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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018010
Report Date: 02/24/2020
Date Signed: 02/24/2020 04:25:24 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: 79DATE:
02/24/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Assistant DirectorTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Tiffanie Tran arrived at the above facility to conduct a Case Management Incident inspection that was self-reported on 09/03/2019. The 24 hours self-report was made on 09/03/2019. The Monterey Park South West Child Care Regional Office received the written incident report on 09/03/2019. During the inspection, LPA observed proper care and supervision.

LPA completed children and staff files reviewed. LPA obtained children document. Based on the available information and interviews were conducted. On the day of the incident, staff indicated there were 16 children with two teachers. Per staff indicated, this incident occurred at the beginning of the year when children were still adjusting to school and class routine. During morning large group time, C1 randomly threw a shark toy then hits C2 below the right eye. Child sustained a small cut no medical attention required. To prevent future incidents from reoccurrence, children were taught to identify their emotions by using their words. Teacher reminded children to handle toys and materials appropriately and practice safety rules. Center staff provided proper care and supervision during the time of the incident. At this time based on the available information it does not appear this incident was result of a Title 22 violation for lack of care and supervision. No deficiency was cited.

The content of this report was read and discussed in detail the noted 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: 02/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020
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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