<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400587
Report Date: 09/26/2024
Date Signed: 09/26/2024 10:08:22 AM

Document Has Been Signed on 09/26/2024 10:08 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ST ANNE'S EARLY LEARNING CENTER AT ABBOTTFACILITY NUMBER:
198400587
ADMINISTRATOR/
DIRECTOR:
ANNA LOPEZFACILITY TYPE:
830
ADDRESS:5262 CLARK STTELEPHONE:
(213) 381-2931
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY: 84TOTAL ENROLLED CHILDREN: 33CENSUS: 21DATE:
09/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Directors Ruben Tarango and Justine FranciscoTIME VISIT/
INSPECTION COMPLETED:
10:20 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analysts (LPAs) Jeanette Estrada and Portia Bowden conducted a case management visit at the facility due to an incident that was reported to the Department. LPAs met with Directors Ruben Tarango and Justine Francisco. LPAs informed facility representatives of the reason for the visit. Facility representatives guided LPAs on a tour of the facility.
LPAs observed a total of 21 children supervised by 9 staff. LPAs observed six children with two staff from Classroom 6 in the outdoor area, two children with two staff from Classroom 10 in the outdoor area, two children with one staff in Classroom 4, five children with two staff in Classroom 2, and six children with two staff in Classroom 7.

The facility reported an incident to the Department on 9/20/24. During today's visit, LPAs toured the facility and obtained copies of forms LIC 9040 Children's roster and LIC 500 Personnel report.

Exit interview conducted with Facility Representatives. A copy of this report and a Notice of Site Visit were provided. Facility Representatives were advised Notice of Site Visit must remain posted for 30 days.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1