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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870904
Report Date: 11/19/2024
Date Signed: 11/19/2024 11:22:58 AM

Document Has Been Signed on 11/19/2024 11:22 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:WADSWORTH AVENUE EARLY EDUCATION CENTERFACILITY NUMBER:
191870904
ADMINISTRATOR/
DIRECTOR:		HUMBERTO BENITEZFACILITY TYPE:
850
ADDRESS:1047 EAST 41ST STREETTELEPHONE:
(323) 232-0581
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY: 111TOTAL ENROLLED CHILDREN: 111CENSUS: 63DATE:
11/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Michael Lopez BreauxTIME VISIT/
INSPECTION COMPLETED:
11:55 AM
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On 11/19/24 at 9:45am LPA met with principle Michael Lopez Breaux, who allowed entry to the facility. There were 63 children present with 22 staff upon arrival.

During this inspection LPA interviewed Facility Representative, who reported the incident to Licensing, and he stated that he followed LAUSD protocols in calling Law Enforcement Agency (LAPD), submitted SCAR report, and informed LAUSD Operations. LAPD notified Facility Representative to handle Administratively, and no investigation was conducted by them. Facility Representative states he will be conducting an investigation which involves interviewing staff and children. Representative states child continues to attend to care.

During the investigation LPA obtained a copy of the facility roster, a copy of the employee roster, and reviewed files in relation to the incident being investigated, collected site documentation pertinent to the incident. At this time, further investigation is required before concluding the investigation. LPA requested Facility Representative to provide update to Department should one become available.

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


There will be no deficiencies cited today 11/19/24.

Exit interview was conducted with Michael Lopez Breaux.

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE: DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/19/2024
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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