Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018196
Report Date: 03/16/2017
Date Signed 03/16/2017 10:35:51 AM

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:CHILDREN'S COLLECTIVE INC - MAPLE STREET, THEFACILITY NUMBER:
198018196
ADMINISTRATOR:CHENIEKA MORGAN-MILLSFACILITY TYPE:
850
ADDRESS:255 EAST 28TH STREETTELEPHONE:
(310) 733-4388
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY:36CENSUS: 0DATE:
03/16/2017
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:13 AM
MET WITH:Jermaine Kyle & Rocio BachTIME COMPLETED:
10:40 AM
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An informal Office Meeting was conducted in the Monterey Park Regional Office (MPRO). Present during the meeting were Program Manager/Director Jermaine Kyle, Program Specialist Rocio Bach, Licensing Program Manager (LPM) Cassandra Cooper and Licensing Program Analyst (LPA) Jennifer Hua.

The purpose of this meeting was to discuss the following: Personal Rights and Criminal Record Clearance. An incident was reported to the MPRO on or about March 23, 2016 where a child’s Personal Rights was violated by being grabbed by their arms or shirts by a staff member. During the inspection to the facility on July 12, 2016, the LPA found a staff present in the facility without a fingerprint clearance. The licensee was reminded that no staff shall violate the personal rights of children in care and that all personnel shall be fingerprinted and cleared prior to working, residing and/or being present in a facility.

The Additional items were discussed with the Licensee:

1. The licensee was informed that the facility must be in compliance at all times.

2. Deficiency cited on July 12, 2016 for personal rights and criminal record clearance was cleared on March 13, 2017.

3. The licensee was advised to check the Child Care Licensing web site at www.ccld.ca.gov for quarterly updates, forms and regulations.

Exit interview conducted with both individual's who are agreement with the above.

SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jennifer HuaTELEPHONE: (323) 854-6738
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2017
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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