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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191570803
Report Date: 10/12/2023
Date Signed: 10/12/2023 01:57:29 PM

Document Has Been Signed on 10/12/2023 01:57 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:MAOF CHILD CARE CENTER-BELL GARDENSFACILITY NUMBER:
191570803
ADMINISTRATOR:MARIA VILLALPANDOFACILITY TYPE:
850
ADDRESS:6113 CLARA STREETTELEPHONE:
(562) 928-1357
CITY:BELL GARDENSSTATE: CAZIP CODE:
90201
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 26DATE:
10/12/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Rosa Maria Villalpando, DirectorTIME COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Alicia Mooberry arrived at the above facility to conduct a Case Management inspection regarding an incident that was reported by the facility on 9/27/23 regarding a possible personal rights violation to a child in care.

Licensing staff conducted file reviews and interviewed staff and obtained personnel list and children's roster. LPA was unable to interview children due to children were napping.

Due to insufficient information available at this time, the above incident needs further follow-up.

No deficiency was cited at this time. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Rosa Maria Villalpando.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2023
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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