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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191570686
Report Date: 04/18/2024
Date Signed: 04/18/2024 01:31:08 PM


Document Has Been Signed on 04/18/2024 01:31 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:FLANNER HEAD START PRESCHOOLFACILITY NUMBER:
191570686
ADMINISTRATOR:DARLENE MATAFACILITY TYPE:
850
ADDRESS:1314 N. LEBORGNETELEPHONE:
(626) 931-3151
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY:96CENSUS: 26DATE:
04/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Lucy BarceloTIME COMPLETED:
01:45 PM
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On April 18, 2024, at 8:45 am, Licensing Program Analyst (LPA) Carolyn Tuba conducted a case management inspection due to an incident that occurred at the facility on 3/6/2024. LPA met with Program Manager, Lucy Barcelo who guided the LPA on a tour to obtain the census of 26 children with 7 staff.

LPA conducted interviews with Program Manager, Lucy Barcelo, Education Supervisor, Yolanda Orozco and Staff #1 (S1) and Staff #2 (S2) who witnessed or were involved in the incident. Child Development Program Director, Rosing Ducoing was not available, who reported the incident to the Department. It was not necessary to interview Child #1.

The incident was not reported to the Department within the required 24 hours of occurrence. The incident occurred on 3/6/2024 but was not reported to the Department until 3/18/2024. LPA advised if the facility is unsure about reporting certain incidents, they should call the On-Duty Analyst of the Day to clarify what is reportable and what is not reportable. LPA reminded the Education Supervisor and Program Manager that they should notify by calling or emailing to the Department using the electronic email address of MPROincidentreports@dss.ca.gov within the first 24 hours.

The incident that occurred on 3/6/2024 at approximately 11:30-11:45 am, was due to Child #1 was outside of the classroom with S2 due to behavior concerns and for the safety of children in care. C1 and S2 were in a gated walkway for parents and children to enter the classroom. It has two gates located on each end and is surrounded by a chain link fence. Each gate has a lock and door handle. According to S2, she took C1 to the enclosed walkway. One gate is known as the entrance gate and the other is known as the exit gate. S2 was with C1 and never lost visual however C1 ran to the entrance gate and S2 blocked C1 from getting out. Then C1 ran to the exit gate and climbed the chain link gate and unlock the door, turned the doorknob and opened the exit gate. S2 was able to catch C1 by the gate however C1 wiggled free and proceeded
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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/18/2024
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 3


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: FLANNER HEAD START PRESCHOOL
FACILITY NUMBER: 191570686
VISIT DATE: 04/18/2024
NARRATIVE
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towards the parking lot and got approximately 46 feet away from the exit gate. S2 proceeded to guide C1 back into the facility. C1 was unharmed. S2 notified S1 who called parents of C1 and informed them of the incident. Education Supervisor and Child Development Program Director conducted their own investigation. Strategies have been put in place. LPA took photos and measurements during today’s visit.

The deficiency listed on the following page were observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

Notice of site visit was given to the licensee and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Program Manager, Lucy Barcelo.
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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 04/18/2024 01:31 PM - It Cannot Be Edited

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: FLANNER HEAD START PRESCHOOL
FACILITY NUMBER: 191570686

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/18/2024
Section Cited
CCR
101212(d)(1)

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Upon the occurrence, during the operation of the child care center of any of the events specified in (d) (1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.....
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Consultation was completed during the visit with Administration of Yolanda Orozco and Lucy Barcelo. They were reminded of the procedures of reporting and if unsure of what is reportable to call the Department and consult with the On-Duty Analyst.
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This requirement was not met as evidence to record review of Incident Report and Unusual Incident Report (UIR) was dated that incident occured on 3/6/2024 and notification to the Department was on 3/18/2024 which poses/posed a potential health, safety or personal rights risk to persons in care.
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Type B
05/02/2024
Section Cited
CCR101223(a)(2)

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(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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Administration had meeting with parents to revisit behavior plan that was already in place for Child#1. Admin is consulting with LACOE to suggest classroom strategies. Child Dev. Director will have a staff meeting to consult safety measures and will provide LPA with itinerary and
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This requirement was not met as evidence due to interviews with staff regarding an incident of a child gaining access to the parking lot on 3/6/2024, which poses/posed a potential health, safety or personal rights risks to persons in care.
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signatures of staff in attendance. LPA and Program Manager consulted regarding walkway used by parents and children to be avoided as an area for children and staff to utilize if a child needs a break due to behavioral concerns.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 04/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/18/2024
LIC809 (FAS) - (06/04)
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