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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198001022
Report Date: 04/15/2024
Date Signed: 04/15/2024 10:45:05 AM

Document Has Been Signed on 04/15/2024 10:45 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: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: 72CENSUS: 41DATE:
04/15/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:01 AM
MET WITH:Nora Lopez, Site SupervisorTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On April 15, 2024, Licensing Program Analyst (LPA), Monique Ayala conducted an unannounced case management inspection. The purpose of the inspection is to follow up on an incident report that reported on 03/27/2024 and was reported to the department in a timely manner. The incident is a possible personal rights violation. A COVID-19 risk assessment was conducted prior to entering the facility. LPA met with Site Director, Nora Lopez who guided LPA on a tour of the facility. LPA observed 41 children in care with 10 staff members.

During this inspection LPA a current facility roster, LPA interview Staff #3 (S3) and obtained contact information for Staff #1 (S1) and Staff #2 (S2). LPA attempted to interview Child #1 (C1).

At this time the incident report requires further investigation. There will be no deficiencies cited today, 04/15/2024.

An exit interview was conducted and a copy of this report was provided to the Site Supervisor, along with Notice of Site Visit. Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 04/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/15/2024
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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