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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198000225
Report Date: 07/09/2019
Date Signed: 07/09/2019 09:56:05 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:BASSETT HEAD START/ERWINFACILITY NUMBER:
198000225
ADMINISTRATOR:R. DUCOING/Y. OROZCOFACILITY TYPE:
850
ADDRESS:943 N. SUNKIST AVENUETELEPHONE:
(626) 931-3161
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY:168CENSUS: 37DATE:
07/09/2019
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Rosie Ducoing, DirectorTIME COMPLETED:
10:15 AM
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A Case Management-licensee initiated inspection was conducted today by Licensing Program Analysts (LPAs) Jacqueline Martinez and Lisette Gonzalez for the purpose of measuring Room 26 to increase the capacity of the Toddler Component . The facility is requesting to increase the Toddler Capacity from 36 to 40 and decrease the Preschool Capacity from 136 to 128. This change in capacity will not change the total approved capacity of 168 (40+128= 168). Room 26, will host 16 Toddlers.

LPAs met with Rosie Ducoing, Director who provided a tour of the facility to take a census of the children present.

The current Toddler and Preschool program now operates from 6:30am to 6:00pm, Monday through Friday. Room 25, 26, 29 and 30 are the Toddlers Rooms and Rooms 27, 28, 31 and 32 are the Preschool Rooms.
Children are signed in at the entrance of each classroom. Food is provided by the School District Cafeteria. Breakfast, lunch and a PM snack is provided.

Indoor water for children to drink freely is provided via a water jug. A carbon monoxide and smoke detector were present. Firs Aid kit was observed to be complete. Ill isolation area is in the quiet area of the room.

LPA observed cots for children to sleep during the full day program LPA requested to see enough cots (16) for Room 26.. Children will be taking sheets/blankets home every Friday to wash.

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

DATE: 07/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2019
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 2
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: BASSETT HEAD START/ERWIN
FACILITY NUMBER: 198000225
VISIT DATE: 07/09/2019
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Measurements were taken for Room 26. Such measurements provided a total capacity of 21 for indoor space per Toddler child. There is one toilet available. A diaper changing table is available for the Toddlers that is located at arms reach of a sink. Director will also be providing a potty chair to meet the needs of the children.

- An approved fire clearance is on file for a capacity of 40 Toddlers .
-The outdoor Toddler space was not measured since there has been no change to the outdoor yard since it was initially measured.

Room *26: 16 Toddlers (measured)
Room 25: 8 Toddlers
Room 29: 8 Toddlers
Room 30: 8 Toddlers
Room 27: 24 Preschoolers
Room 28: 24 Preschoolers
Room 31: 16 Preschoolers
Room 32: 16 Preschoolers.

The approval for an increase in capacity will be pending License Review. Director will provide proof of a potty chair in Room 26 and proof of 16 cots by July 23, 2019. Upon approval license will be amended to reflect new capacity.

An exit interview was conducted with Rosie Ducoing, Director. A copy of the Notice of Site Visit and this report was provided. Upon receipt, Notice of Site Visit shall be posted. Notice of Site Visit shall be posted for thirty (30) days. Failure to maintain posting as required will result in a $100 civil penalty.

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

DATE: 07/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2