<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020155
Report Date: 01/10/2025
Date Signed: 01/10/2025 04:00:25 PM

Document Has Been Signed on 01/10/2025 04:00 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:MUSE ACADEMY INC., THEFACILITY NUMBER:
198020155
ADMINISTRATOR/
DIRECTOR:
MAILE JUAREZFACILITY TYPE:
850
ADDRESS:1135 GAVIOTA AVETELEPHONE:
(310) 924-7515
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY: 77TOTAL ENROLLED CHILDREN: 77CENSUS: 22DATE:
01/10/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Director Maile Juarez TIME VISIT/
INSPECTION COMPLETED:
03:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analysts (LPAs) Jeanette Estrada and Portia Bowden conducted an unannounced case management inspection at this facility for the purpose of reviewing information regarding an Unusual Incident Report (UIR) submitted to the Department on 11/18/24. LPAs met with Director Maile Juarez and informed her of the reason for the visit. Director guided LPAs on a tour of the facility. There were 22 napping children and one supervising staff present during the inspection.

It was reported on 11/18/24 that an incident occurred at the facility on 11/15/24 in which Child 1 fell in the outdoor area and hit their face on a tree stump causing a laceration over their left eye. Per the UIR and per staff interviews conducted during today's visit, Child 1 was running with a group of children and Child 1 tripped and landed on a tree stump. Staff 1 assisted Child 1 when they fell by tending to their wound. Per interviews, Child 1 was crying and bleeding from the laceration over their left eye. Per interviews, staff communicated with each other and helped in assisting Staff 1 with Child 1. Child 1 was walked to the outdoor sink area by Staff 1 and they applied pressure to Child 1's wound to help stop the bleeding. Per interviews, school admin was called outside and then 911 was called. Paramedics arrived with 5-10 minutes and assisted Child 1. Child 1's parent was called when incident occurred and arrived after paramedics. Per interviews, parent allowed Child 1 to be transported by the ambulance to the emergency room and Director accompanied them. Per interviews, Child 1 received stitches on the wound. Child 1 returned to the program on Monday 11/18/24 with no medical restrictions.

No deficiencies were issued during today's inspection.
Report was reviewed with Director.
Notice of Site Visit was issued and a copy of the report was provided to the Director Maile Juarez.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2025
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 1