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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019402
Report Date: 11/06/2024
Date Signed: 11/06/2024 03:22:00 PM

Document Has Been Signed on 11/06/2024 03:22 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 SALESIAN EARLY LEARNING CENTERFACILITY NUMBER:
198019402
ADMINISTRATOR/
DIRECTOR:		FERNANDO PEREZ CORNEJOFACILITY TYPE:
850
ADDRESS:3218 WABASH STREETTELEPHONE:
(323) 526-8187
CITY:LOS ANGELESSTATE: CAZIP CODE:
90063
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 6DATE:
11/06/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:20 PM
MET WITH:Nallely MaciasTIME VISIT/
INSPECTION COMPLETED:
03:37 PM
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management Other inspection at the above facility on 11/06/24 at 02:20 p.m. Upon arrival LPA met with Site Supervisor Nallely Macias who guided LPA on a tour of the facility. Census was taken.

The purpose of this inspection is to provide an amended report to an annual/random inspection dated 06/18/24. Amended report(s) reflects a change in the Type A citation and update on census. Type A citation is for commingling of preschoolers and toddlers in the playground. During this inspection, LPA reviewed the report with the site supervisor.

The following deficiencies were cited in accordance with Title 22 of the California Code of Regulations and Health & Safety Codes. Please see 809D dated 11/06/24 for documentation of deficiencies.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative, a civil penalty of $100 can be assessed.

Exit Interview was conducted, and appeal rights were given, along with a copy of this report was provided to the site supervisor Nallely Macias.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2024
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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