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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198000225
Report Date: 03/24/2023
Date Signed: 03/24/2023 10:35:31 AM


Document Has Been Signed on 03/24/2023 10:35 AM - It Cannot Be Edited

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: 62DATE:
03/24/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Yolanda OrozcoTIME COMPLETED:
10:45 AM
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On March 24, 2023, at 9:00 am Licensing Program Analyst (LPA) Carolyn Tuba conducted a case management inspection due to an incident that was self reported and submitted by the facility that occurred on 1/4/2023. A Covid-19 risk assessment was conducted prior to entering the facility. LPA met with State Preschool Teacher, Kathy Ruiz who guided LPA on a tour to obtain the census of 62 children with 14 staff. During visit LPA met with Education Supervisor, Yolanda Orozco.

The incident was reported to the Department within the required 24 hours of occurrence. The incident consisted with a child alleging that they had been touched inappropriately. The facility conducted their own investigation, and their findings were unfounded. LPA received text messages from Education Supervisor on 3/23/2023 that had been obtained from the parent of Child #1 (C1).

During this investigation, LPA conducted interview with (C1) but did not qualify due to young age and spoke with Education Supervisor. After conducting interviews from visit on 3/22/2023 and today's visit, LPA does not have any evidence that C1 was touched inappropriately.

No citations have been issued at this time.



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

An exit interview was conducted, and a copy of this report was provided to Education Supervisor, Yolanda Orozco. along with Appeal Rights.

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/24/2023
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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