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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870510
Report Date: 08/16/2023
Date Signed: 08/16/2023 11:46:09 AM

Document Has Been Signed on 08/16/2023 11:46 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: 115CENSUS: 43DATE:
08/16/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:05 AM
MET WITH:Imelda Mendez, PrincipleTIME COMPLETED:
10:45 AM
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On August 16, 2023, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced case management inspection at the above facility. A COVID-19 risk assessment was conducted prior to entering the facility. The purpose of the inspection is to follow up on an unusual incident that occurred on 07/10/2023. The incident was reported to the department on 07/11/2023; the report was submitted in a timely manner. LPA met with Principal, Imelda Mendez who guided LPA on a tour of the facility. LPA observed 43 children in care.

Brief Summary: On July 10, 2023 at 3:35pm, Parent #1 (P1) spoke to Staff #1 (S1), and stated that Child #1 (C1) told P1 that the "teacher did pow! pow!" to C1. P1 was unable to provide more details on the incident.

During the inspection LPA observed staff files, C1's file, obtained a copy of facility roster, interviewed S1-S3, and attempted to interview C1. C1 did no qualify to be interviewed.

Based on interviews conducted with Staff #1 - Staff #3 they stated that they have never observed a staff member violate a child's personal rights and they have never violated a child's personal rights. LPA asked S1 if P1 had given any more information as to what teacher may have hit C1; S1 stated that P1 did not know and did not provide any more information.

LPA provided Child's Personal Rights Regulation to Principal.

The facility is not being cited any deficiencies today, 08/16/2023.

An exit interview was conducted and a copy of this report was provided to Principle, Imelda Mendez along with Notice of Site Visit.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2023
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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