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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191800796
Report Date: 11/07/2024
Date Signed: 11/07/2024 11:32:31 AM

Document Has Been Signed on 11/07/2024 11:32 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:GLENFELIZ BOULEVARD EARLY EDUCATION CENTERFACILITY NUMBER:
191800796
ADMINISTRATOR/
DIRECTOR:		GOAR GEGEYANFACILITY TYPE:
850
ADDRESS:3745 DOVER PL.TELEPHONE:
(323) 665-4165
CITY:LOS ANGELESSTATE: CAZIP CODE:
90039
CAPACITY: 116TOTAL ENROLLED CHILDREN: 62CENSUS: 53DATE:
11/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Christina Ramaya, PrincipalTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
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Licensing Program Analyst (LPA) Saul Valenzuela conducted an unannounced Case Management inspection due to an incident that was reported to the Department on 9/30/2024. LPA met with Principal Christina Ramaya who guided LPA on a tour of the facility. Census was taken.

On September 30th, 2024, an incident was self reported to the Department via Email by the facility who reported that a child's personal rights were violated in care.



All reports were reported within the required 24 hours. The purpose of the inspection was to obtain additional information regarding the incidents reported to the Department.

During the inspection, LPA Valenzuela conducted interviews with three staff and two children. Staff #2 disclosed that they observed Child #1 take a toy from Child #2, which Child #2 responded with biting Child #1 on the hand. Staff #2 applied an ice pack and washed child #1's hand. According to the Principal, parents of both children were notified of the incident. Regarding the incident no disclosures were made on this date regarding personal rights violations. LPA asked for copies of statement, and Notice of First Aid.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: GLENFELIZ BOULEVARD EARLY EDUCATION CENTER
FACILITY NUMBER: 191800796
VISIT DATE: 11/07/2024
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aA notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.


Exit interview conducted and report was reviewed with Principal Christina Ramaya.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
LIC809 (FAS) - (06/04)
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