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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015673
Report Date: 03/10/2025
Date Signed: 03/10/2025 04:39:30 PM

Document Has Been Signed on 03/10/2025 04:39 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:YMCA GLB INTENSIVE LEARNING CENTER SITEFACILITY NUMBER:
198015673
ADMINISTRATOR/
DIRECTOR:
ADRIANA MENDOZAFACILITY TYPE:
840
ADDRESS:4718 MICHELSON STREETTELEPHONE:
(562) 233-7748
CITY:LAKEWOODSTATE: CAZIP CODE:
90712
CAPACITY: 100TOTAL ENROLLED CHILDREN: 28CENSUS: 24DATE:
03/10/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Director, Adriana MendozaTIME VISIT/
INSPECTION COMPLETED:
04:40 PM
NARRATIVE
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On March 10, 2025, at 1:30 pm, Licensing Program Analyst (LPA) Jonnisha Culbert conducted an unannounced inspection at the facility noted above and met with Staff 1 (S1). The purpose of the inspection was to conduct an annual/random inspection at the facility.

At approximately 2:25pm Director, Adriana Mendoza arrived at the facility.

LPA explained to Director the purpose of the visit is to conduct an annual/random inspection and provided them with a Entrance Checklist for Child Care Centers (LIC 125). The facility is currently licensed for 100 school-age children. The after-school program is located at Intensive Learning Center. Per Director, the program operates Monday through Friday from 2:30 pm to 6:00 pm with early dismissal on Wednesdays. Present during the time of inspection were Director, 2 staff, and 24 children.

Due to time restraints the Annual/Random visit will be completed on a future date. Deficiencies observed today will be addressed on that date.

No deficiencies were cited during today’s visit.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director, Adriana Mendoza.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE: DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2025
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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