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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191596644
Report Date: 09/09/2022
Date Signed: 09/09/2022 11:07:55 AM


Document Has Been Signed on 09/09/2022 11:07 AM - 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:DUARTE USD PRESCHOOL-ANDRES DUARTE SITEFACILITY NUMBER:
191596644
ADMINISTRATOR:NADIA HILLMANFACILITY TYPE:
850
ADDRESS:1433 CRESTFIELD DRIVETELEPHONE:
(626) 599-5000
CITY:DUARTESTATE: CAZIP CODE:
91010
CAPACITY:114CENSUS: 50DATE:
09/09/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Sofia Valdez - Coordinator of Preschool ServicesTIME COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Steven Tung conducted a case management inspection to follow-up with an incident that occurred on 09/02/2022. On 09/02/2022, it was reported that a staff member observed 2 children together - 1 of the children with their shorts down.

On 09/09/2022, LPA conducted interviews with staff members and child. LPA also reveiwed children's records and obtained photos of the outdoor play area, class schedules, class rosters, class emergency contacts, and written reports from staff and other relevant parties.

The investigation will continue to conduct interviews and gather additional documentation.

Exit interview was conducted with Coordinator of Preschool Services, Sofia Valdez. A copy of this report was provided.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Steven TungTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 09/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/09/2022
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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