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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870721
Report Date: 03/16/2023
Date Signed: 03/16/2023 03:19:24 PM

Document Has Been Signed on 03/16/2023 03:19 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:GRAHAM EARLY EDUCATION CENTERFACILITY NUMBER:
191870721
ADMINISTRATOR:DE'ONNA PHILIPSFACILITY TYPE:
850
ADDRESS:8332 SOUTH ELM ST.TELEPHONE:
(323) 582-1222
CITY:LOS ANGELESSTATE: CAZIP CODE:
90001
CAPACITY: 111TOTAL ENROLLED CHILDREN: 111CENSUS: 44DATE:
03/16/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Renita Lewis, Office ManagerTIME COMPLETED:
03:30 PM
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On March 16, 2023, at 2:30 p.m., Licensing Program Analysts (LPAs) Denise Gibbs and Rosaura Valenzuela conducted an case management inspection and met with Office Manager, Renita Lewis. LPA disclosed the purpose of the inspection and was granted entry into the facility.

LPA was made aware of an incident that occurred on 3/9/23 regarding a potential personal right violation of a child. LPAs were informed that child and one staff referenced on the incident report are currently not at the facility. LPAs conducted interviews but will need to return to obtain further information and documentation.

No deficiencies will be cited today 3/16/23.

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 Renita Lewis, office Manager.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Denise Gibbs
LICENSING EVALUATOR SIGNATURE: DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/16/2023
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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