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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191806554
Report Date: 03/21/2023
Date Signed: 03/21/2023 01:28:24 PM

Document Has Been Signed on 03/21/2023 01:28 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:JARDIN DE NINOS INFANT CARE CENTERFACILITY NUMBER:
191806554
ADMINISTRATOR:SUSANA CARRERAFACILITY TYPE:
830
ADDRESS:2422 MANITOUTELEPHONE:
(323) 223-1230
CITY:LOS ANGELESSTATE: CAZIP CODE:
90031
CAPACITY: 32TOTAL ENROLLED CHILDREN: 30CENSUS: 18DATE:
03/21/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Alicia Lomeli TIME COMPLETED:
01:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Judy Mora conducted an unannounced Case Management site inspection on this date. LPA met with Site Supervisor, Alicia Lomeli, who guided the analyst on a tour of the facility at approximately 10:38 AM. LPA observed 18 infants present with 06 staff.

The purpose of this visit was to ensure that the Licensee is in compliance with Title 22 regulations and the Health and Safety Code. LPA reviewed the Parent/Licensing board that is located at the entrance of the building.

LPA Mora observed that the facility does not have the Notification of Parent's Rights Publication, PUB 393, posted as required in any area of the infant building. LPA Mora advised Site Supervisor that the the publication must be posted at all times.

The deficiency listed on the following page was observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809d.

Deficiency that is being cited needs to be cleared to protect the children’s health & safety.

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.

Exit interview was conducted with Site Supervisor, Alicia Lomeli. Appeal rights explained & provided.

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2023
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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Document Has Been Signed on 03/21/2023 01:28 PM - It Cannot Be Edited


Created By: Judy Mora On 03/21/2023 at 12:57 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: JARDIN DE NINOS INFANT CARE CENTER
FACILITY NUMBER: 191806554

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/27/2023
Section Cited
CCR
101218.1(c)

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Admission Procedures and Parental and Authorized Representative's Rights
The licensee shall post the PUB 393 (8/02), Child Care Center Notification of Parents' Rights Poster in a prominent, publicly accessible area in the child care center at all times.
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Site Supervisor states she will post the publication and send LPA a photo of posting by POC due date 03/27/23.
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This requirement is not met as evidenced by LPA visual observation of the parent board and tour of the facility. The PUB 393 was not observed to be posted in the infant building. This is a potential risk to the health and safety of 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:Claudia Guangorena
LICENSING EVALUATOR NAME:Judy Mora
LICENSING EVALUATOR SIGNATURE:
DATE: 03/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/21/2023


LIC809 (FAS) - (06/04)
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