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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870883
Report Date: 10/25/2024
Date Signed: 10/25/2024 01:05:36 PM

Document Has Been Signed on 10/25/2024 01:05 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:MILES AVENUE EARLY EDUCATION CENTERFACILITY NUMBER:
191870883
ADMINISTRATOR/
DIRECTOR:
CHRISTIANA PARKFACILITY TYPE:
850
ADDRESS:2855 SATURN AVE.TELEPHONE:
(323) 581-2410
CITY:HUNTINGTON PARKSTATE: CAZIP CODE:
90255
CAPACITY: 164TOTAL ENROLLED CHILDREN: 164CENSUS: 87DATE:
10/25/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:35 PM
MET WITH:Antonia MaganaTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analysts (LPA) Claudia Kam conducted a case management visit at the above facility. The purpose of today's inspection was to follow up on a Unusual Incident (UIR) submitted on 10/18/24 regarding personal rights.

Upon arrival, LPAs met with head teacher Antonia Magana. All staff were at lunch and would not return till 1:30p and principle and office manager were in an all day meeting. All children were napping at time of visit.
LPA will return to follow up on UIR to allow for a full follow up.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 10/25/24.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with the Facility Representative.

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2024
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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