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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191570862
Report Date: 03/10/2020
Date Signed: 03/10/2020 03:58:58 PM

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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:RAMONA SCHOOLFACILITY NUMBER:
191570862
ADMINISTRATOR:LAUREL PARKERFACILITY TYPE:
850
ADDRESS:14616 DINARDTELEPHONE:
(562) 210-4205
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:375CENSUS: 211DATE:
03/10/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Assistant DirectorTIME COMPLETED:
02:10 PM
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Licensing Program Analyst (LPA) T. Tran arrived at Ramona School to conduct a Case Management Incident inspection that was self-reported on 12/13/2019. The 24 hours self-report was made on 12/16/2019. The Monterey Park South West Child Care Regional Office received the incident report on 12/16/2019. During the inspection, LPA observed proper care and supervision.

LPA completed children's record review and obtained pertained documents. Interviews were conducted with children, staff and others. Based on the available information that was gathered through interviews. Staff indicated there were 17 children with two staff on the day of the incident. During classroom free choice play, staff observed both children were having a conflict over the legos then C2 threw a small lego piece at C1's face. C1 sustained a small bruise on the bridge of the nose. Staff immediately provided care for C1 and parent was contacted. During the time of the incident. center staff provided proper care and supervision. At this time based on the available information it does not appear this incident was the result of a Title 22 violation for lack of care and supervision.

The content of this report was read and discussed in detail the noted person.

An exit interview was conducted; the notice of site visit must be posted for 30 days upon receipt.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
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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