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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418470
Report Date: 10/03/2024
Date Signed: 10/03/2024 12:06:13 PM

Document Has Been Signed on 10/03/2024 12:06 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:IMMANUEL DREW CHILD DEVELOPMENT CORPORATIONFACILITY NUMBER:
197418470
ADMINISTRATOR/
DIRECTOR:		TAMELA TYLERFACILITY TYPE:
850
ADDRESS:506 E. LAUREL STREETTELEPHONE:
3106353543
CITY:COMPTONSTATE: CAZIP CODE:
90221
CAPACITY: 84TOTAL ENROLLED CHILDREN: 35CENSUS: 27DATE:
10/03/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Douglas FrancoTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
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While conducting an investigation for a complaint, Licensing Program Analysts (LPAs), T. Tran and A. Carter observed the following deficiency:

During file review and interview conducted, on 9/16/24, S1 was hired as a new site supervisor. Facility failed to report to the licensing department of the new hired site supervisor and all the required documents.

Facility was cited a type B deficiency. See Facility Evaluation Report LIC 809D for deficiency cited.

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, Douglas Franco.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2024
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 10/03/2024 12:06 PM - It Cannot Be Edited


Created By: Tiffanie Tran On 10/03/2024 at 11:47 AM
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: IMMANUEL DREW CHILD DEVELOPMENT CORPORATION
FACILITY NUMBER: 197418470

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/10/2024
Section Cited
CCR
101212(b)

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The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).
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New site supervisor will communcate this information with program supervisor to report this requirement to LPA by 10/10/24 in order to clear this citation.
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This requirement is not met as evidenced by
based on record review and interview conducted facility failed to report new hired director 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: 10/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/03/2024


LIC809 (FAS) - (06/04)
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