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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870510
Report Date: 10/20/2022
Date Signed: 10/20/2022 11:20:15 AM

Document Has Been Signed on 10/20/2022 11:20 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ALEXANDRIA EARLY EDUCATION CENTERFACILITY NUMBER:
191870510
ADMINISTRATOR:IMELDA MENDEZFACILITY TYPE:
850
ADDRESS:4304 ROSEWOOD AVENUETELEPHONE:
(323) 662-8127
CITY:LOS ANGELESSTATE: CAZIP CODE:
90004
CAPACITY: 115TOTAL ENROLLED CHILDREN: 66CENSUS: 49DATE:
10/20/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Imelda Mendez, PrincipalTIME COMPLETED:
11:25 AM
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Licensing Program Analyst (LPA) Mireya García conducted an unannounced Case Management inspection follow up due to an incident that was reported to the Department on September 21, 2022. Due to COVID- 19 precautionary measures were taken, licensing staff present during inspection wore appropriate personal protective equipment. LPA met with Principal, Imelda Mendez who guided LPA on a tour of the facility. Census was taken.

On September 21, 2022, an incident was self reported to the Department via telephone by the facility who reported a parent alleges that child's personal rights were violated while in care. The purpose of the inspection was to obtain additional information regarding the allegation reported to the Department.

During this investigation, LPA conducted interviews with Principal, two (2) staff, four (4) day care children and parent of child in question. All interviews conducted with Staff deny observing Staff #1 or any staff pull child #1’s shoulder with force. No disclosures were made by all four (4) children interviewed including child in question. LPA attempted to interview Staff #1 however, staff #1 is no longer assigned to work at this location. Based on the interviews conducted, at this time there is not enough evidence to support that child #1’s personal rights were violated while in care. REPORT CONTINUES ON NEXT PAGE 1 OF 2.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ALEXANDRIA EARLY EDUCATION CENTER
FACILITY NUMBER: 191870510
VISIT DATE: 10/20/2022
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This agency has investigated the incident that alleges that a child’s #1 personal rights were violated while in care. Although the allegation may have happened or is valid; Based on interviews conducted; there were no witness to the allegation and the child in question made no disclosures, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the allegation is deemed Unsubstantiated. Should additional information become available in the future, this investigation may be reopened.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Imelda Mendez.



END OF REPORT: PAGE 2 OF 2.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
LIC809 (FAS) - (06/04)
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