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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012363
Report Date: 06/09/2022
Date Signed: 06/09/2022 04:24:06 PM

Document Has Been Signed on 06/09/2022 04:24 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:YOUNG PEOPLES VILLAGEFACILITY NUMBER:
198012363
ADMINISTRATOR:ANNETTE CLARKFACILITY TYPE:
850
ADDRESS:6051 N. ROSEMEAD BLVD.TELEPHONE:
(626) 287-2114
CITY:TEMPLE CITYSTATE: CAZIP CODE:
91780
CAPACITY: 131TOTAL ENROLLED CHILDREN: 131CENSUS: 87DATE:
06/09/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Gracie Chavez, DirectorTIME COMPLETED:
04:30 PM
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On 06/09/22 Licensing Program Analyst (LPA) Fabiola Vasquez conducted an unannounced Required I year inspection. LPA met with Director Gracie Chavez, who guided analyst on a tour of the facility. At approximately 1:50 PM LPA Vasquez began the facility tour with Director, this is a preschool program which consists of 13 classrooms; LPA observed in 1A room 10 children with 1 staff, 1B room 10 children with 1 staff, 1C room is not being used at this time, 2A room 10 children and 2B room 12 children with 1 staff. 3A room 9 children and 3B with 1 staff. 4A room 9 children with 1 staff, 4B room 10 children with 1 staff. 5A1 room 10 and 5B2 room 8 children with 1 staff. 5A1 and 5A2 are closed due to a positive case reported to the facility on 6/9/22. 5B1 room 10 children and 5B2 room 8 children with 1 staff. Total census: 87 children with 7 staff. LPA will continue the inspection on another day due to the time.

Exit interview was conducted with Director, Gracie Chavez appeal rights were provided.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Fabiola Vasquez
LICENSING EVALUATOR SIGNATURE: DATE: 06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2022
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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