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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018124
Report Date: 03/02/2022
Date Signed: 03/02/2022 02:56:22 PM

Document Has Been Signed on 03/02/2022 02:56 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:ST. ANNE'S EARLY LEARNING CENTER AT MARYLANDFACILITY NUMBER:
198018124
ADMINISTRATOR:VICTORIA HERNANDEZ-MUSTELIFACILITY TYPE:
850
ADDRESS:1317 MARYLAND ST.TELEPHONE:
(213) 381-2931
CITY:LOS ANGELESSTATE: CAZIP CODE:
90017
CAPACITY: 36TOTAL ENROLLED CHILDREN: 17CENSUS: 13DATE:
03/02/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Victoria Hernandez Mustelier TIME COMPLETED:
03:10 PM
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Licensing Program Analyst (LPA) Judy Mora conducted an unannounced Case Management inspection due to an incident which allegedly occurred on 02/08/22. LPA Mora met with Center Manager, Victoria Mustelier. LPA took census of the children at approximately 1:34 PM.

At the time of arrival, LPA observed 08 children with 02 staff in Room 1 and 05 children with 02 staff in Room 2. Teacher-Child Ratios were observed to be in accordance with Title 22 regulations.

The alleged incident that occurred on 02/08/22 was reported to the Department on 02/09/22 via telephone. The facility reported the incident in a timely manner.

LPA conducted interviews with staff and child #1 during this inspection. LPA also obtained documentation during this visit.

It was alleged that a child was yelled at by a staff member during snack time. Based on all information obtained on this date, and interviews conducted with staff, there were no disclosures made indicating that a child was yelled at. The child has continued in care since the alleged incident. There is no follow up is necessary regarding the incident.

The Notice of Site Visit (LIC 9213) – was provided and must remain posted for 30 days.

Exit interview was conducted. Appeal rights were explained and provided.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE: DATE: 03/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2022
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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