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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890334
Report Date: 09/13/2024
Date Signed: 09/13/2024 03:36:20 PM

Document Has Been Signed on 09/13/2024 03:36 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:EL SERENO HEAD STARTFACILITY NUMBER:
191890334
ADMINISTRATOR/
DIRECTOR:		MINA RODRIGUEZFACILITY TYPE:
850
ADDRESS:5036 HUNTINGTON DRIVETELEPHONE:
(323) 222-2786
CITY:LOS ANGELESSTATE: CAZIP CODE:
90032
CAPACITY: 40TOTAL ENROLLED CHILDREN: 16CENSUS: 0DATE:
09/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:15 PM
MET WITH:Mina Rodriguez, Lead Teacher TIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Staicy Perry conducted a case management inspection due to an unusual incident that was reported to the Department on 9/10/2024. LPA met with Mina Rodriguez, Lead Teacher . Census was taken and LPA observed 0 children.

On 9/9/2024 in the morning the facility became aware of HVAC system to not be functioning. Facility informed parents to pick up children due to repairs needed on HVAC system. Facility resumed normal operation the following day 9/10/2024. During the inspection, heating, lighting, and ventilation was evaluated by LPA Perry. LPA observed central AC/heater. LPA observed the thermostat located in classroom and temperature to be at 70 degrees. The facility reported the incident to the department within the required time frame. LPA obtained declaration from Mina and other documents.

Based on the information obtained on this date, no follow-up is necessary regarding the incident. The incident appears to be an unusual accident. It appears to be nothing the facility staff could have done to prevent the incident from occurring.

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.

Appeal rights discussed and provided.

Exit interview was conducted with Mina Rodriguez, Lead Teacher.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2024
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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