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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198001022
Report Date: 10/17/2025
Date Signed: 10/17/2025 01:48:26 PM

Document Has Been Signed on 10/17/2025 01:48 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MAOF CHILD CARE CENTER-FORDFACILITY NUMBER:
198001022
ADMINISTRATOR/
DIRECTOR:		NORMA FIGUEROAFACILITY TYPE:
850
ADDRESS:330 SOUTH FORD BLVD.TELEPHONE:
(323) 264-4333
CITY:LOS ANGELESSTATE: CAZIP CODE:
90022
CAPACITY: 72TOTAL ENROLLED CHILDREN: 48CENSUS: 38DATE:
10/17/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Site Supervisor, Eva FriasTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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On October 17, 2025, at 9:45am Licensing Program Analyst (LPA) Monica Ruiz conducted a case management inspection due to a self reported incident that occurred at the facility noted above on 10/1/2025. LPA met with Facility Representative Eva Frias (FR) and explained reason for visit. LPA toured the facility took a census of 11 children with 2 staff in Head Start 1, 12 children with 3 staff in Head Start 2, Early Head Start 1 and 2 are combined due to low census and had 7 children with 2 staff, Early Head Start 3 had 8 children with 3 staff.

FR states that there is an internal investigation being conducted regarding the self reported incident that occurred on 10/1/25. FR states that C1’s parent requested to speak to Director or higher management and informed them that they witnessed a staff member physically pulling C1 and C2.


LPA interviewed staff and children. Staff 1 states that they were present on 10/1 but did not witness the staff member pulling any child. Staff 1 states they do not pull children by their arms to redirect children.
Staff 2 states that they arrive at 8:30am and on 10/1 they arrive after the incident occurred. Staff 2 states they did not witness any staff member pulling C1 or C2 by the arm on this or on any other day. Staff 2 states, they do not physically lead children at all, only verbally.
Through interviews with staff, it was disclosed that many children in their program have behavioral issues.
FR states that they are putting together a request for a pre-Multi-Disciplinary Team (MDT) to assess the entire class.FR states that staff attends Professional Development Training every month and that staff has been trained in Behavioral Support Training.
LPA recommended to FR to request additional staff members in Head Start 1, to accommodate the learning and behavioral needs of the children in care. (continued on next page)
NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Monica Ruiz
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MAOF CHILD CARE CENTER-FORD
FACILITY NUMBER: 198001022
VISIT DATE: 10/17/2025
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LPA toured the facility indoors and outdoors. LPA inspected outdoor play area and observed the playground to be fully fenced. LPA observed there to be tricycles, a bike path, water activity table, and play structures for climbing and balancing. There is shade in the play yard. LPA advised FR to maintain cushioning under outdoor equipment and to maintain a fall space around climbing equipment.
During this visit LPA obtained the Childcare Facility Roster, the Child Incident Report, Personnel Report (LIC 500), reviewed staff and children files, and conducted interviews with staff and children.
The incident was reported to the Department within the required 24 hours of occurrence.

At this time, the facility is in compliance with California Code of Regulations Title 22, therefore no deficiencies were cited during today’s visit inspection.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Area Supervisor, Eva Frias.

NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Monica Ruiz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2025
LIC809 (FAS) - (06/04)
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