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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017132
Report Date: 07/23/2024
Date Signed: 07/23/2024 11:32:37 AM

Document Has Been Signed on 07/23/2024 11:32 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:4TH STREET EARLY EDUCATION CENTERFACILITY NUMBER:
198017132
ADMINISTRATOR/
DIRECTOR:		IRENE SANTILLANFACILITY TYPE:
850
ADDRESS:421 S. HILLVIEW AVENUETELEPHONE:
(323) 266-4024
CITY:LOS ANGELESSTATE: CAZIP CODE:
90022
CAPACITY: 144TOTAL ENROLLED CHILDREN: 97CENSUS: 61DATE:
07/23/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Edith Figueroa, Head Teacher TIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced poc inspection (plan of correction) to insured that the Type A deficiency cited on 7/2/2024 has been cleared. LPA met with Head Teacher Edith Figueroa, who guided analysts on a tour of the facility. Census was taken.

The following was observed:

- Staff meeting was conducted on 7/9/2024- meeting agenda was obtained-Principal was not available but informed head teacher that they will scan sign in sheet to LPA.

- The LIC 9224 Acknowledgement forms was observed to be on files reviewed

LPA advised the facility representative to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA cleared deficiency on this date. Due to technical difficulties LPA was unable to print out POC letter- letter will be mailed to the facility.

At this time, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Edith Figueroa, Head Teacher

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/23/2024
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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