirectorTIME COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) Mila Quinto conducted a case management inspection in response to a self-reported incident on March 10, 2022. LPA met with Jean-Mari Dagarin. Census was taken and the overall census observed were 2 staff and 21 preschool children. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios.

A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

LPA interviewed 3 staff members including an elementary staff during the visit. LPA also obtained a current children’s roster and staff roster.

Due to insufficient information available at this time, the above allegation needs further investigation. An exit interview was completed. The report was reviewed and discussed. Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 12/15). All appeals must be in writing and received by the Licensing office within 15 business days.
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 743-5149
LICENSING EVALUATOR NAME: Mila QuintoTELEPHONE: (714) 293-6471
LICENSING EVALUATOR SIGNATURE:
DATE: 03/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/17/2022
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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