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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015614
Report Date: 01/20/2022
Date Signed: 01/20/2022 12:03:12 PM

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:COVINA EDUCATIONAL CENTER STATE PRESCHOOLFACILITY NUMBER:
198015614
ADMINISTRATOR:VANESSA BURGUENOFACILITY TYPE:
850
ADDRESS:160 N. BARRANCATELEPHONE:
(626) 974-4204
CITY:COVINASTATE: CAZIP CODE:
91723
CAPACITY:72CENSUS: 27DATE:
01/20/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Cristina Angelo, Lead TeacherTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) conducted a Case Management - Incident inspection in regards to the unusual incident that allegedly happened between 10/25/2021-12/9/2021 and was reported to the facility on 12/10/2021. LPA met with Cristina Angelo, Lead Teacher and stated the purpose of the visit is due to Unusual Incident which was self reported on 12/13/2021 by lead teacher Cristina Angelo to Community Care Licensing Division (CCLD). The Unusual Incident was reported within the required 24 business hours time frame per Title 22.

Prior to this visit, LPA interviewed over the phone the reporting party, and 5 facility staff.

During today's inspection, LPA interviewed 4 children. LPA toured the center with Ms. Angelo to include preschool playground, 3 preschool classrooms and bathrooms. LPA observed 27 children with 9 staff at the facility. Per Ms. Angelo, there are 3 teachers and 6 aides.

Various interviews have revealed that there are no witnesses to the alleged violation of personal rights of Child #1 (C1). All staff interviewed denied that they violated any child's personal rights. The reporting party stated there were no marks or bruising on C1 and declined to have C1 to be interviewed. C1 is no longer attending the center. According to school Principal Chris Aleman, the incident was reported to the Department of Children and Family Services (DCFS) and was taken as consultation and was advised that there's no need to report it to law enforcement. No report was provided by DCFS.

There were no deficiencies cited 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 Ms. Angelo.

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Thelma RazoTELEPHONE: (323) 981-3387
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2022
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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