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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191670880
Report Date: 08/19/2024
Date Signed: 08/19/2024 12:26:19 PM

Document Has Been Signed on 08/19/2024 12:26 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ASI, INC. CSUDH CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191670880
ADMINISTRATOR/
DIRECTOR:		CANDACE MANANSALAFACILITY TYPE:
850
ADDRESS:1000 E VICTORIATELEPHONE:
(310) 243-1015
CITY:CARSONSTATE: CAZIP CODE:
90747
CAPACITY: 65TOTAL ENROLLED CHILDREN: 52CENSUS: 0DATE:
08/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:10 AM
MET WITH:Deyanira Sanchez, Assistant DirectorTIME VISIT/
INSPECTION COMPLETED:
12:35 PM
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Licensing Program Analyst (LPA) Ashley Calderon conducted a unannounced case management-incident visit and met with Assistant Director Deyanira Sanchez. LPA Calderon discussed the purpose of today's visit.

This preschool program with toddler component serves children ages 18 months to 5 years. This program operates Monday-Thursday 7:30 a.m. - 5:30 p.m. and Friday 7:30 a.m.-3:00 p.m.



LPA was given a guided tour of the facility alongside with Ms.Sanchez. It was observed that there were no children in the school. Per Assistant Director children start school on: 8/26/24.

On 8/8/24 Licensing received an unusual incident report (UIR) report was submitted in a timely manner. UIR stated a child fell in playground, LPA observed preschool play yard to ensure safety. Area were incident took place was observed to have cushioning material and no potential hazards observed.

At 11:40am LPA met with Candance Manansala and discussed today's visit. LPA provided documentation's to Director and Assistant Director regarding ratios and staff qualifications.



A notice of site visit was given and must remain posted for 30 days. Exit interview conducted, report and was reviewed with Director Assistant Deyanira Sanchez.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE: DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/19/2024
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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