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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197414773
Report Date: 11/16/2023
Date Signed: 11/16/2023 10:40:11 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/27/2023 and conducted by Evaluator Jeanette Estrada
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230927103046
FACILITY NAME:CORONA ELEMENTARY SCHOOL PKFLPFACILITY NUMBER:
197414773
ADMINISTRATOR:OSBALDO JIMENEZFACILITY TYPE:
850
ADDRESS:3825 BELL AVENUE RM. 13TELEPHONE:
(323) 560-1323
CITY:BELLSTATE: CAZIP CODE:
90201
CAPACITY:22CENSUS: 11DATE:
11/16/2023
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Lead Teacher Alejandra Vasquez TIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Facility operating out of ratio
INVESTIGATION FINDINGS:
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On 11/16/23 Licensing Program Analysts (LPAs) Jeanette Estrada and Anthony Padilla conducted an unannounced complaint inspection to the above facility. LPAs met with Lead Teacher Alejandra Vasquez who was informed of the reason for the visit. LPAs observed 11 children in the classroom.
LPA Estrada conducted interviews with Principal Osbaldo Jimenez and classroom staff. Disclosures confirmed that the facility has operated out of ratio. Per Principal Jimenez, the facility has operated out of ratio due to staff shortages.Based on record review and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A type B deficiency is being cited today in accordance with California Code of Regulations Title 22: regulation101216.3(c) Teacher-Child Ratio. Exit interview was conducted with Lead Teacher Alejandra Vasquez. The Notice of Site Visit (LIC 9213) and Appeal Rights were given and explained to the Facility Representative. 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.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 54-CC-20230927103046
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CORONA ELEMENTARY SCHOOL PKFLP
FACILITY NUMBER: 197414773
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/17/2023
Section Cited
CCR
101216.3(c)
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101216.3(c) Teacher-Child Ratio
(c) Child...programs funded...Department of Education...under Title 5...Title 5 staffing ratios shall apply in such centers.

This requirement was not met as evidence by:
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An Early Ed Aide has been hired in the classroom as of October 19, 2023.
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Based on interview and record review, Principal did not ensure Title 5 ratio was met.Per interviews, one staff had been supervising up to 13 children. This poses a potential health and safety risk to children in care.
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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: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC9099 (FAS) - (06/04)
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