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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191598968
Report Date: 05/10/2019
Date Signed: 05/10/2019 02:49:27 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:EL MONTE CITY SCHOOL DISTRICT - LE GOREFACILITY NUMBER:
191598968
ADMINISTRATOR:AUDELIA MACIASFACILITY TYPE:
850
ADDRESS:11121 E. BRYANT RD.TELEPHONE:
(818) 575-2393
CITY:EL MONTESTATE: CAZIP CODE:
91731
CAPACITY:84CENSUS: 35DATE:
05/10/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Anzhela Hirsh, Child Development SupervisorTIME COMPLETED:
03:00 PM
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An unannounced Annual Random Inspection was conducted on this day by Licensing Program Analyst (LPA) Jacqueline Martinez. Facility is currently licensed for a capacity of 84 children. LPA met with Leslie Rodriguez, Teacher, who guided analyst on a tour of the facility. Forty minutes into the inspection, Anzhela Hirsh, Child Development Supervisor arrived to conclude the inspection. This is a Head Start and State preschool program which is operated by El Monte City School District and is located on the premises of Le Gore Elementary Schoo. The facility is located at the rear of the school campus. The facility operates a full day State program in Rooms 3 and 4 from 8:00am to 2:30pm and a part time Head Start day program in Rooms 1 and 2. The AM Session operates from 8:00am to 11:30am and the PM Session operates from 12:00pm to 3:30pm, Monday through Friday. During todays inspection Room 1 and 2 were not inspected because the rooms were closed. There were no children or Staff present in Room 1 and 2.

The indoors of Room 3 and Room 4 were inspected as well as the outdoor play yards. LPA observed 19 children with 4 Staff Members in Room 4 and 16 children with 3 Staff Members in Room 3. Teacher child ratios were observed and staff names recorded.

Furniture and equipment was inspected for age appropriateness, good repair and free of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated. Napping equipment (mats) and bedding were inspected for good condition, appropriate storage and cleanliness. Children take their blankets and sheets home to wash weekly. Storage for children's belongings and isolation area were inspected. Ill isolation area is in the cozy area of each room. Drinking water is readily available indoors for children to drink freely via a a water fountain and water jug.

Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. First Aid supplies were reviewed and inventoried.
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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
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: EL MONTE CITY SCHOOL DISTRICT - LE GORE
FACILITY NUMBER: 191598968
VISIT DATE: 05/10/2019
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Incidental Medical Services (IMS). Incidental Medical Services (IMS) policy was discussed. The facility is providing IMS Services however there is no IMS Plan on file. a review of the medication policy, including administering, labeling, storage, and records was made. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided; US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

AB1207: The following is a reminder that: As of January 1, 2018, Health & Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. New employees shall have 90 days from date of employment to complete training as required. The training may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules at: http://www.mandatedreporterca.com/.

There are no deficiencies being cited during this inspection. An exit interview was conducted with Anzhela Hirsh, Child Development Supervisor. A copy of this report and Notice of Site Visit was provided.


The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
LIC809 (FAS) - (06/04)
Page: 2 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: EL MONTE CITY SCHOOL DISTRICT - LE GORE
FACILITY NUMBER: 191598968
VISIT DATE: 05/10/2019
NARRATIVE
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Food preparation and storage areas were observed to be clean, free of litter, rubbish and free of rodents and other vermin. Food is provided by the School District Cafeteria. The facility provides, breakfast and lunch to the AM Session, lunch and a PM snack to the PM Session and breakfast, lunch and a PM snack to the full day program. Proper storage of food, beverages and snacks was reviewed. Food menus were posted in a place that is visible by the child’s authorized representative. All storage containers for solid waste, including moveable bins had tight-fitting covers that are kept on, and in good repair. All floors were observed to be clean and safe. Disinfectants, cleaning solutions, medications and other items that are dangerous to children, were inaccessible.

The outdoor play yards are fully fenced and exclusively used by the Head Start program. Outdoor play equipment was inspected for safety, free of sharp, loose pointed parts, good repair and age appropriateness. The surface of the outdoor activity area was observed to be maintained in a safe condition, and free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. Required shade, drinking water and fencing were inspected. Drinking water was available outdoors for children to drink freely via a water jug. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards were observed.

Children's records were reviewed as well as a sampling of children’s emergency information. Staff files were not reviewed as staff files are kept at the Main Office and will be reviewed at a later date. If there are any deficiencies during that review, this report may be amended. All staff is fingerprint cleared, as a condition of employment through the school district. Staff #1 and #8 provided proof of current Pediatric First Aid and CPR certification. The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence has been reported to the department.

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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3