<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013856
Report Date: 09/01/2022
Date Signed: 09/01/2022 10:49:21 AM


Document Has Been Signed on 09/01/2022 10:49 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 CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:GLAZIER ELEMENTARY SCHOOLFACILITY NUMBER:
198013856
ADMINISTRATOR:ADRIANA RAMOSFACILITY TYPE:
850
ADDRESS:10932 E. EXCELSIOR DR.TELEPHONE:
(562) 863-8796
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:24CENSUS: 13DATE:
09/01/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Yolanda De VillaTIME COMPLETED:
11:10 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
About 8:00 AM, Licensing Program Analyst (LPA) T. Tran arrived at the above facility to conduct a Case Management Incident inspection that was self-reported on 08/22/22. The Monterey Park South West Office received the writing report on 08/22/22. Upon arrival, LPA met with teacher Yolanda De Villa and teacher Victoria Sandoval. About 8:20AM, we toured the facility. LPA observed a safety gate by the door for extra layer of safety. At 8:30AM, LPA observed arrival time, parents were lining up in front of the classroom while teacher greeted the families and children. Proper care and supervision were observed.

LPA completed children and staff files review. LPA obtained facility roster, children and staff document, and personnel report. LPA conducted interviews with staff, children, and parent.

According to the information that were gathered, none of the interview parties had any concerns with the level of care and supervision. No children were observed left alone in yard without a teacher direct supervision. At this time, based on the available information it does not appear this incident was the result of a Title 22 violation for lack of care and supervision.

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, Yolanda De Villa.

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2022
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 1