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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191224480
Report Date: 03/12/2025
Date Signed: 03/12/2025 11:55:26 AM

Document Has Been Signed on 03/12/2025 11:55 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LA CANADA UNITED METHODIST CHILDREN'S CENTERFACILITY NUMBER:
191224480
ADMINISTRATOR/
DIRECTOR:		BLANCA ELIASSENFACILITY TYPE:
850
ADDRESS:104 BERKSHIRE PLACETELEPHONE:
(818) 790-2871
CITY:LA CANADASTATE: CAZIP CODE:
91011
CAPACITY: 35TOTAL ENROLLED CHILDREN: 33CENSUS: 33DATE:
03/12/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:25 AM
MET WITH:Director, Blanca EliassenTIME VISIT/
INSPECTION COMPLETED:
12:10 PM
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On March 12, 2025, at 11:25 am Licensing Program Analysts (LPA) Priscilla Ochoa conducted an unannounced Case Management Inspection – Plan of Correction at the above facility. LPA met with Director, Blanca Eliassen who guided LPA on a tour of the facility. LPA observed 33 children in care along with 5 staff. The purpose of this inspection is to ensure that the facility is in compliance with Title 22 Regulations and the deficiencies cited on 2/06/2025 were corrected.

Licensing staff observed and reviewed the following:

· Staff member obtain proof of immunization record

Letters of Deficiencies Citations Cleared were provided for deficiencies corrected.

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. Failure to maintain posting as required will result in a civil penalty of $100.00

An exit interview was conducted, and a copy of this report was provided to Director, Blanca Eliassen.

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Priscilla Ochoa
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2025
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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