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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018990
Report Date: 03/28/2024
Date Signed: 03/28/2024 10:56:04 AM

Document Has Been Signed on 03/28/2024 10:56 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:CDCLA GRACE IINO CHILDREN'S CENTERFACILITY NUMBER:
198018990
ADMINISTRATOR:EVELIN HERNANDEZFACILITY TYPE:
830
ADDRESS:231 E. THIRD ST.TELEPHONE:
2136178596
CITY:LOS ANGELESSTATE: CAZIP CODE:
90013
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 15DATE:
03/28/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jacquelyn Galvez-ChaconTIME COMPLETED:
11:15 AM
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On 3/28/24 at 9:00 AM Licensing Program Analysts (LPA) Claudia Kam and Katrina Chicote met with assistant director Jacquelyn Galvez-Chacon and conducted an Unannounced Case management Inspection to follow up on multiple incidents that was reported to the Department on 3/14/24 and 3/19/24. Upon arrival, LPAs announced purpose of inspection and met with Facility Representative, who granted entry to facility. Census was taken and 15 children were present at time of visit.

On 3/14/24, an incident was reported to The Department where a child sustained an injury while in care. on 3/19/24, an incident was reported regarding a parent who was disruptive in front of day-care children and staff. The facility reported these incidents to the Department within the required 24 hours and submitted written reports within seven days.

During this inspection LPAs interviewed staff, observed room incident took place in, and observed child named in report. Director has detailed that the child did hit his head and the ambulance was called due to medical issues reported by the parent on 3/14/24. File was reviewed and medical treatment documentation in file. No IMS is provided to child as any medicine is provided by parent or doctor. Assistant Director has been directed by parent to call 911 if child has any medical episodes as diagnosis is pending. Assistant Director and Teacher stated this incident occurred after drop off and that 911 and parent were called immediately. Child returned to care the next day. LPAs observed child present at the facility and active.

LPAs interviewed Assistant Director who was the primary regarding incident on 3/18/24. Director has detailed that there were 2 incidents on 3/18/24. Parent displayed aggressive behavior such as screaming and making threats at staff during drop off and pick up due to issues with dropping off a stroller. Assistant Director states she informed Parent that she could not leave the stroller in the hallway of the facility due to it being a safety hazard. Per assistant director the parent was allowed to leave the stroller on the Friday as a one time courtesy and when denied the ability to drop off stroller she continued to display aggressive behavior and called the main office to complain.
Report Continues - Page 1 of 2
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CDCLA GRACE IINO CHILDREN'S CENTER
FACILITY NUMBER: 198018990
VISIT DATE: 03/28/2024
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Parent continued to be aggressive towards staff upon pick up of her child which resulted in Assistant Director requesting that the parent leave as children were present. Parent left on their own without escort. Agency has terminated services to parent, child's last day of care was on same day of incident. LPAs reviewed Parent Handbook, and per termination policy the Agency has a right to immediately terminate services when there is any degree of abuse.

Based on the information obtained and LPAs observation LPAs determined there was adequate supervision and Facility Representatives responded accordingly and made necessary adjustments after incidents.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with Assistant Director.


Report Ends - Page 2 of 2
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024
LIC809 (FAS) - (06/04)
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