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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870869
Report Date: 10/16/2024
Date Signed: 10/16/2024 03:49:20 PM

Document Has Been Signed on 10/16/2024 03:49 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:MAOF CHILD CARE CENTER TELEGRAPHFACILITY NUMBER:
191870869
ADMINISTRATOR/
DIRECTOR:
RAMIRO RIVERAFACILITY TYPE:
850
ADDRESS:4457 TELEGRAPH ROADTELEPHONE:
3232639507
CITY:LOS ANGELESSTATE: CAZIP CODE:
90023
CAPACITY: 83TOTAL ENROLLED CHILDREN: 47CENSUS: 43DATE:
10/16/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Lucy CervantesTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analysts (LPAs) T. Tran and P. Bishop arrived at the above facility to conduct a Case Management Incident inspection on a self-reported incident that occurred on 08/15/24. The Monterey Park Southwest Office received the writing report on 08/16/24. During the inspection, LPAs observed proper care and supervision.

During today's visit, LPAs completed children and staff’s files review. LPAs obtained personnel report, children and staff document. LPAs conducted interviews with children, staff and other. Based on the available information obtained through the course of the interviews, none of the interviewed staff observed S1 displayed any negative interactions toward any children in care. Staff described S1 as gentle, respectful, and professional toward all children in care. Therefore, based on the Title 22 regulation, this incident does not appear to be a Personal Rights violation. No deficiency was found during today's inspection.

The content of this report was read and discussed in detail at the time of with the noted contact person.

Exit interview conducted and report was reviewed with the facility representative, Lucy Cervantes.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2024
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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