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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191570803
Report Date: 10/17/2024
Date Signed: 10/17/2024 03:42:12 PM

Document Has Been Signed on 10/17/2024 03:42 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:MAOF CHILD CARE CENTER-BELL GARDENSFACILITY NUMBER:
191570803
ADMINISTRATOR/
DIRECTOR:		MARIA VILLALPANDOFACILITY TYPE:
850
ADDRESS:6113 CLARA STREETTELEPHONE:
(562) 928-1357
CITY:BELL GARDENSSTATE: CAZIP CODE:
90201
CAPACITY: 75TOTAL ENROLLED CHILDREN: 43CENSUS: 31DATE:
10/17/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Josephine BartoloTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) T. Tran made an unannounced visit at MAOF ChildCare Center- Bell Gardens to conduct a Case Management Incident occurred on 7/31/2024. The Monterey Park Southwest Office received the writing report on 08/01/2024 regarding a child's personal rights concern. Upon arrival, LPA met with Program Manager, Josephine Bartolo and toured the facility. LPA observed proper care and supervision and ratio.

Based on interviews conducted with staff, children, and other, during the time S1 was present at the facility, interviewed staff shared that they did not witness S1 physically hurt any children in care. However, when the children in room 3 were not listening or being loud, S1 would redirecting the children in a loud tone and at time yelled the children to gain their attention. Based on the facts presented and the information that was gathered through interviews, this incident was the result of Title 22 Regulation violation for Personal Rights.

Per facility representative, facility will conduct training to all center staff regarding to topics of care and supervision and children personal rights. Then submit to the department training materials along with sign in sheet of all staff attendance by 10/31/24.

Type B 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, Josephine Bartolo.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2024
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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Document Has Been Signed on 10/17/2024 03:42 PM - It Cannot Be Edited


Created By: Tiffanie Tran On 10/17/2024 at 01:50 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MAOF CHILD CARE CENTER-BELL GARDENS
FACILITY NUMBER: 191570803

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/31/2024
Section Cited
CCR
101223(a)(3)

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Personal Rights-Children are to be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature.


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Per facility representative, facility will conduct training to all center staff regarding to topics of care and supervision and children personal rights. Then submit to the department training materials along with sign in sheet of all staff attendance by or before 10/31/24 in order to clear this citation.
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This requirement is not met as evidenced by
based on interview conducted facility failed to protect children in care due to S1 yelled and used strong tone when communicate with children in care which poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Denise Gibbs
LICENSING EVALUATOR NAME:Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2024


LIC809 (FAS) - (06/04)
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