191870510-1-31-2023-33-CC-MGAA-CNM2DY-20230131161908

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191870510
Report Date: 01/31/2023
Date Signed: 01/31/2023 04:19:13 PM

Document Has Been Signed on 01/31/2023 04:19 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:	ALEXANDRIA EARLY EDUCATION CENTER		FACILITY NUMBER:	191870510
ADMINISTRATOR:	IMELDA MENDEZ		FACILITY TYPE:	850
ADDRESS:	4304 ROSEWOOD AVENUE		TELEPHONE:	(323) 662-8127
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90004
CAPACITY: 115	TOTAL ENROLLED CHILDREN: 71	CENSUS: 54	DATE:	01/31/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	01:01 PM
MET WITH:	Office Manager, Dennis Colon & Principal, Imelda Mendez		TIME COMPLETED:	04:30 PM

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Licensing Program Analyst (LPA) Mireya Garcia conducted an unannounced Case Management inspection due to an incident that was reported to the Department on January 20, 2023. Due to COVID- 19 precautionary measures were taken, licensing staff present during inspection wore appropriate personal protective equipment. LPA met with Office Manager, Dennis Colon who guided LPA on a tour of the facility. Principal Imelda Mendez was present however, unavailable for the tour. Census was taken.

On January 20, 2023, an incident was self reported to the Department via Email 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 the inspection, LPA conducted interviews with three (3) staff and five (5) day care children. LPA was unable to complete interviews on this date. Due to additional staff were not available at this time, a follow up visit will be required at a later date in order to conduct further interviews and/or obtain additional documentation.

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 1 OF 1.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2023

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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