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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009691
Report Date: 01/09/2024
Date Signed: 01/09/2024 04:09:42 PM


Document Has Been Signed on 01/09/2024 04:09 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:HUERTA ELEMENTARYFACILITY NUMBER:
198009691
ADMINISTRATOR:ROSARIO VALCARELFACILITY TYPE:
850
ADDRESS:15415 S. PIONEER BLVD.TELEPHONE:
(562) 210-4546
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:38CENSUS: 25DATE:
01/09/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Loretta GallegosTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) T. Tran conducted an unannounced Case Management Incident visit at Huerta Elementary Head Start to follow up self-reported incident occurred on 11/16/2023 regarding staff concern of a child's health and safety. The Monterey Park Southwest Office received the writing report on 11/16/2023. LPA met with Loretta Gallegos, Assistant Director and we toured the facility. LPA observed proper care and supervision.

LPA completed child's file review. Staff files located at the main office unable for review during today's visit. LPA obtained child's document and personnel report. Interviews were conducted with staff and other. Based interview with the child's parents, the case has been closed by the case worker and nothing was found.

No deficiency was cited at this time. 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, Loretta Gallegos.

SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2024
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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