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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418560
Report Date: 07/27/2022
Date Signed: 08/08/2022 11:29:24 AM


Document Has Been Signed on 08/08/2022 11:29 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 08/08/2022 09:55 AM

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

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About 8:40 AM, Licensing Program Analyst (LPA) Tiffanie Tran arrived at the above licensed facility for the purpose of modification of the facility program by adding the toddler option attach to the preschool program. Upon arrival, LPA met with Leslie Gamero, Ed. Program Manager, Edie Smith, Area Manager, and Adriana Huerta, Site Supervisor. The facility is currently operating with the capacity of 60 preschool age children. The facility is requesting to reduce the capacity of preschool to 52 children by adding the toddler option with the capacity of 8 toddlers. The hours of operation from 8:00 AM - 4:00 PM, Monday through Friday. The facility had sufficient indoor, outdoor space with toilets and sinks to accommodate the 52 preschooler and 8 toddlers. LPA did not observe any children at the site. Per facility representative, Toddler children will start on August 1, 2022 and Preschool children will start on August 22, 2022.

This is a Head Start facility. The facility is serving breakfast, lunch and snack. Food will be delivered daily from the main kitchen. During this inspection, LPA inspected furniture to be age appropriate. The napping equipment were in good condition. Staff indicated, during rest time, children have an option to rest or participate in quiet activities set up in the classroom. Toddler classroom had changing table with an arm reach from the sinks. Children’s belongings were stored separately. Isolation area met regulation requirement. Food preparation area was clean. LPA observed two separate yards with proper shade. Per facility representative, the toddler yard is currently off-limit to children due to reconstruction of the yard. Facility will contact LPA upon completion for inspection prior to toddler children have access of the yard. Serviced fire extinguishers, smoke detectors/carbon monoxide detectors were observed. All required posting observed.LPA reviewed and obtained the facility current/updated Personnel Record (LIC 500). LPA reviewed facility's sketch which matched the physical plant of the facility. Updated copy of Parent Handbook. The facility was in compliance with Title 22 regulations during today's inspection.

A notice of site visit was given and must remain posted for 30 days.Exit interview conducted and report was reviewed with the facility representative, Leslie Gamero. LPA will mail the updated facility licensed to the facility upon availability.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/27/2022
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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