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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890273
Report Date: 06/27/2024
Date Signed: 06/27/2024 04:03:53 PM

Document Has Been Signed on 06/27/2024 04:03 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:ALBION STREET EARLY EDUCATION CENTERFACILITY NUMBER:
191890273
ADMINISTRATOR/
DIRECTOR:
WING FUNGFACILITY TYPE:
850
ADDRESS:348 SOUTH AVE. 18TELEPHONE:
(323) 221-1798
CITY:LOS ANGELESSTATE: CAZIP CODE:
90031
CAPACITY: 115TOTAL ENROLLED CHILDREN: 57CENSUS: 31DATE:
06/27/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:40 PM
MET WITH:Carolyn Macaranas, Principal TIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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Licensing Program Analyst (LPAs) Roxana Lopez and Priscilla Ochoa conducted an unannounced Case Management Incident inspection to follow up on 3 incidents that were reported to the Department. LPA's met with Principal Carolyn Macaranas who guided LPAs on a tour of the facility. Census was taken.

On December 5th, 2023, an incident was self reported to the Department via Email by the facility who reported that a child hit their head requiring medical attention.



On December 6th, 2023, an incident was self reported to the Department via Email by the facility who reported that Parent alleges child's personal rights were violated.

On June 4th, 2024, an incident was self reported to the Department via Email by the facility who reported that Parent alleges child's personal rights were violated.

All reports were reported within the required 24 hours. The purpose of the inspection was to obtain additional information regarding the incident reported to the Department.

During the inspection, LPAs conducted interviews with staff and obtained documentation. Regarding incident that occurred on December 5th, 2023- incident was observed by staff and first aid was provided. Child was transported to hospital- required 3 stiches and came back to facility with no restrictions.

Regarding incidents that occurred on December 6th, 2023 and June 4th, 2024 interviews were conducted and no disclosures were made.

For this inspection, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with facility representative, Carolyn Macaranas ----------------------- pg 1 of 1----------------------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2024
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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