191500164-10-21-2022-33-CC-RLOZ-CKEVH4-20221021162632

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191500164
Report Date: 10/21/2022
Date Signed: 10/21/2022 04:26:38 PM

Document Has Been Signed on 10/21/2022 04:26 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:	EL MONTE CITY S.D.-NEW LEXINGTON ELEMENTARY SCHOOL		FACILITY NUMBER:	191500164
ADMINISTRATOR:	CLAUDIA ROJAS		FACILITY TYPE:	850
ADDRESS:	10410 E. BODGER		TELEPHONE:	(626) 575-2320
CITY:	EL MONTE	STATE: CA	ZIP CODE:	91731
CAPACITY: 28	TOTAL ENROLLED CHILDREN: 28	CENSUS: 0	DATE:	10/21/2022
TYPE OF VISIT:	Case Management - Annual Continuation	UNANNOUNCED	TIME BEGAN:	03:43 PM
MET WITH:	Lead Teacher Mario Bonilla		TIME COMPLETED:	04:30 PM

NARRATIVE

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At 2:15 pm Licensing Program Analyst (LPA's) Roxana Lopez and Veronica Martinez-Garza conducted an annual continuation visit to El Monte City School District located on 3540 N. Lexington Ave El Monte, CA 91731. The purpose of this inspection is to review staff files as they were not available for review at the New Lexington Elementary School facility during the Annual inspection conducted on 10/20//2022. LPA's met with Lizeth Casanova, HR Operations Supervisor who provided LPA with the staff files of the staff present during the inspection.

Facility Records: All staff have received an active criminal record clearance as a condition of their employment with the El Monte City School District

Staff’s Records were reviewed for completeness: Inspections of required forms was made.

SB792 (Immunization Requirements for Staff and Employees) was discussed with Lizeth Casanova, HR Operations Supervisor. All staff files reviewed have the required Immunizations.

LPA’s issued the Review of Staff Records (LIC 859) to the facility representative during this inspection. The LIC 859 documents the staff’s files were reviewed during this inspection.

Children's health records are kept in the administrative office and will be reviewed at a later time and date. If files were to be incomplete during the time and date that LPA reviews files, a case management inspection will occur at the facility to reflect the incomplete files.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. -------------------------------- pg. 1 of 2 ---------------------------------------------------------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: EL MONTE CITY S.D.-NEW LEXINGTON ELEMENTARY SCHOOL	FACILITY NUMBER: 191500164
	VISIT DATE: 10/21/2022

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the process or tools, please send them by email to inspectionprocess@dss.ca.gov.

For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

At this time, the facility is in compliance with California Code of Regulations Title 22. No deficiencies cited.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the facility representative Lizeth Casanova HR Operations

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2022

LIC809 (FAS) - (06/04)

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