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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191501178
Report Date: 08/17/2023
Date Signed: 08/17/2023 12:01:37 PM


Document Has Been Signed on 08/17/2023 12:01 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:BURDICK'S SCHOOL FOR LITTLE CHILDRENFACILITY NUMBER:
191501178
ADMINISTRATOR:HEREDIA, TONY F.FACILITY TYPE:
850
ADDRESS:4124 MAXSON ROADTELEPHONE:
(626) 442-6719
CITY:EL MONTESTATE: CAZIP CODE:
91732
CAPACITY:64CENSUS: 19DATE:
08/17/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Director Elodia Barnhart TIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced POC (plan of correction) inspection to insured that the Type A deficiency cited on 7/20/2023 has been cleared. LPA met with Elodia Barnhart, DIrector who guided analysts on a tour of the facility. A COVID risk assessment was taken. There was 19 children present during this inspection. The following was observed:

- LPA observed that staff # 1 fingerprints are still in process- Staff was not present. Director understands that staff can't return until fingerprints are cleared.

- LPA observed the LIC 9224 Acknowledgment form signed and in children's file.

At this time, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA cleared deficiencies on this date. LPA issued POC clearance letter during the visit.

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 facility representative Elodia Barnhart.

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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:
DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/17/2023
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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