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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400579
Report Date: 04/19/2023
Date Signed: 04/19/2023 09:56:10 AM

Document Has Been Signed on 04/19/2023 09:56 AM - 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ST. ANNE'S EARLY LEARNING CENTER AT LUGOFACILITY NUMBER:
198400579
ADMINISTRATOR:ANNA LOPEZFACILITY TYPE:
830
ADDRESS:4347 PENDLETON AVETELEPHONE:
(213) 381-2931
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY: 80TOTAL ENROLLED CHILDREN: 0CENSUS: 11DATE:
04/19/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Sandra Amaral, Lead TeacherTIME COMPLETED:
10:15 AM
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On 04/19/2023 at 9:15 AM, Licensing Program Analyst (LPA) Katrina Chicote arrived at the above facility for the purpose of conducting an Unannounced Case Management - Other to amend a report that was written on 01/11/2023 that resulted in a Type B deficiency being cited for Action Level Exceedence (ALE) of Lead. LPA announced purpose of visit and met with Sandra Amaral, Lead Teacher, who granted entry to facility. Census was taken.

The Department received an appeal for the Type B citation indicating that they do not have an ALE of lead at the facility providing documents that Water Sampler inputted incorrect information to The Department. Upon review of received information, RM Sharon Greene granted appeal and report will be amended to reflect correct information. Amended report was reviewed and provided at time of inspection.

There were no deficiencies cited during today’s inspection.

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

Exit interview conducted and report was reviewed with the Sandra Amaral, Lead Teacher.


Report Ends - Page 1 of 1
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2023
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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