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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270908
Report Date: 07/21/2023
Date Signed: 07/21/2023 09:16:05 AM

Document Has Been Signed on 07/21/2023 09:16 AM - 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:ROSSMOOR CHILDREN'S CENTERFACILITY NUMBER:
304270908
ADMINISTRATOR:ROSEMARIE PRYIA MADAWALAFACILITY TYPE:
850
ADDRESS:4161 GREEN AVENUETELEPHONE:
(562) 431-6553
CITY:LOS ALAMITOSSTATE: CAZIP CODE:
90720
CAPACITY: 127TOTAL ENROLLED CHILDREN: 127CENSUS: 2DATE:
07/21/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
07:55 AM
MET WITH:Rosemarie Pryia, DirectorTIME COMPLETED:
09:30 AM
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Licensing Program Analyst (LPA) Mila Quinto conducted an unannounced case management incident inspection in response to a self-report Unusual Incident dated 7/14/2023. Upon arrival, LPA met with director, Rosemary Pryia. LPA observed 2 preschool children with 1 staff.

A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 7/14/2023 a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported a call was received from a parent stating child was complaining of pain and was taken to hospital.

During today's inspection, LPA interviewed 2 staff members including the Director and 3 preschool children. LPA obtained a copy of the children’s roster.

Due to insufficient information available at this time, the reported incident needs further investigation.

Exit interview was conducted. The Notice of Site Visit was posted. Director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2023
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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