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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021185
Report Date: 04/27/2023
Date Signed: 04/27/2023 02:45:05 PM

Document Has Been Signed on 04/27/2023 02:45 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:LOS ANGELES COUNTY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198021185
ADMINISTRATOR:AVILA, MARIA FRANCESCAFACILITY TYPE:
830
ADDRESS:1200 N STATE STREETTELEPHONE:
(323) 409-2240
CITY:LOS ANGELESSTATE: CAZIP CODE:
90033
CAPACITY: 18TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/27/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Lisa WilkinTIME COMPLETED:
12:45 PM
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Licensing Program Analysts (LPAs) Crystal Green and Mary Silva conducted an unannounced Case Management visit to address a Registered Sex Offender (RSO) match report that was received in the Monterey Park Regional Office (MPRO) in April 2023. Licensing staff met with Executive Director, Lisa Wilkin and Site Director, Maria Francesca. There is an application for a Change of Location currently pending with the Monterey Park Regional Office.

LPAs discussed whether (2) adults that matched under RSO reside at 1200 N. State Street, Los Angeles, CA 90033. RSO who is not a client allegedly resides, is present and/or has contact that may pose a risk to the health and safety of the clients in care. Per Director, this location was recently constructed to operate as a childcare center only no adults or children resides at the above location. LPA observed the facility to share location with LAC + USC Medical Center. The facility was observed to be physically separate from the Medical Center.

Also present during this inspection were representatives of LAC + USC Medical Center. Per hospital representatives, homeless patients have been known to utilize the hospital address when completing intake forms however no one resides on or in the hospital grounds.

Based on the information obtained, it is determined that the (2) adults that matched under the RSO does not reside at 1200 N. State Street, Los Angeles, CA 90033.

Exit interview was conducted with the Director and a copy of this report was provided.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE: DATE: 04/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/21/2023
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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