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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870872
Report Date: 02/15/2024
Date Signed: 02/15/2024 03:49:59 PM

Document Has Been Signed on 02/15/2024 03:49 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:PARA LOS NINOSFACILITY NUMBER:
191870872
ADMINISTRATOR:NANCY GALVEZFACILITY TYPE:
850
ADDRESS:833-845 E. 6TH ST.TELEPHONE:
(213) 623-3942
CITY:LOS ANGELESSTATE: CAZIP CODE:
90021
CAPACITY: 88TOTAL ENROLLED CHILDREN: 69CENSUS: 41DATE:
02/15/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Nancy GalvezTIME COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analysts (LPAs) T. Tran and A.Padilla conducted an unannounced Case Management Incident visit at Para Los NInos to follow up self reported incident occurred on 01/24/2024 regards a child with a head injury. The Monterey Park South West Office received the writing report on 01/26/2024. Upon arrival, LPAs met with Site Supervisor, Nancy Galvez. LPAs observed proper care and supervision.

LPAs completed child and staff’s files review. LPAs obtained child's document and personnel report.
Interviews were conducted with staff, children and other. On the day of the incident, there were 11 children with two teachers. Parent was notified immediately. Based on the available information it does not appear this incident was the result of a Title 22 violation for lack of care and supervision.

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, Nancy Galvez

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 02/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/15/2024
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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