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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018010
Report Date: 02/05/2020
Date Signed: 02/05/2020 04:02:32 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:NLMUSD PRESCHOOL PROGRAMS-GALLATIN CENTERFACILITY NUMBER:
198018010
ADMINISTRATOR:REYNA GARCIAFACILITY TYPE:
850
ADDRESS:9001 PARAMOUNT BLVDTELEPHONE:
(562) 928-7651
CITY:DOWNEYSTATE: CAZIP CODE:
90240
CAPACITY:120CENSUS: 93DATE:
02/05/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Assistant DirectorTIME COMPLETED:
04:10 PM
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Licensing Program Analyst (LPA) T. Tran conducted a Case Management inspection at the above facility to follow up on the self-reported incident that occurred on 11/04/2019. The Monterey Park South West Child Care Regional Office received the written report on 11/04/2019.

LPA completed files review and obtained child's documents. LPA made observation and conducted Interviews with staff and others. Based on interviews conducted, on the day of the incident, there were two teachers with 18 children in care. While the children were sitting on the carpet for large group activities. C1 had teacher permission to put away her sweater in her cubby. As child walking a few steps away from the carpet and tripped on her shoes then hit her chin on the floor. C1 sustained an open cut on the bottom of the chin and stitches required. Parent was contacted immediately. C1 missed 5 days of school, upon return to school no special accommodation needed. 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 found. The content of this report was read and discussed in detail at the time of with the noted contact person.

An exit interview was conducted; the notice of site visit must be posted for 30 days upon receipt.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020
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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