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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191804146
Report Date: 06/25/2024
Date Signed: 06/25/2024 01:11:11 PM

Document Has Been Signed on 06/25/2024 01:11 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:CENTRO DE NINOS-MARAVILLAFACILITY NUMBER:
191804146
ADMINISTRATOR/
DIRECTOR:
LETICIA SANTOS CUEVASFACILITY TYPE:
830
ADDRESS:4850 E. CESAR CHAVEZ AVENUETELEPHONE:
(323) 268-4600
CITY:LOS ANGELESSTATE: CAZIP CODE:
90022
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 9DATE:
06/25/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Leticia Santos Cuevas, DirectorTIME VISIT/
INSPECTION COMPLETED:
01:35 PM
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On June 25, 2024, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced Case Management Inspection – Plan of Correction at the above facility. A COVID-19 risk assessment was conducted prior to entering the facility. LPAs met with Director, Leticia Santos Cuevas who guided LPA on a tour of the facility. LPA observed 9 children in care with 3 staff. The purpose of this inspection is to ensure that the facility is in compliance with Title 22 Regulations and the deficiencies cited on 06/17/2024 were corrected.

Licensing staff observed and reviewed the following:

· Infants bottles, milk, formula and food must be labeled with infant's name and date.

Letters of Deficiencies Citations Cleared were provided for deficiencies corrected.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00

An exit interview was conducted, and a copy of this report was provided to director, Leticia Santos Cuevas.

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/25/2024
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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